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Jul 18
0

No Christmas In July

By | Homelessness, The Race to End Homelessness | One Comment

I’m one of those people who is cold from October to May. I have sweatshirts reserved specifically for wearing around my apartment, and I once wore gloves to class. In the dead of winter, it is easy to understand why it is terrible to live outside. The snow, the ice, the deadly frost all make it nearly impossible to survive even in a temperate city like Baltimore. These conditions might seem like a long-lost memory from our vantage point in mid-July, but summer is just as dangerous a time to be experiencing homelessness — except fewer people are paying attention. When the temperature rises, most of us roll up our car windows and turn on the air conditioning, dividing us from our homeless neighbors.

Perhaps because of the holiday season, or because the cold is so inescapable in winter months, there is far more outreach to vulnerable populations at other times of the year. Organizations including the Food Bank, the Salvation Army, and the Red Cross report decreased donations and support in summer months, but need often increases during this time, especially because children are out of school and rely on their families for more services.

Some local efforts to support those experiencing homelessness are meeting the basic needs of those who don’t have their own AC, but only in very specific conditions. When it is 70° or 80° degrees, it is already uncomfortable to be outside for an entire day and night, but it isn’t until the thermometer hits 90° that cities will invite their homeless citizens indoors.  Cooling centers catering to people experiencing homelessness are set up in cities across the country, including Baltimore, Philadelphia, Los Angeles, and others. Often these sites are in public libraries, and offer some air conditioning and water.

I often promote housing as one of the most basic human needs, but the dangerously hot summer months serve as a reminder that this isn’t only a question of comfort or long term well-being and happiness — not having housing is an immediate health risk in July.

The option to cool off for a few hours — the centers are not open around the clock — is crucial to the survival of this vulnerable population. Also crucial are things like medical attention, access to healthy food, a place for personal hygiene, and the peace of mind that comes with having a safe place to live, but these are not made readily available. For now, it seems that all some cities can provide is a short reprieve from the blistering summer heat.

Jul 12
0

Congestion Cycle of Doom

By | Health, Silo-Breakers, The Global Is Local | No Comments

…..But first, a look back at Silos in the ChangeEngine world:

Thanks to everyone who has provided feedback, either in the comments section of Silos or Silos II, The Power of the Triple-S, in person, or as Michelle and Rodney did, in full fledged posts on ChangeEngine. Excellent discussions have been taking place, and I want to encourage that to continue. Challenge yourself and your colleagues:

What is the box you are in, for better or worse, and how can seeking partnerships or experience outside those parameters benefit your organization AND the community you live in?

Good luck, and keep us all posted! Link back to Silo Breakers as you post about your efforts, use a hashtag (I’ll defer to Hasdai on how to do that), and talk to friends and strangers… (Ed: Thanks Adam. It’s @ChangEngine #breakoutchallenge on Twitter, facebook.com/ChangingMedia, or email hasdai@changingmediagroup.com).

——-

Okay, this week, we touch upon the issues raised in posts about bicycling this past Spring (B’More Bike Friendly, Bikemore in Baltimore, and I Bike, You Bike, We Bike!) but with a wider lens. Although the previous posts brought up the local ramifications of taking cars off the roads, getting more of our community off the couch and out of the drivers seat, and so forth, today we will take a further step back to look at the transportation trends across the country and the world.

As was noted in the recent post by Stu Sirota, Our Trillion Dollar Dirty Little Secret, transportation funding in the United States is hyper-focused on roads and bridges. It’s not an unreasonable priority. The road infrastructure throughout the nation is vast, adding up to just over 2.5 million miles of pavement (not including the quadrillions of acres that make up parking lots and such things). We rely on roads and bridges for transport and economic vitality.

Image credit: Wikimedia Commons

The trouble is that those pesky roads share some unfortunate traits with us — they get stiff in the winter, squishy in the summer, and show the effects of age sooner than they feel like they should (“I swear it was only yesterday that 695 and I were at the prom together, young and fresh, and now look at us, full of potholes and cracks!”). The context in which this massive infrastructure was built was far different, and the maintenance costs increase over time. The current political climate has not been productive for passing thoughtful, long-term legislation of any sort, and future transportation bills may face the same problems.

As Sirota points out in his piece, the network of roads and associated development that have grown out of the national highway building efforts of previous decades have initially eased and then subsequently caused congestion and a need for expansion and development.

Shifts in our expectations about transportation, urbanization, work and play are undergoing a generational shift, however, which may reverse or at least force a reassessment of earlier priorities. New industries and young workers have a greater interest in working and living in urban areas, rather than suburban software parks for instance.

OK, so great, good for U.S.; we’re progressive as hell and living the green dream, right? Well, no, of course not. America will continue to rack up miles on our cars, build roads while others crumble, and generally remain a servant of the internal combustion engine. But things will improve, of course — better gas mileage, improved bike/car education, and pro-environmental youth will vote with their dollars more and more as they join the labor force.

Other places in the world however, are on a different trajectory:

Image credit: European Environment Agency

The developing world has long epitomized a biking culture for decades, and although many people now own Motos (mopeds, scooters, or other low-powered motorbikes) and aspire to own their own car, bikes still fill the streets. India and China in particular are projected to experience a massive increase in car ownership in the coming decades, fueled (ha) in part by their own domestic auto industries.

Image Credit: Wikimedia Commons

This trend is going to have a massive impact on vehicle emissions in coming years, but with any luck, the exploding population of car owners will be the proud owners of smaller, more fuel-efficient cars than were typical in the United States — imagine millions upon millions of Cadillac Eldorados cruising the Chinese landscape. At the same time, heavy industry in these countries will likely benefit from a greening culture as well as more efficient technologies, decreasing environmental impact.

This ebb and flow of transportation and urban fashions both here and around the world will have profound and lasting effects on our lives, our economy, our health, and our city. Baltimoreans have a particular responsibility to share innovations, be good ambassadors when traveling or hosting international guests, and break out of our regional and national silos when we engage in the online community.

Baltimore shares many characteristics with cities in the developing world — substantial industry presence, high poverty and disease burden, and vibrant pockets of entrepreneurship and innovation. We must share our lessons learned, reach out to inspire others, learn from disparate cultures with similar characteristics, and change the world.

Jun 24
0

Burkina Bound

By | Health | No Comments

I was bitten by the travel bug a long time ago, but ever since I found out I’ll be leaving for Burkina Faso in October with the Peace Corps, I haven’t really been able to hide my excitement. So I wanted to dedicate this post to my future home.

Burkina Faso is a landlocked country  in West Africa about the size of Colorado. Despite all the turmoil that affects nearby countries, Burkina Faso is relatively peaceful as they don’t have any coveted natural resources. They grow peanuts and mangoes rather than raw minerals or oil fields. The country has been described as poor even by African standards. A low blow, but nonetheless true — the United Nations ranks it 181 out of 187 on the Human Development Index.

But what the Burkinabe people lack in resources they make up for in personality. It is known as one of the friendliest countries in the world and I hear they live up to their country’s name, meaning “The Land of the Upright People.” They also take fashion, arts and music very seriously. Ouagadougou (pronounced wah-gah-doo-goo, and so much fun to say), the country’s capital, is home to the African equivalent of the Cannes film festival and many other famous music festivals. They also have one of the world’s best soccer teams.

Plus, Burkina Faso actually has somewhat of a structured health care system. In the years following its independence from the French in 1960 their system was managed by the government, but with no support from the local level, meaning there wasn’t really outreach to Burkinabe who still today rely on traditional or folk medicine. Then, about 25 years ago at the African Ministers of Health conference, the Burkina government decided it was time to provide more primary care services to its people. They started the Bamako Initiative which allocated more medical resources and money to the community level and pushed for a bigger emphasis on primary care.

Today, the health care system is organized into three institutional tiers. The first is the Ministry of Health, which has three national hospitals throughout the country and manages all health care policies and public health programs. The second tier is made up regional directors who enforce the policies set by the ministry and provide assistance to the third tier – the local health districts, which contain emergency care centers, dispensaries and clinics. I’ll be working in one of these local clinics as a Peace Corps volunteer. Each health district has a health team that manages the resources and makes sure minimum services are available. The health team is hired by the government but they have to share managerial power with a committee elected by the community. This sharing of power makes the administrative doings of the clinics more transparent, so clinic staff become more accountable and will better allocate funding.

Even though Burkinabe are expected to live until only about 52, I think there’s something very attractive about their health care system. What I love most about the Burkina health care system is that they include the community in the management of the local health districts. If we had something like this with our hospitals, there wouldn’t be all this sneakiness about billing and service fees.

We could also use more community health educators in our hospitals, clinics and doctor’s offices. Somebody could counsel you about insurance (much of what Health Leads does) or talk you more thoroughly about diabetes, high blood pressure, smoking cessation or whatever else instead of getting a little pamphlet about it. If I come in with diabetes, and someone from my community who also has the disease comes in to talk to me about managing it and encourages me to be proactive about my health– that gives so much more motivation than a doctor suggesting you do such and such.

If our clinics and hospitals got this kind input and support from the community level, we would see a lot more people using preventative care and get a lot more out a visit to the doctor.

IMAGE CREDIT. [Wikimedia Commons].
Jun 11
0

Domo Arigato Mr. Abe

By | Health | 2 Comments

If France can brag that they have the healthiest health care system, Japan can brag that they have the healthiest people. At a life expectancy of 82 years, the Japanese live the longest and have four full years of life on us Americans. Some people may think it’s because of their diet full of fish and low on fried foods but it could be that the Japanese have their hands-on government to thank.

First of all, even if the traditional Japanese diet is lower in fat and sugar than a lot of countries around the world, the Japanese government doesn’t care. They will still make you take nutrition classes if your waistline is over a certain amount of inches because of the Waistline Law. To Americans this may seem strange because the United States has more than three times the amount of obese people. Bloomberg and public health officers are green with envy — they can’t even ban large sodas.

In addition to the government’s heavy hand in public health, they also control most of private health matters. Every two years the Ministry of Health sets the prices for all health care services. Hospital stays cost roughly $10 a night whereas it runs in the thousands for a U.S. patient.  Doctors may get paid way less, but they also don’t have to pay for medical school and their malpractice insurance for the whole year is less than what doctors here pay in a month.

Although the Japanese government severely controls prices, the patients have all the freedom of choice. They don’t need a referral to see a specialist and they can see any doctor they please — there’s no in or out of network for insurance. And the Japanese are taking advantage of this freedom too. They see a doctor about three times more than Americans do.

Good for them, as the Japanese will always have health insurance and it doesn’t cost that much either. That’s because all health insurance companies in Japan are not-for-profit and if the company comes in the black one year, they subtract it from your premiums the next. Most Japanese people get health insurance through their employer, which helps pays for the already low-cost premium, or through the government.

So how does our reformed health system compare? Well, soon all Americans will have the opportunity to have health insurance. Though people are grumbling about a rumored increase in insurance premiums, all insurance companies must run them by the government first. And a lot of the speculations of high cost premiums don’t take into account the subsidies for people up to 400% of the Federal Poverty Level (roughly $45,000/yr). For a more realistic estimate of what insurance will cost in the exchanges, Washington D.C. recently released proposed rates. But as far as the other highlights of Japan’s health care system, particularly public health measures and cost control, it’s not looking too good. It would help if states would consider expanding Medicaid to include people making up to 133% the poverty level but so far only 23 states have taken that step.

Perhaps we don’t want our government policing our waistlines, but when it comes to providing a low-cost, equitable healthcare system for all, Japan is, quite literally, years ahead of us.

 

IMAGE CREDIT. [Ko Sasaki for The New York Times].
May 27
0

A La Sante!

By | Health | No Comments

It’s no secret that j’aime la France. It’s in my blood. And you know who else loves the French? The French. Besides their wine, cheese and “c’est la vie” attitude, one of their biggest bragging points is their health care system. In 2000 when the World Health Organization ranked health systems, France came out on top. The curious thing is that if you take a closer look, our red, white and blue cousins have health care very similar to ours yet spend about half of what we do.

So how do they do it? The French have coverage in two ways. The first is through the government’s Sécurité Sociale. Each working person pays an income tax to finance universal coverage. If you’re not working, pas de problème, there are taxes on tobacco, alcohol and pharmaceuticals that also help pay for universal coverage.  De plus, co-pays were most recently added to the pot. The Sécurité Sociale pays for 70 percent of fees and the customer pays the remaining 30 percent if you’re referred by or seeing a primary care physician. This may sound high to an American, but fees are set each year by the government and they are also made known to the patient so prices stay low even though doctors are paid by fee-for-service. In every doctor’s office and hospital the cost of every service provided is presented in clear view.

Even though 100 percent of the population is covered through Sécurité Sociale, more than 92 percent of the population also buys supplemental insurance. This can help pay for that extra 30 percent and give you coverage for some bonus services. This insurance can be private, but providers are not allowed to compete by lowering health premiums. Instead they can offer different benefits and ways to cover the 30 percent.  Supplemental insurance is also provided by employers with about half of the cost split by an employer and employee.

Like ours, France’s health care system is not simple, but everyone has coverage. Even illegal immigrants — after they’ve been in country for three months — receive health insurance. And people can go to any doctor they please, unlike in the U.S. where you must stay within your insurers network. And coverage is cheap too. People pay small co-pays at doctor’s visits but to make it even fairer people with chronic illnesses, low-income people and pregnant mothers get free services.

The most magnifique component of France’s health care system is the little plastic health insurance card. The “carte vitale” or “life card” contain all the information needed for a doctor to not only adequately asses the patient but asses how the patient will pay. All medical records have been digital since the 1990s and tell the doctor every note, exam and service the patient has had. The processing of services is also done digitally by the “carte vitale.” The doctor inputs the services and this alerts the government and the supplemental insurance of payment which must be given to the doctor within three days. It’s fast and cuts down enormously on medical errors, unknowns and administrative costs.

En bref, when it comes to health care, the French get more bang for their buck. They have more freedom of choice, better quality, lower costs and more efficiency. Many French people still complain about the rising costs and doctors complain about their low salaries (a general practitioner in France will make about a third of what one in the U.S. makes). Both countries rely heavily on employer-based insurance, pay doctors by fee-for-service and both countries demand choice. But WHO ranked France’s system number one for many reasons — low infant mortality rates, higher life expectancies, low medical errors and low deaths in preventable illnesses. The French decided that health care for all is more important than free markets and excessive salaries, and it paid off. I think we can learn a thing or two from that.

IMAGE CREDIT. [my.aup.edu].
May 16
0

Vision Driven Change

By | Health, The Global Is Local | 2 Comments

A few nights ago my wife and I had a conversation with our friend Peter. In contrast to our method of deciding our fate (last minute panic combined with procrastination and our desire to live in the moment), Peter was describing himself as vision-driven in his decision making process. By coincidence, the following morning I sat among a large group, including my fellow ChangeEngine blogger Scott Burkholder, loosely organized around the concepts of social entrepreneurship and a vague but optimistic vision of a better city.

These conversations have given me pause for thought, and to consider the role of this social innovation/social change blog platform. Our group of authors approaches the challenge of promoting positive social change from a variety of perspectives, and most of us have personal investment in the projects and programs that we write about.

I’ve occasionally thought that the quote attributed to Ghandi on a million self-satisfied bumper stickers — “Be the change you want to see in the world” — might be an appropriate mission statement for ChangeEngine. I looked up the phrase and found that he has been misquoted for the purposes of bumperstickerability. As corrected by the New York Times:

If we could change ourselves, the tendencies in the world would also change. As a man changes his own nature, so does the attitude of the world change towards him. … We need not wait to see what others do.”

Not surprisingly, Ghandi is a smidge more complex and a tad more profound than the sentiment captured on a bumper sticker.

My conversation with Peter and the breakfast group the following morning centered around the potential for individuals and small groups to generate substantial change. Both interactions emphasized the importance of envisioning a better place, even if the precise vision of a better future is vague. In a way, it doesn’t really matter. The effort counts.

Making an effort toward positive change almost certainly shifts the expectations, changes the conversation, and re-frames the possibilities for a community in need of transformative positive change. If Ghandi were a statistician, he might have talked about shifting or weighting the mean, if he were a talk show host, he might have talked about seeding the audience, but since he was an agent of transformative change, he talked about changing ourselves in order to change the world.

Hasdai Westbrook, our editor extraordinaire and Change-Monger-in-Chief, regularly reminds me to consider the social innovation components of the various issues that I address in my columns, and often this is a challenge for me when writing about burgeoning pandemics in Saudi Arabia. Today, however, I am struck how the health of the city is affected by all of its residents and their activities. Planting community gardens and socially responsible investment are both contributers to the same vision, and are relevant to the health of the greater community.

Barton, H.; Grant, M., 2006. A health map for the local human habitat. The Journal of the Royal Society for the Promotion of Health

My beat is Public Health, with local and global implications. At its core, Public Health is concerned with trends and interventions at the population level. While those in the research and analysis end of the field must be driven by process and procedure, those engaging in interventions must be driven by vision.

No public health intervention is undertaken without a vision of a better future for the population, but I believe that the definition of health intervention should be broadened considerably. From urban farms to the Mayor’s public safety initiatives to public art projects, there are a great number of activities taking place in Baltimore (and around the world) that directly and substantially impact population health. These activities impact the education, nutrition, economics, safety, and appearance of our neighborhoods, which can have a profound impact by shifting the mean toward a healthier city and and a healthier world.

Next time, The Gluten Wars, A Health-Conscious Society Loses Its Mind

May 13
0

Started from the Bottom

By | Health | One Comment

For the past nine months I’ve had the pleasure of working with kids through a nutrition education program called Food as Medicine at a local Baltimore middle school. Twice a week, once after school and once in the 6th grade classroom, volunteers help students think critically about the food they eat and teach them how it affects their body. We’ve had such success in the first year the kids are planning to get a salad bar for the school and have already made a commercial promoting healthy choices (soon to be released on YouTube, it’s a rap to the tune of Drake’s “Started from the Bottom“).

As an AmeriCorps VISTA, you live in poverty and fight poverty through program development and capacity-building. If you know me, you know that I hate using the words “poor” or “poverty” because they create a one-dimensional view in peoples’ minds. Being “poor” doesn’t only mean that you don’t have enough money; it means a much more fundamental lack of resources and opportunity. Yes, the middle school I work at in Waverly is Title I, meaning that about 76 percent of students are low-income and 98 percent of them receive free lunches. But it is the lack of access to society’s institutions and opportunities that creates the true detriment to their health and to their success later in life.

School budgets are determined by enrollment, with schools receiving about $5,000 for each child and a little bit more for special education and advanced students. That is the school’s entire budget that goes to food, toilet paper, teacher’s salaries, projectors and everything else. That leaves little extra for programming or even what many people consider basics. So this school of 6th – 8th grade students cannot afford languages, arts, P.E., health or science education. Aside from our program, the students have no other opportunity for after-school clubs or sports.

Ten years ago, all these students were zoned to Roland Park Middle School, which is one of the best in Baltimore but then were re-zoned to Waverly which didn’t even have a building for these kids to go to. The School Board promised the community a school equal to the quality of Roland Park, but instead gave them an old community center that was scheduled to be shut down and no funding to build it up. The community worked very hard for donations and to get the building suitable for children. Now the building looks nice, but the kids are left with no gym, equipment, playground or drinking water. Want to wash that apple you brought to school for snack? You can, but you will get lead all over it.

So it’s no surprise that these kids don’t know how much sugar is in soda or cereal or even chocolate milk. They don’t know that whole milk, Cheetos and fries have a whole bunch of fat in them. They didn’t know that you can die from strokes, heart attacks and diabetes which all are diseases mostly dependent on diet. Thanks to our program, students can identify what are healthy fats, that hydrogenated oils are bad for you and that too much sugar can cause diabetes. They know why vegetables are healthy and not just that they should eat them. Most importantly, they are more willing to try new foods. Before, students only ate things because they tasted good (and they still do) but now they know how to make healthy choices on their own because we told them how to read food labels and what nutrients are essential, and opened their eyes to all the dirty secrets of processed foods.

Luckily, things are looking up for the Waverly community. They worked very hard to get a brand new $30 million building — the first new school building for Baltimore in 15 years. Next year they will actually have a gym, science labs and enough room to fit 900 kids — more than double the enrollment now. With a building that has safe drinking water they can actually get a salad bar and wash their fruit. They will have an actual kitchen that doesn’t just re-heat food but will be equipped with real cooking utensils. They will have a real gym and a real playground to run around in. With more than double the possibility for funding, they will be able to hire science, health and P.E. teachers and finally will have the resources and opportunities to excel in life.

A picture of the after school club, self-named “The Healthy Society,” cooking with Chef Ty from Bon Appetit.
Apr 18
0

Bikemore in Baltimore!

By | Health, The Global Is Local | No Comments

(The second in a Spring series about cycling in Baltimore: Why planning for strictly vehicular travel makes pedestrians and bicycles an unwelcome nuisance rather than a welcome expectation.)

In my last column, we began discussing the bicycle culture of Baltimore. Recently, I had the chance to continue that discussion with Bikemore Executive Director Chris Merriam and Board Member Dave Love. I asked Chris to frame the relationship that bicycling has with public health, how one impacts the other, and how Bikemore’s efforts are designed to improve both the health of the community and the acceptance of bicycles on Baltimore streets.

“There’s a huge public health aspect to what we do,” says Chris, who was recently award an Open Society Institute Fellowship to further Bikemore’s mission of advocating for cycling and cyclists’ rights in Baltimore. “Cycling is a means of addressing the obesity problem in Baltimore — and all over the country of course. This is a working class city, though. It’s not like Washington D.C. or San Francisco. Not everyone belongs to a gym or eats healthy food all the time. The corner store diet of chips and soda is such a pervasive issue here.”

Chris has a background in urban planning, which informs his perspective. He agrees that our transportation system is a major component of public health, and a major obstacle to improving it. “We have a substandard [public] transportation system. For instance,  I’ll see people waiting for hours at a time for buses that will take them to work. A lot of the job sprawl in the area is such that many jobs for lower income people are in suburban malls, in Towson or Whitemarsh. Using public transit, depending on where people live, can take a long time: take one bus, take another bus, take the light rail, and there’s a lot of waiting around in between.”

And yet, despite the obvious advantages of a more bike-friendly city, Bikemore and other bicycling advocacy groups are trying to counteract 80 years of car-based engineering on our cities. Designing both vehicles and cities for strictly vehicular travel makes pedestrians and bicycles a nuisance rather than an expectation, and that is reflected in driver attitudes. Often the relationship between bikers and drivers is fraught with animosity.

Dave thinks that this may change due to sheer volume of bikes on the road, remembering his time in Berkeley, California: “Regardless of where I’m going, there would be three or four people on the same path, at a stop light five or six bikes back up. We wait just like traffic…If we got enough people on the roads, we could be looking at a sea change.”

But getting Baltimore drivers not to see red when they see a skinny person in spandex “in the way” is more than just a matter of numbers. Culture has to change too, and Bikemore realizes that Baltimore is a city with its own needs, and certainly its own culture.

People cite Portland as the ultimate case study. But remember, Portland is largely homogeneous, doesn’t have a lot of conflict, has a lot of taxpayers, is relatively young, etc. We can learn lessons from other cities, but we need to be wary of the ‘if they can do it, why can’t we?’ game.

Chris and Dave believe that these problems can be solved, but it will take effort on three fronts: education, infrastructure, and policy. They are leading in all three of these areas, but if you see the Bikemore sign around town, you are seeing education in action. Whether it’s a Bike Valet stand at the Food Truck Gathering or a presentation to a group of innovators at a conference like Reinvent Transit, Bikemore is constantly encouraging awareness and mutual respect between bikers and drivers.

Housekeeping: I wanted to address a couple of questions that came up in comments last time. First, the marked gender gap in bike commuters. I have two thoughts on factors that might be contributing to the disparity:

  1. It seems likely that there are safety-related differences in male and female biking behavior, as there are in many other activities. These safety concerns are related to both the perceived and actual intrinsic dangers of the activity itself and the external threats associated with being a single woman without a protective (vehicular) barrier. This study here comes to some similar conclusions, but I welcome any comments.
  2. There is reporting bias of some sort. This study from Stanford refers to a bias on survey forms that minimize or aggregate the kinds of trips that women tend to make (leaving aside the 50’s housewife stereotype slathered on the surface of the whole premise).

Second, how to get involved:

There are a number of groups that are active in the City, Bikemore being today’s obvious example. Velocipede and other bike shops and coops are all educators and advocates worth knowing, and of course join the Bike Party on the last Friday of each month.

Next Time: Who should bike in Baltimore, how, and why?

IMAGE CREDIT. Benson Kua
Mar 22
0

When Government Lets Us Down

By | Health, The Global Is Local | No Comments

If you have read a few of my posts over the past couple of months, you have probably realized I’m in favor of government; I think it has a place and serves valuable functions. A few of my favorite examples (when done right) are the regulation of pollution, the oversight of food, chemical, and product safety, and police forces committed to protecting our rights.

It is distressing, therefore, when this entity that provides us the space and safety to be here — the government — doesn’t do its job, namely to protect the citizens. Because I spent many hours looking at hopeful and uplifting HIV/AIDS news earlier this month, it was particularly sad to see that the ongoing budget battles will cut funding that provides therapeutic interventions for the most vulnerable AIDS patients in this country — the poor. As we learned last time, HIV/AIDS has a disproportionate impact in Baltimore. Global AIDS funding is being cut as well, despite earlier presidential promises to the contrary. This is unfortunate, since international AIDS funding gets far more bang for the buck, so to speak, and addresses regions where the need is incomprehensible to us here in the U.S.

Just to balance things out, however, there is an initiative taking place in the Oliver neighborhood that is essentially a blitz of Baltimore City services –– filling potholes, installing smoke detectors, offering access to drug rehab services, arresting drug dealers who frequent the area, and removing trash and debris. Whether or not this is what the neighborhood needs to pull out of its perpetual slump is uncertain, and probably a matter of opinion. Clearly, though, the reason for engaging in this effort is at least an attempt to make life better for the residents, which is the role that government ought to provide.

A  couple of updates in the “You Heard It Here First” category:

SARS Redux? recalled the Severe Acute Respiratory Syndrome (SARS) epidemic of 2003 and drew an uncanny parallel to an emerging coronavirus that has been causing an alarming respiratory condition in several patients in the Middle East. Several recent news items have called attention to this condition, confirmed that it has the potential to spread from person to person, and traced the spread from the Arabian Peninsula to the United Kingdom.

Outbreak discussed the nationwide fungal meningitis outbreak linked to contaminated pharmaceutical products made by the New England Compounding Center.  The outbreak is expected to continue to cause illness and death across the 20 states affected. The supply chain that provides us with the medicines we rely upon should remain under close public scrutiny or be expected to fail again.

Next time: Biking in Baltimore: awesome, terrifying, or obvious choice?

Unrelated sidebar: If you are interested in trying your hand at pottery, and possibly discussing health, politics, food, and the environment with yours truly, check out the Mesh Baltimore site this week.

IMAGE CREDIT. Library of Congress Flickr Photostream.