Planning Underway for Nation’s Next Decade of Public Health Goals, to be Unveiled in 2020

In fiscal year 2017, the State of Connecticut received $373,921 from the Centers for Disease Control and Prevention for childhood lead poisoning prevention programmatic activities. The funding arrived, at least in part, because one of the goals of the federal government’s Healthy People 2020 initiative, launched in 2010, is the elimination of childhood lead poisoning as a public health problem.

The Center for Disease Control and Prevention (CDC), the Department of Housing and Urban Development (HUD), U.S. Environmental Protection Agency (EPA), and other agencies have developed a federal interagency strategy to achieve this goal by 2020.   The key elements of this interagency strategy include:

• Identification and control of lead paint hazards;
• Identification and care for children with elevated blood lead levels;
• Surveillance of elevated blood lead levels in children to monitor progress; and
• Research to further improve childhood lead poisoning prevention methods.

The U.S. Department of Health and Human Services unveiled Healthy People 2020 in December 2010, laying out the nation’s new 10-year goals and objectives for health promotion and disease prevention. Healthy People provides science-based, 10-year national objectives for improving the health of all Americans, according to the program’s website.

Childhood lead poisoning prevention was one item on a lengthy list of national priorities.   Chronic diseases, such as heart disease, cancer and diabetes, are responsible for seven out of every 10 deaths among Americans each year and account for 75 percent of the nation’s health spending, officials said as the agenda was announced.  Topics added in 2010 included Dementia’s, including Alzheimer’s Disease; Early and Middle Childhood; Sleep Health; Social determinants of Health; and Adolescent Health.

For three decades, since 1979, Healthy People has established benchmarks and monitored progress over time in order to encourage collaborations across communities and sectors, empower individuals toward making informed health decisions and measure the impact of prevention activities.  The initiative is housed in the federal office of Disease Prevention and Health Promotion, part of the Department of Health and Human Services (HHS). Approximately three-quarters of the goals of the previous decade-long Healthy People agenda had been achieved, officials said in 2010.

Even as federal and state authorities work to achieve the 2020 goals, work has begun on the next set of national objectives.

The planning process for Healthy People 2030, the fifth edition of Healthy People, is already underway.  Federal agencies sought comments from the public last fall on a proposed framework, which “aims at new challenges and builds on lessons learned from its first four decades.”  In December, officials indicated that “The foundational principles and overarching goals of the proposed framework for 2030 include a call to attain health literacy, achieve health equity and eliminate health disparities, improve the health and well-being of all populations.”

Once the framework is finalized, the agency “will begin the development and selection process for Healthy People 2030 objectives. We anticipate that the public will be invited to comment on proposed objectives as part of this process.”  It is expected that four regional “listening” sessions will be held.  Connecticut is included in the New England region, one of 10 regions across the country.  A session held in Atlanta in November was attended by 77 people.

The imperative to improve public health has not lessened over time.

“The United States lags behind other Organisation for Economic Co-operation and Development (OECD) countries on key measures of health and well-being, including life expectancy, infant mortality, and obesity, despite having the highest percentage of GDP spent on health,” the website points out.

Climate Change, Children and Pollutants: Recipe for Health Concerns

The environmental damage caused by continuing to burn fossil fuels affects children most, with one study indicating that an estimated that about 88 percent of the disease from climate change afflicts children. In an article this month in the web-based science publication Massive, Renee Salas, an academic emergency medicine physician at Massachusetts General Hospital and Harvard University Medical School, says that while studies on climate change are still emerging, there has been enough research to result in a broad scientific agreement that climate change is negatively affecting children’s health.

The article points out that Frederica P. Perera, a professor of environmental health sciences and director of the Columbia Center for Children’s Environmental Health, recently released a review article “showing yet again how air pollution and climate change interact to multiply the negative health effects children face.”  The combination of air pollutants and warmer temperatures creates a perfect storm where chemicals emitted into the atmosphere interact to multiply the effects that each would have alone, the article states.

“People of all ages are exposed to this myriad of air pollutants in the changing climate, but children are more at risk of a wide spectrum of negative health effects because their developing bodies can suffer permanent damage from interference with their growth, Salas explains.

Investigators at the Yale Center for Perinatal, Pediatric and Environmental Epidemiology (CPPEE) at the Yale School of Public Health are engaged in a number of population-based studies in the U.S. and China intended to give us a better understanding of the health risks associated with exposure to relatively low and high levels of air pollution in childhood and during pregnancy.

The Center’s website points out that environmental factors are estimated to account for 24 percent of global diseases (WHO – Preventing Disease through Healthy Environments). In terms of the environmental contribution to disease, respiratory infections are ranked second, perinatal conditions seventh, and asthma fifteenth.  Air pollution is a major environmental risk factor in all three diseases.

Asthma is a major chronic disease in the US, accounting for more than two million emergency room visits and $14 billion in health care costs and lost productivity per year, the website indicates. Asthma is the most common chronic illness of childhood, accounting for more absenteeism (14 million missed school days per year) than any other chronic disease.  Absenteeism impacts academic performance, participation in extracurricular activities, and peer acceptance.

The Yale School of Public Health also points out that “underserved populations are especially affected by asthma.” In Connecticut, for example, asthma prevalence of 9.9 percent is among the highest in the U.S., they report. The rate among children enrolled in Connecticut’s HUSKY program (health insurance program for uninsured children) is 19.5 %. Increases in asthma and allergy are likely due to a combination of factors--genetic, environmental, socioeconomic, lack of access to care, and differential treatment.

The Massive article goes on explain that the potential harm starts early.  Once a child is born, the brain, lungs, and immune system aren’t fully formed until the age of six, the article states. “Even their air and food exposure in proportion to their size is much higher than adults – the amount they eat in relation to their body weight is three to four times greater than that of adults.”

She goes on to state the “Children also have an increased risk for being developmentally delayed, having lower intelligence scores, and less of a certain part of the brain called white matter, the stuff that helps you walk and talk. Their mental health is also at risk as children exposed to air pollution have higher rates of anxiety, depression, and difficulty paying attention.”

Salas notes that in addition to caring for patients who have negative health impacts from climate change, she uses her masters in Clinical Research and masters in Public Health in Environmental Health for research, education, and advocacy in this field. Says Salas, “I believe that climate change is the biggest public health issue facing our globe and am dedicating my career to making any positive difference I can.”

Better Outcomes from Female Surgeons, Study Finds; Local Hospital Highlights Their Own

In a study that has gained international attention and peaked interest locally, the patients of female surgeons tended to have lower death rates, fewer complications and lower readmissions to the hospital a month after their procedure, compared to the patients of male surgeons. The study, published in the BMJ (British Medical Journal), and highlighted in TIME magazine, was conducted in Ontario, Canada, and included all of the people in the province who had operations between 2007 and 2015.  The results are bringing some attention to female surgeons, and Connecticut Children’s Medical Center is shining a spotlight on their surgical staff in the aftermath of the study’s publication.

Connecticut Children’s which has nine female surgeons, including the surgeon-in-chief, is stressing not only that they are “leaders in this field,” but they are also “moms at home.”  They’re using the two roles to launch a social media campaign called #momsurgeons, and will be profiling each of the surgeons on social media, website and billboards in greater Hartford this week.

“We wanted to bring attention to the fact that we are moms too. We truly understand what our patient families are experiencing when their child is heading into surgery,” said Christine Finck, Surgeon-In-Chief at Connecticut Children’s. “We also understand the daily struggles many moms face trying to find that work-life balance.  It’s hard.  We get it.”

Finck, appointed surgeon-in-chief in 2016, previously served as Chief of the Division of Pediatric Surgery since 2007 and is an associate professor of pediatrics and surgery at UConn Health.  In announcing her appointment, Connecticut Children’s pointed out that through her research, Finck “revolutionized outcomes of pediatric and neonatal diseases, most specifically leading efforts focused on identifying and treating those that affect the lungs, esophagus and brain.” She was honored by The Group on Women in Medicine and Science, who awarded her the Outstanding Clinical Scientist Woman Faculty Award, last year.

After accounting for patient, surgeon, and hospital characteristics, the study concluded that “patients treated by female surgeons had a small but statistically significant” decrease in 30 day mortality and similar surgical outcomes (length of stay, complications, and readmission), compared with those treated by male surgeons.

The study’s authors noted that the findings “support the need for further examination of the surgical outcomes and mechanisms related to physicians and the underlying processes and patterns of care to improve mortality, complications, and readmissions for all patients.”

By drawing attention to this profession, officials said, “our #momsurgeons hope they can serve as role models for aspiring young ladies who also hope to one day enter the field.”

“Every time I operate, I stop and think about how I would want the operation to go if it my own child was in front of me,” said Meghna Misra, pediatric surgeon at Connecticut Children’s.

Surgery has long been a male-dominated occupation, TIME reported, “first because few women enrolled in medical school, and then because they weren’t perceived (by male surgeons, no less) to have the temperament needed to make the life-and-death decisions required in an OR.”

In the study, 104,630 patients were treated by 3,314 surgeons, 774 female and 2,540 male. Dr. Raj Satkunasivam, assistant professor of urology at Houston Methodist Hospital was leader of the study.

Connecticut Children’s Medical Center is the only hospital in Connecticut dedicated exclusively to the care of children and is ranked by U.S. News & World Report as one of the best children’s hospitals in the nation, with a medical staff of more than 1,000.

CT is 5th Healthiest State in USA; MA Ranks 1st, New Data Shows

Connecticut is the fifth healthiest state in the nation, dropping from third a year ago, but remaining in the nation’s top 10, where it has been every year since 1993. Massachusetts, Hawaii, Vermont, Utah and Connecticut rank as the five healthiest states, while West Virginia, Alabama, Arkansas, Louisiana and Mississippi rank the least healthy.

The United Health Foundation ranked America's states based on a variety of health factors, such as rates of infectious diseases, obesity, physical inactivity, smoking and infant mortality, as well as air pollution levels and the availability of health care providers. The survey has been conducted annually for 28 years.

America’s Health Rankings was built upon the World Health Organization definition of health:“Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”

The model reflects that determinants of health directly influence health outcomes. A health outcomes category and four categories of health determinants are included in the model: behaviors, community & environment, policy and clinical care.

This is the first time Massachusetts has been named the healthiest state, ending Hawaii's five-year ranking at number one. Connecticut’s highest ranking was second, in both 2006 and 2008.

By category, Connecticut ranked fourth in Behaviors, fourth in Clinical Care, sixth in Policy, tenth in Health Outcomes and 15^th in Community & Environment.  Connecticut had the third lowest levels of infectious disease, fourth lowest prevalence of smoking and ninth lowest levels of obesity.

The Bay State won the honor in part due to having the lowest percentage of uninsured residents at just 2.7% of the population, plus a low prevalence of obesity and a high number of mental health providers.  Rhode Island moved from 14^th to 11^th; New York from 13^th to 10^th. 

This latest report shows that the nation's health overall is getting worse.  The nation's premature death rate -- the number of years of potential life lost before age 75 -- increased 3% since 2015.  That increase is driven in part by drug deaths, which increased 7% during that time, and cardiovascular deaths, which went up 2%.  Overall, the United States ranks 27th in terms of life expectancy in a comparison of 35 countries, according to the report. Long-term challenges remain — including infant mortality and low birthweight. Cardiovascular deaths and drug deaths also increased.

Connecticut’s strengths, according to the report, include the state’s low prevalence of smoking, low violent crime rate and low percentage of uninsured people.  The state’s greatest challenges include a high drug death rate, high levels of air pollution and a large disparity in health status by educational attainment.

The report also identified the following highlights:

• In the past year, primary care physicians increased 6%, from 197.8 to 209.4 per 100,000 population
• In the past two years, children in poverty increased 33%, from 12.3% to 16.3% of children
• In the past five years, cancer deaths decreased 3% ,from 179.0 to 173.7 deaths per 100,000 population
• In the past three years, drug deaths increased 67%, from 11.0 to 18.4 deaths per 100,000 population
• In the past five years, the percentage uninsured decreased 44%, from 9.9% to 5.5% of the population

Health and Safety Among Top Concerns in Choosing Childcare, Survey Finds

When choosing a childcare or preschool, many parents try to gather information to make their decision. Yet only 54 percent of parents were very confident that they could tell if a childcare option would be safe and healthy for their child, according to a new national survey.  Beyond that challenge, 2 out of 3 parents said it’s hard to find childcare options with the characteristics they want. In selecting a childcare or preschool, parents consider a variety of health, safety, educational, or practical factors. Overall, 62 percent of parents agreed that it’s hard to find childcare options with the characteristics they want. The C.S. Mott Children’s Hospital National Poll on Children’s Health asked about these factors in a national sample of parents of children age 1-5 years who attend childcare or preschool.

Nearly half of parents reported their child currently attends preschool (48%), while the other half reported their child attends either a childcare center (25%) or in-home childcare (27%) for at least 5 hours per week.  Most parents (88%) felt that childcare centers and in-home childcare providers should have the same health and safety standards.  Parents selected up to 5 factors they would consider most important when choosing a childcare or preschool. The top 5 factors differed by the child’s current setting:

• Preschool: staff background checks (45%), active play every day (40%), doors locked (38%), staff have early childhood training (30%), and safe outdoor play area (30%)
• Childcare center: staff background checks (46%), staff have early childhood training (42%), doors locked (36%), cost (33%), and location/hours (32%)
• Home childcare: healthy foods served (28%), active play every day (28%), books/educational toys (27%), kitchen area cleaned (26%), and staff background checks (24%)

Connecticut’s Office of Early Childhood provides information on its website, including a “Child Care Checklist for Parents,” to assist in choosing a child daycare program. It suggests asking if the program is licensed, ensuring that unannounced visits are permitted, that there is adequate staff and that the program is safe.  The website also includes an “online lookup tool” to determine licensing status for family child care home providers, group child care homes, child care centers, family child care home staff-substitutes and assistants and youth camps.

A report published last month by Connecticut Voices for Children indicated that for more than a decade, Connecticut has made expanding early care and education programs and wrap-around supports a priority. The state has increased funding for early childhood programs for low-income families and communities,"making a real, sustained effort to build a strong infrastructure to support the early childhood system. Increased spending has increased both the availability and the quality of care."  Those efforts, the study found, "have begun to pay off in terms of both access and quality of care." 

The 39-page report indicated that: • Almost four in every five four-year-olds enroll in preschool. As of 2016, nearly 80% of four-year-olds were enrolled in preschool, an increase of six percentage points since 2005. • Disparities in preschool access have narrowed. The gap in preschool experience rates between the large urban districts and the wealthiest suburban districts has narrowed from 40 percent in 2003 to just 26 percent in 2016. • State programs are serving more infants and toddlers. Head Start and Child Day Care Centers have shifted to address more of the state’s need for infant and toddler care. Combined, they serve almost 80% more infants and toddlers in 2016 than in 2005.

The report stressed, however, that as of 2016, center-based infant/toddler care is affordable to only 25 percent of Connecticut families with a young child. Child care for two young children is affordable to only seven percent of such families.  The need for infant/toddler care "continues to vastly outstrip statewide capacity,"  and community wealth "continues to predict both preschool access and later test scores."

In the national poll, parents identified deal-breakers in selecting childcare – characteristics that would eliminate a preschool or childcare from their consideration. Over half said location in a sketchy area or a gun on the premises would be a deal-breaker; others were: non-staff adults on the premises, unvaccinated children allowed to attend, and having a staff person who smoked.

Some factors rated as most important by the Mott Poll parents may be reflected in the policies of the facility. These include whether staff undergo background checks prior to hiring, whether staff have early childhood certification or training, and whether child and staff members must be vaccinated. For many preschools and childcare centers, this type of information can be found on the facility’s website; it may be more difficult to find such information for in-home childcare providers, the poll analysis pointed out.

CT's Mattress Recycle Program Collecting 14,000 Per Month

Connecticut mattress recycling program collected more than 162,000 mattresses and diverted more than 2,300 tons of material from disposal during the 2016-17 fiscal year, according to a recently released report on the state's program. The mattress industry created the Mattress Recycling Council (MRC), a non-profit organization, in 2013 to develop and administer a recycling program, which was dubbed the Bye Bye Mattress Program.  It is  funded through a $9 fee collected from consumers on all mattress and box spring sales in the state.

The program officially began operating on May 1, 2015 in accordance with a new state law. It now averages recycling 14,000 mattresses a month. MRC collects mattresses from 125 communities and 169 public and private entities that dispose of large volumes of discarded mattresses.

On average, 70 percent of a mattress is recycled.  Officials are pushing to increase that percentage to 75 percent.  Program materials suggest that 80 percent of a mattress can be recycled.  In the program’s first two years, a total of 313,661 mattresses were collected for recycling.

Among the leading municipalities, according to the 54-page report:  Hartford - 336 tons, Bridgeport - 197 tons, Manchester - 138 tons, East Hartford - 84 tons, and Southington - 62 tons.

MRC’s education and outreach efforts are designed to inform consumers, mattress retailers, and other stakeholders about the Bye Bye Mattress Program, that the fee is mandated by state law, why the fee is needed, what the fee funds, how to recycle through the Program, and that some parties have obligations.

In addition to Connecticut, MRC operates programs in Rhode Island and California.

Among the many locations across making use of the program is the Naval Submarine Base in New London.  The Base used the program to assist with the recycling and transportation of 692 mattresses from barracks, submarines, and Navy hotel lodging facilities connected to the Base. MRC collected mattresses from the Base in New London three times during the fiscal year.

Despite the program’s achievements to date, one objective is not being met.  Based on MRC’s experience during the past two years, the report points out, it became clear that the healthcare facility goal was “impractical.”

Mattresses discarded by healthcare facilities are not recycled for two primary reasons: biological contamination and mattress residual value, according to the report. In addition, a strong secondary markets exist for specialty hospital mattresses discarded by healthcare facilities. As a result, discarded units are frequently resold domestically or exported, the report explained.

“Therefore, those units are not being landfilled or incinerated in Connecticut and are not available for recycling. Furthermore, healthcare mattresses with breached outer ticking or physical contamination may pose health risks, and are instead disposed of as solid or biological waste due to liability concerns,” the report points out.

https://youtu.be/L9QMPy4VT_Y

University of Saint Joseph School of Pharmacy Reaches to United Arab Emirates for New Academic Partnership

Earlier this decade, the University of Saint Joseph (USJ) took the bold steps of not only launching a Pharmacy doctoral program, but doing so in Downtown Hartford, developing a cutting-edge campus and curriculum above what was once the Hartford Civic Center mall. The program is thriving, driven in part by an innovative, modified-block curriculum that stresses experiential education throughout the three year program. Now, USJ is extending the Pharm.D.degree program connections beyond the United States.

The university has signed a letter of agreement to form a partnership with the College of Pharmacy at Gulf Medical University in the United Arab Emirates. The affiliation between the two schools includes inviting faculty and staff of the partner institution to participate in a variety of teaching, research, scholarship activities, and professional development. In addition, pharmacy students and postdoctoral students from both schools will participate in exchange programs for periods of study, research, and scholarship.

A signing ceremony, was held recently at USJ’s West Hartford campus, led by University of Saint Joseph President Rhona Free, Ph.D., and Dean of its School of Pharmacy Joseph Ofosu, Pharm.D., R.Ph., with Gulf Medical University Chancellor, Professor Hossam Hamdy.

“We are thrilled to create this partnership for the benefit of our respective students, faculty, and communities,” said President Free. “We look forward to a mutually beneficial experience for the Gulf Medical University’s College of Pharmacy and our School of Pharmacy located in downtown Hartford.”

The two institutions will carry out joint research and continuing education programs, and the schools will also organize symposia, conferences, short courses, and meetings on their research and scholarship issues.

Gulf Medical University’s planned Innovation and Research Centre will be the first of its kind in the region and will have devoted state-of-the-art innovation and incubation laboratories that are to include pharma product development, according to the university’s website. The Center aims to foster collaborations and partnerships with international institutions, universities, research labs, pharma companies and the healthcare industry.

Gulf Medical University (GMU), established in 1998, is a leading medical university in the Gulf region, located in Ajman, U.A.E. The campus is in the new Ajman metropolitan area, close to international airports in Dubai and Sharjah.

The USJ School of Pharmacy has an Open House scheduled for November 28, 6-8 p.m., at the school’s Hartford campus, 229 Trumbull Street.

https://youtu.be/p2W-ISsxqPM

Local Foundation Receives Major Grant to Expand Suicide-Prevention Program Nationally

The Hartford-based Jordan Porco Foundation has been selected as one of 13 non-profit organizations to receive a $100,000 grant from the Alkermes Inspiration Grants program. The grant will support Fresh Check Day, which is an uplifting mental health fair that builds a campus community around mental health and suicide prevention through engaging peer-to-peer education. Fresh Check Day, the foundation’s signature program, creates an approachable atmosphere where students are encouraged to engage in dialogues about mental health, and it helps to build a bridge between students and the mental health resources that exist on campus, in the community, and on a national level. Research supports that peer-to-peer education is one of the most effective ways to educate students, especially when the subject is suicide and mental health.

Since the first event in 2012, Fresh Check Day has grown exponentially, expanding throughout Connecticut, New England and nationwide.  There are now 26 colleges and universities in Connecticut that offer the program, and nearly 150 schools in 37 states.

“We are thankful to be awarded this grant in support of our signature program, Fresh Check Day. It helps in our national expansion and efforts to reach more young adults with our critical message of hope,” said Marisa Giarnella-Porco, President and CEO of the Jordan Porco Foundation.

The mission of the Jordan Porco Foundation, a 501(c) (3) public charity, is to prevent suicide, promote mental health, and create a message of hope for young adults. They accomplish this by providing engaging and uplifting peer-run programs. Their programs strive to start a conversation about mental health that reduces stigma while encouraging help-seeking and supportive behaviors.

“Addiction and mental illness affect millions of people and their families every day, and require an integrated approach to treatment that is scalable in communities across the country,” said Richard Pops, Chief Executive Officer of Alkermes. “Medicines play a role, but importantly, it is the innovative programs, like the Jordan Porco Foundation, designed to support people affected by these diseases and led by passionate leaders on the front lines that will ignite sustainable and meaningful change for patients.”

The primary goals of Fresh Check Day are to:

• Increase awareness of mental health resources and services available to students
• Challenge stigma and misconceptions around mental health and suicide that often deter individuals from seeking help
• Empower peers to be gatekeepers by understanding warning signs and knowing what to do if a friend is exhibiting signs of suicide or a mental health concern
• Increase willingness to ask for help if experiencing emotional distress

Now in its second year, Alkermes Inspiration Grants focuses on two key areas: improving or enhancing support or resources for people affected by mental health concerns or substance use disorder, and/or integrating the perspective of people affected by mental health concerns or addiction into drug development or care delivery. Alkermes is a global biopharmaceutical company with a “steadfast commitment” to developing innovative medicines for central nervous system (CNS) diseases.  The company has facilities in Ireland and the United States.

https://youtu.be/z_AQ5LJgVnQ

The Difference A Dollar Makes: UConn Research Finds Minimum Wage Increase Reduces Maltreatment of Children

It has been nearly a year since a study co-authored by UConn Assistant Professor of Public Policy Kerri M. Raissian appeared in the academic journal Children and Youth Services Review, but the interest hasn’t waned.  In fact, it now tops the list of downloaded articles in the past 90 days from the journal’s website. The article, which Raissian co-authored with Lindsey Rose Bullinger, asks – and answers – this question:  Does the minimum wage affect child maltreatment rates?

Short answer, according to their research:  yes. 

Raising the minimum wage by $1 per hour would result in a substantial decrease in the number of reported cases of child neglect, according to a study co-authored by Raissian and Bullinger.  They reviewed eleven years of records on child abuse and neglect and found that increases in the minimum wage correlate with declining child maltreatment rates.

A $1 increase would result in 9,700 (9.6 percent) fewer reported cases of child neglect annually as well as a likely decrease in cases of physical abuse, Bullinger explained on the website sciencedaily.com, where their study was featured earlier this year. This decline is concentrated among young children (ages 0–5) and school-aged children (ages 6–12); the effect diminishes among adolescents and is not significant, the study’s abstract points out.

“Our results suggest that policies that increase incomes of the working poor can improve children's welfare, especially younger children, quite substantially,” the authors conclude in their 70-page article on the study.

"Money matters," Bullinger noted on sciencedaily.com. "When caregivers have more disposable income, they're better able to provide a child's basic needs such as clothing, food, medical care and a safe home. Policies that increase the income of the working poor can improve children's welfare, especially younger children, quite substantially."

More than 30 states had minimum wages exceeding the federal requirement by an average of $1 during the study period, allowing the researchers to track changes in the number of reports to child protective service agencies with increases in the minimum wage.  Data from the National Child Abuse and Neglect Data System was used in the research.

The substantial decrease in child neglect cases is concentrated among toddlers and school-age children, but changes in the minimum wage had little impact on reports of neglect of teenagers. The researchers found no variation based on a child's race.

“Families with low incomes have a great ability to make a dollar go a long way. On average, the weekly SNAP (Supplemental Nutrition Assistance Program) food stamp benefit for a family of three is about $30. That’s about what a one dollar an hour minimum wage increase translates into for full-time workers. Other studies show that a $1,000 tax refund results in similar declines in child maltreatment – neglect, specifically. So for really low-income families that probably have pretty severe material deprivation or economic hardship, that extra dollar can make a really big difference,” Raissian told UConn Today.

Raissian’s research interests are linked by a common focus on child and family policy, according to the university’s website.  Her dissertation, “Assessing the Role and Impact of Public Policy on Child and Family Violence,” evaluated the efficacy of policies designed to reduce violence directed towards intimate partners, children, and other family members. Her professional background includes nearly 10 years of government and nonprofit sector experience, which focused on serving abused adults and children.

Bullinger is associate instructor in the school of public and environmental affairs at Indiana University at Bloomington.  Both attended Syracuse University’s Maxwell School of Citizenship and Public Affairs.

“Most of the states don’t have a minimum wage at or above $10; Connecticut does. It’s possible Connecticut may be at the threshold,” Raissian said in an interview featured in UConn Today. “It’s also really important to note that, while our study looks at the minimum wage, this could really be an income story – remember other studies find similar results when incomes are increased in other ways. Our very low-income families might be facing other reductions in their incomes that will be costly to us as a state. We should consider that, moving forward.”

Feds Urged to Complete Study Assessing Safety of Crumb Rubber Playing Fields, Playgrounds

If at first you don’t succeed, try, try again.  That’s not only a well-worn adage from youth, it is apparently the game plan for Connecticut U.S. Sen. Richard Blumenthal and his multi-year quest for a comprehensive federal study of the health risks of crumb rubber turf, a surface made of recycled tires that is widely used on playgrounds and athletics fields in Connecticut and nationwide. Blumenthal, along with colleagues in the Senate, are this week urging a federal task force to finish a long-overdue study into potential health risks.  The crumb rubber used in artificial turf fields is mainly composed of recycled tires, which contain man-made and natural rubber, according to the state Department of Public Health.  Chemicals called polycyclic aromatic hydrocarbons (PAHs) and volatile organic compounds (VOCs) can be found in the crumb rubber.  Crumb rubber can also contain heavy metals such as zinc and copper.

After a year and a half, WTNH-TV reported, the Senators are convinced progress on a comprehensive federal study has stalled.

It isn’t the first time that Blumenthal has been a lead voice to prompt action.  In November 2015 Blumenthal and Senate colleague Bill Nelson of Florida urged the Consumer Product Safety Commission to conduct a study.  In March 2016, Blumenthal was among those urging Congress and the President to allocate sufficient funds to conduct the study.  “Parents deserve to know if there is a danger to their children playing on these fields,” he said that month at a news conference held at Yale University.

A synthetic turf study was undertaken in 2016 by four United States agencies  — EPA, Consumer Products Safety Commission, the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry — which has yet to be finalized.

With it’s completion in doubt, Blumenthal is highlighting the imperative to get scientific answers to guide communities that are considering how best to replace natural grass or other types of field surfaces.  It is estimated that there are more than 10,000 artificial-turf surfaces in use across the country.

Earlier this year, plans for a crumb rubber synthetic turf field in North Haven brought local opposition. The town decided to go forward with the less controversial encapsulated crumb-rubber infill over the traditional crumb rubber option, according to an article on the controversy published this month in The Atlantic.

Last year, Hamden opted not to go ahead with plans for crumb rubber, switching to a mix of cork shavings and coconut husk, called “GeoFill,” along with a “shock pad” in response to safety concerns. Bloomfield High School installed a synthetic turf field, South Windsor decided to use acrylic-coated sand instead of crumb rubber.  Madison and Guilford are also among the communities with crumb rubber surfaces for fields or playgrounds, according to published reports.

Testifying at the Connecticut State Capitol earlier this year, medical staff from the Children’s Environmental Health Center at the Icahn School of Medicine at Mount Sinai in New York City, urged that “Until the findings of these studies are available and conclusively demonstrate the safety of recycled rubber playground surfaces, we recommend a ban on the use of these materials where children play.”

Legislation that would have prohibited the installation of ground cover that contains shredded or ground rubber recycled from motor vehicle tires in municipal and public school playgrounds in Connecticut was approved by two legislative committees (Committee on Children, Committee on Planning & Development) in March, but the proposal was not considered by the full legislature in the session that concluded in June.

Blumenthal first became concerned about the artificial surface when his children were playing on the crumb-rubber athletic fields.  “I became concerned as a parent, as much as a public official, ten years ago, and at first was somewhat skeptical, but now very firmly believe that we need an authoritative, real study about what’s in these fields,” Blumenthal told ABC News two years ago.

The state Department of Public Health (DPH) website points out that “the advantages of these fields include less maintenance costs, ability to withstand intense use and no need for pesticides.”  To address public safety concerns, four Connecticut state agencies collaborated in 2010 to evaluate the potential exposures and risks from athletic use of artificial turf fields, the DPH website explains.

A two year investigation of releases from five fields during active play was conducted by the Connecticut departments of Public Health, Energy and Environmental Protection, University of Connecticut Health Center, and The Connecticut Agricultural Experiment Station. The study was peer-reviewed by the Connecticut Academy of Science and Engineering.

The overall conclusion of the report, according to the DPH website, is that “use of outdoor artificial turf fields does not represent a significant health risk.”  A news release issued by the department did note “higher contaminant levels at one indoor field indicate that ventilation of indoor fields should be considered.  Storm water run off findings indicate that proper management of this run off is prudent to address possible environmental effects.”