An exchange focused on health issues and controversies of current concern to decision-makers around the world.
Recreational Marijuana and CBD: Public Attitudes, Science, and the Law
In the last decade, Americans’ relationship with cannabis has transformed: today, dozens of states have legalized marijuana for medical or recreational use and American farmers can grow hemp on an industrial scale. Meanwhile, shoppers can find cannabidiol (CBD), which is derived from cannabis but does not produce a “high” like marijuana, in everything from oils to vapes, chocolate bars, cosmetics—even dog treats. Some say CBD can relieve stress, pain, anxiety, and more, with no side effects. But the evidence for many of these claims is limited, and state and federal laws around the sale of CBD are still evolving. Drawing on a newly-released poll by POLITICO and the Harvard Chan School, this Forum examined public attitudes toward CBD products and recreational marijuana. Panelists examined how research studies of both recreational and medical marijuana offer insights into the current debate. They also discussed the current state of policy and research regarding recreational marijuana in particular, and consider various solutions that have emerged to understand and regulate these rapidly growing industries.
This Forum event was presented jointly with POLITICO on December 3, 2019.
Watch the entire series: https://theforum.sph.harvard.edu/
4-12-2019 • 59 minuten, 13 seconden
Unprecedented Natural Disasters in a Time of Climate Change: A Governors Roundtable
Hammered by unprecedented natural disasters, parts of the United States have coped with raging wildfires, catastrophic hurricanes, dangerous heat levels, blizzards and floods. In addition, climate change has introduced new risks and exacerbated existing problems, according to the National Climate Assessment.
This Forum event convened a dynamic panel of former governors, who will share their unique insights into the challenges of leadership and natural disasters. What does it take to prepare, respond and rebuild? What roles do the public, local and state officials and emergency responders play? What is the intersection between economies and disasters? And what climate change considerations need to be understood?
This Forum event was presented jointly with Reuters on November 14, 2019.
Watch the entire series: https://theforum.sph.harvard.edu/
20-11-2019 • 58 minuten, 32 seconden
Drug-Resistant Infections: Confronting an Escalating Crisis
Antibiotics are a pillar of modern medicine. They have saved millions of lives. But as the use of antibiotics has increased, so has the proliferation of antibiotic-resistant microbes that have adapted to survive most, or all, of today’s antibiotics. The CDC reports that two million people are infected with drug-resistant bacteria every year in the United States, and the Review on Antimicrobial Resistance estimated that, around the world, 700,000 people die of such infections annually. That number stands to increase: the Review predicts that, by 2050, drug resistance could be responsible for 10 million deaths a year. And while these numbers are dominated by bacterial infections, fungal infections like Candida auris are also a threat, especially to vulnerable patients in hospitals and nursing homes.
Despite drug resistance growing, the development of new antibiotics has slowed. How can policymakers help accelerate the pace of new drug development, and how can all of us—doctors, hospitals, and patients, as well as the agricultural sector—be better stewards of existing drugs? Forum panelists examined the scope of this looming crisis and look at how changes in policy and practice can help us stay one step ahead of these superbugs.
Watch the entire series: https://theforum.sph.harvard.edu/
25-10-2019 • 58 minuten, 10 seconden
Mental Health and Wellness for Students of Color: Transitioning to College
Amid the bustle on U.S. college campuses, a growing challenge is causing concern. Many college students of color report mental health issues–including depression, anxiety and, among some groups, increased risk for suicide–that are not well understood or effectively addressed. According to surveys conducted by Harris Poll, students of color feel both more isolated and more overwhelmed than their white classmates. At the same time, they are less likely to seek counseling services on campus.
Bringing together experts with diverse experiences and perspectives, this Forum explored how colleges can better support the social, emotional and mental health needs of students of color, particularly during the critical transition to college. Panelists emphasized evidence-based steps and policies that can help cultivate a positive and healthy experience for college students of color.
This Forum event was presented in partnership with The Steve Fund and jointly with HuffPost on September 18, 2019.
Watch the entire series: https://theforum.sph.harvard.edu/
20-9-2019 • 1 uur, 1 minuut, 17 seconden
The Measles Outbreak: Why Vaccines Matter
The U.S. officially eliminated measles nearly 20 years ago. Yet, this year, more than 1,100 cases have been reported, despite being preventable by vaccine. The CDC says the majority of cases are among those who were not vaccinated.
This Forum looked at the drivers of the 2019 outbreaks and, more generally, the challenges of vaccine acceptance. Why do some parents delay or decline vaccinating their children? How might their concerns be addressed? What about exemptions? Why does the global picture matter? And what can be done once an outbreak begins? New polling data framed this discussion, providing a uniquely current picture of vaccine acceptance in the U.S.
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented jointly with PRI's The World & WGBH on September 12, 2019.
Watch the entire series: https://theforum.sph.harvard.edu/
16-9-2019 • 1 uur, 1 minuut, 54 seconden
Deaths From Pregnancy and Childbirth: Why Are More U.S. Mothers Dying and What Can Be Done?
Maternal mortality dropped by almost half over the last 25 years around the world. However, in startling contrast, deaths related to pregnancy and childbirth doubled in the United States between 2000 and 2014, putting the nation second-to-last in maternal mortality among countries in the Organization for Economic Cooperation and Development. Further, pernicious racial disparities mean that black women in the United States face a deeply distressing three- to four-times higher risk of pregnancy-related deaths. What factors are driving these increases and disparities? What changes will narrow the survival gap between white and black women? How can health care systems more effectively prevent complications and poor outcomes? And how can mothers themselves and their communities be agents for change for a more equitable and safe delivery of the next generation?
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented jointly with PRI's The World & WGBH on March 4, 2019.
Watch the entire series: https://theforum.sph.harvard.edu/
6-3-2019 • 56 minuten, 28 seconden
The Spread of Hate and Racism: Confronting a Growing Public Crisis
In 2017, reports of hate crimes in the United States increased for the third consecutive year, according to the FBI. In addition to physical acts, such actions and other messages of racism, intolerance and extremism potentially impact large numbers of people online. In this Forum, experts tackled the painful and distressing spread of hate and racism. What social, political and psychological forces drive prejudice? How do modern media and the Internet enable and amplify hateful and racist messages? What are the impacts on the health and cohesion of society — and what can be done?
This Forum event was presented jointly with PRI’s The World & WGBH on February 13, 2019.
Watch the entire series: https://theforum.sph.harvard.edu/
6-3-2019 • 1 uur, 5 minuten, 17 seconden
Rare Cancers: Charting a Faster Route to Treatment
Rare cancers present doctors, researchers, and patients with a unique set of challenges. Rare cancers often are diagnosed at later stages. Patients typically have limited treatment options, in part because the small number of diagnoses makes gold-standard clinical trials difficult. The picture is further complicated by increasingly expensive cancer drug costs.
Yet, promises of emerging technologies, improved diagnostics, targeted therapies and pharmaceutical options provide hope. Calls for new ways to study rare cancers are being made so that patients can get access to better treatments more quickly.
In this Forum, panelists discussed how advances in cancer immunology, innovative trial designs, and international data sharing can create new hope for patients with rare cancers.
Supported by The Economist Group, this Forum event was presented on February 1, 2019.
Watch the entire series: https://theforum.sph.harvard.edu/
6-3-2019 • 59 minuten, 56 seconden
The New Congress: What’s Next on Crucial Health and Education Issues?
In this uniquely insightful Forum, experts examined key health and education policies — and their broad implications — that are likely to be enacted by the new Congress. The panelists discussed the current climate, including the government shutdown. For background, the discussion drew on a newly-released poll by POLITICO and the Harvard Chan School.
This Forum event was presented jointly with POLITICO LLC on January 23, 2019.
Watch the entire series: https://theforum.sph.harvard.edu/
6-3-2019 • 1 uur, 1 minuut, 27 seconden
Being Seriously Ill in the U.S.: Financial and Healthcare Impacts
What is it like to be seriously ill in America today? From heavy financial burdens — despite insurance — to varied hospital experiences, to impacts on caregivers, people with serious illnesses shared their experiences through a recent poll by the New York Times, the Commonwealth Fund, and the Harvard Chan School. The findings carry significant implications for national debates on basic health insurance requirements and on the reach of programs such as Medicare. In this Forum, a panel of experts unpacked the poll findings, as well as explored practical ways in which health systems can change to help the most ill Americans.
This Harvard event was presented in collaboration with The Commonwealth Fund on December 5, 2018.
Watch the entire series: https://theforum.sph.harvard.edu/
6-12-2018 • 1 uur, 1 minuut, 31 seconden
The Health and Economic Concerns of Rural Americans
What do rural Americans say are the biggest problems in their local communities? A new poll finds that drug/opioid abuse and economic concerns are the top challenges. When it comes to drug addiction and abuse, a majority of rural Americans say opioid addiction is a serious problem in their community. On economic issues, rural Americans largely hold negative views of their local economy, but nearly one-third have seen economic progress in recent years. What may help? A majority of rural Americans believe outside help will be necessary to solve major community problems in the future, and many believe government will play an important role.
Convened shortly before National Rural Health Day and after the nation’s midterm elections, a panel of experts explored the public health and policy implications of these findings within the broader context of life in rural America.
This Forum event was presented jointly with the Robert Wood Johnson Foundation and NPR on November 9, 2018.
Watch the entire series: https://theforum.sph.harvard.edu/
4-12-2018 • 1 uur, 2 minuten, 18 seconden
The 2018 Midterm Elections: Key Issues for Healthcare
Healthcare has again emerged as a pivotal issue for American voters. Conversations around preexisting conditions protections, short-term health plans, drug costs and premium rates are as contentious as ever. Debates around Medicare and Medicaid have grabbed headlines, while the Affordable Care Act has remained divisive, despite helping millions become insured. Against this backdrop, state governments have forged ahead with their own health policy decisions, adding to the complex tangle of healthcare policies in the country. This Forum panel explored what’s at stake in the 2018 midterm elections for Americans and their healthcare future.
This Forum event was presented jointly with Reuters November 1, 2018.
Watch the entire series: https://theforum.sph.harvard.edu/
4-12-2018 • 57 minuten, 5 seconden
Stroke: Successes and Setbacks with a Notorious Silent Killer
Stroke prevention and treatment is a remarkable success story — but strides appear to be stalling in some populations. Evidence suggests a dramatic increase in stroke incidence in people in their 30s and 40s. Disparities persist among race/ethnicities, and declines in stroke death have stalled in three out of every four states. This Forum examined stroke — from prevention and treatment through recovery. What is the latest information about the impacts of healthy lifestyles? What are the debates about current medications, such as TPA? What are some new treatments, including interventions in the so-called “golden period” of recovery, and the promise of basic science? What do policy changes, such as the 2018 blood pressure guidelines, mean? And how can we transform success from previous stroke prevention efforts for this new era to save even more lives and prevent disability?
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented jointly with PRI's The World & WGBH on October 22, 2018.
Watch the entire series: https://theforum.sph.harvard.edu/
24-10-2018 • 1 uur, 4 minuten, 14 seconden
Conflicts Over Science And Policy At The EPA: Where Are We Headed?
What is the status of evidence-based environmental policy in the U.S? Sweeping policy shifts, regulatory rollbacks, and decisions such as the withdrawal from the Paris Climate Agreement prompt questions. This Forum provided an opportunity to discuss the challenges facing environmental science today. Panelists explored areas potentially or already impacted by change, such as the Clean Power Plan, methane rules, and the Toxic Substances Control Act (TSCA) implementation — and their public health implications. Experts described how the EPA and other agencies are responding and shared ideas for steps forward to nurture and protect the principles of peer-reviewed environment science.
This Forum event was presented jointly with PRI’s The World & WGBH on October 19, 2018.
Watch the entire series: https://theforum.sph.harvard.edu/
22-10-2018 • 58 minuten, 29 seconden
U.S. Drug Prices: Why Are They So High?
Americans pay more money – sometimes much more money – for prescriptions than consumers in many other wealthy countries. Why? The drivers are many and complicated. Pharmaceutical companies, employers, health care providers, patients, lawmakers, and pharmacy benefit managers all play a role. Calls to make prescriptions more affordable have prompted new efforts, including at the federal level. Last May, for example, President Trump introduced a plan intended to help reduce drug prices. This Forum event aimed to demystify the prescription drug pricing process. Experts weighed issues such as regulation, price negotiation and competitive market pressures, ultimately asking why prescription costs matter for public health.
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was
presented jointly with Reuters on September 26, 2018.
27-9-2018 • 1 uur, 3 minuten, 35 seconden
The Future of Wellbeing: A Conversation with Deepak Chopra
Globally, people are living longer. What are the most compelling ways to ensure a sustainably healthy life? In this exciting live-streamed event, world-renowned author and speaker, Deepak Chopra, discussed the important connections between mind, immunity, genes and body. Dr. Chopra explored how chronic stress and inflammation can undermine immunity and health, ultimately seeking to empower people who wish to nurture their wellbeing over their lifetimes. He also discussed how these insights play out within public health, particularly as individuals and societies cope with epidemics, environmental threats, superbugs, aging and other challenges. He included takeaways from his new book, The Healing Self: A Revolutionary New Plan to Supercharge Your Immunity and Stay Well for Life, co-authored with esteemed Harvard neurology professor Rudolph Tanzi.
This special Forum presentation featured Dr. Chopra in conversation with The World’s Carol Hills, following some brief remarks. Dr. Michelle Williams, Dean of the Harvard Chan School, welcomed the audience and introduced the speaker.
This Forum event was presented jointly with PRI's The World & WGBH on September 12, 2018.
Watch the entire Forum series: https://theforum.sph.harvard.edu/
14-9-2018 • 59 minuten, 16 seconden
Self-Driving Cars: Pros and Cons for the Public's Health
No longer the stuff of science fiction, driverless cars already are being tested in numerous U.S. markets. These autonomous vehicles may revolutionize the automotive world, potentially reducing human error, reshaping transportation systems and transforming the country’s roadway infrastructure. However recent deaths linked to self-driving technology have caused concern about safety and have raised questions about whether the field is moving too quickly. In this Forum, experts reviewed current technology, regulation, realistic long-term plans, and the risks and benefits of a driverless future.
This Forum event was presented jointly with NBC News Digital on May 4, 2018.
Watch the entire series at ForumHSPH.org.
7-5-2018 • 57 minuten, 57 seconden
College Students and Mental Health: Confronting an Emerging Crisis
Mental health issues are alarmingly on the rise among college students, and a serious gap exists in campus services to help them. What can be done to meet this growing need, spurred by issues of anxiety and depression, that has been described as sudden and dramatic by the Center for Collegiate Mental Health? In a spring 2017 survey by the American College Health Association, 39 percent of college students reported feeling so depressed that they were having trouble functioning, and 61 percent said that they had overwhelming anxiety in the previous 12 months. This Forum served as a call to action, asking how to develop a campus culture that prioritizes the prevention of mental health issues and the destigmatization of existing conditions. An expert panel featured leaders from academia, mental health advocacy and psychology, who spoke from a public health and health care delivery perspective. How do we support students in need; remove barriers, particularly for already marginalized students; boost communication; and promote wellness drivers, such as improved sleep, nutrition, exercise and social connectedness? And how do we gather the much-needed evidence for public health policies?
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented jointly with HuffPost on Tuesday, April 17, 2018.
18-4-2018 • 59 minuten, 6 seconden
Opioids and Addiction: A Governors Roundtable on State Approaches to Treatment
President Trump recently described a plan to tackle the opioid abuse crisis that includes tougher sentencing on dealers and expanding access to treatment. The President’s Commission on Combating Drug Addiction and the Opioid Crisis cites the need to move ahead quickly with treatment alternatives for those addicted to opioids. Yet, recent public surveys show that Americans are confused about opioid-treatment programs, with only about half believing there is an effective, long-term addiction treatment. There are programs offered for the treatment of opioid addiction, including medicated–assisted treatment, drug rehabilitation programs, addiction support groups, and counseling. This Forum – featuring the unique perspectives of former governors and the 21st United States Secretary of Health and Human Services — will examine the state government’s role in current and future approaches to treatment. These approaches may include educating the public about these alternatives, paying for them, regulating their performance and availability, training and certifying health professionals in their use, and developing guidelines for certification of these treatments. This is the second in a series of Governors Roundtables.
Part of The Andelot Series on Current Science Controversies, this Forum event was presented jointly with Reuters on Thursday, April 12, 2018.
Watch the entire series at ForumHSPH.org.
13-4-2018 • 54 minuten, 52 seconden
The Gun Violence Epidemic: Protecting the Public’s Health
Inspired by students across the country, the gun violence prevention movement has gained new momentum. But can it last or lead to substantive change on the Congressional level? This Forum brought together experts in mental health, violence, and gun policy to discuss a variety of proposed gun violence and school safety measures. What is the status of background check laws? What is an appropriate way to discuss mental health in the conversation — without creating stigma or a chilling effect on people seeking care? What skills and training should educators have to spot warning signs and respond in crises? And, in light of restrictions around federally funded gun-related research, do policymakers have the information that they need to study these questions effectively? In this time of turbulence, our panelists looked at the evidence for — and possible unintended consequences of — today’s hotly debated measures to stop gun violence. This Forum event was presented jointly with Reuters on April 6, 2018. Watch the entire series at ForumHSPH.org.
9-4-2018 • 1 uur, 2 minuten, 9 seconden
Health in the LGBTQ Community: Improving Care and Confronting Discrimination
More than half of lesbian, gay, bisexual, transgender and queer Americans report that they have experienced violence, threats or harassment because of their sexuality or gender identity. Nearly one in five LGBTQ people has avoided seeking medical care for fear of discrimination. In this Forum, experts in LGBTQ health explored health disparities and discrimination that impact the LGBTQ community. Drawing from a recent poll by NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health, our panel looked at the impact of these experiences on physical and mental well-being — and what can be done to help.
This Forum event was presented jointly with NPR on March 21, 2018.
Watch the entire series at ForumHSPH.org.
22-3-2018 • 58 minuten, 18 seconden
Extreme Hurricanes: The Challenges for Puerto Rico and Beyond
Six months after Hurricane Maria devastated Puerto Rico, a panel of experts assessed persistent public health challenges on the island and the outlook for long-term recovery. Power restoration, health care coordination, and medical services delivery on the island are just some of the pressing issues the panelists explored. They discussed the potential threats of extreme hurricanes more broadly, noting that 2017 was one of the most destructive seasons on record. What can be done to better prepare and respond to killer storms, and to build resiliency to combat such disasters? How can the public and private sectors work together? And what have we learned generally from past hurricanes - and specifically from ongoing efforts in Puerto Rico - to meet the many challenges ahead?
This Forum event was presented jointly with PRI's The World & WGBH on Friday, March 9, 2018.
Watch the entire series at ForumHSPH.org.
9-3-2018 • 1 uur, 21 seconden
The Flu Outbreak: What You Need to Know
More than a half million deaths each year around the world result from flu-related respiratory illnesses. This year, flu has grabbed particular headlines, driven by an early start to flu season and the dominance of a particularly severe flu strain, H3N2. The flu is most dangerous to people with underlying health problems, as well as individuals over age 65 and young children. However, each year flu cases involving young, otherwise apparently healthy people raise flags. In this Forum, experts in epidemiology, immunology, and health policy will place this year’s flu season in context. They will explore vaccine development, prevention and treatment and address growing concerns globally as this particularly virulent outbreak gains the potential to spread further — ultimately asking is there a better way to stop the flu?
This Forum event was presented jointly with PRI's The World & WGBH on Tuesday, February 13, 2018.
Watch the entire series at ForumHSPH.org.
13-2-2018 • 1 uur, 1 minuut, 59 seconden
Discrimination in America: Native American Experiences
How do Native Americans experience discrimination in daily life? A new poll by NPR, the Robert Wood Johnson Foundation (RWJF), and the Harvard T.H. Chan School of Public Health illuminates Native Americans’ personal experiences with discrimination. The report reveals that more than a third of Native Americans and their family members have experienced slurs and violence, and close to a third have faced discrimination in the workplace and when interacting with police. The poll also reveals that Native Americans who live in majority-Native areas are significantly more likely to experience this kind of discrimination.
This poll is one a series of reports that surveyed additional groups, including Latinos, Asian Americans, African Americans, white Americans, men, women, and LGBTQ adults, on their experiences with discrimination.
This Forum event was presented December 12, 2017, in collaboration with the Robert Wood Johnson Foundation and NPR.
12-12-2017 • 1 uur, 5 minuten, 53 seconden
The Health Data Revolution: Improving Outcomes, Protecting Privacy
Will the next great medical insight come from a clinical trial, a laboratory study — or a database search? Today, health systems and insurers have access to a mountain of data about millions of Americans: what medications they take, their health history, even, in some cases, their genetics—plus an emerging body of mobile health data. Using “big data” techniques, doctors and researchers are already mining this data to deliver better care and to gain insights into the kind of hyper-specific questions that clinical trials and observational studies struggle to answer. The approach promises major, rapid-fire, highly-personalized discoveries. At the same time, with the specter of cyberattacks and hacks looming, the need for rugged privacy protection has never been greater. In this Forum, experts in healthcare data and privacy will discuss the potential for future discovery, practical steps to enable progress, and how information can be kept secure.
Part of the The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented jointly with HuffPost on Tuesday, December 5, 2017.
Watch the entire series at ForumHSPH.org.
5-12-2017 • 56 minuten, 21 seconden
The Diabetes Epidemic: The Latest on Treatment and Prevention
Despite decades of research and relentless messaging about the importance of diet and exercise, type 2 diabetes remains a major threat to the lives of millions of Americans. As new diagnoses in some populations plateau, rates in others groups, including African Americans and Latinos, are increasing. Why does this largely preventable and multifactorial condition persist? What are the latest treatments available for individuals living with diabetes? And what technological and medical breakthroughs lie on the horizon? In this Forum — held on World Diabetes Day — experts in medical innovation, food policy, diabetes and obesity research, and community outreach assessed the promise of new approaches to diabetes, as well as explored remaining challenges.
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented jointly with HuffPost on Tuesday, November 14, 2017.
14-11-2017 • 57 minuten, 27 seconden
Breakthroughs in Disease Treatment: The Landscape Moving Forward
Cancer. Alzheimer’s. Precision medicine. Antibiotic-resistant bacteria. The opioid crisis. These are all areas that stand to benefit from boosted federal funding. On the other hand, other areas may take a hit — immunizations, preparedness for outbreaks and epidemics, and chronic disease prevention programs to name a few. And where does the support for basic research that drives innovation fit in? In this Forum, a panel of experts explored the promises for advancing cutting-edge treatments and research to prevent diseases that affect millions – while looking at the implications for areas where funding may be reduced. What lies ahead in the landscape for the future of medical research?
Presented jointly with NBC News Digital, and part of The Andelot Series on Current Science Controversies, this Forum event took place
Monday, November 6, 2017.
6-11-2017 • 1 uur, 3 minuten, 27 seconden
Discrimination in America: African American Experiences
How do African Americans experience discrimination in daily life? A new poll by NPR, the Robert Wood Johnson Foundation (RWJF), and the Harvard T.H. Chan School of Public Health illuminates reports from African Americans who share their personal experiences with discrimination. With unprecedented documentation, the poll covers a range of areas — from police interaction, to job applications, to health care, to racial slurs. This Forum explored the poll results and their implications for a healthier, more equitable, and just society.
This poll is the first among a series of reports that surveyed additional groups, including Latinos, Asian Americans, Native Americans, men, women, and LGBTQ adults, on their experiences with discrimination.
This Forum event was presented October 24, 2017, in collaboration with the Robert Wood Johnson Foundation and NPR.
24-10-2017 • 1 uur, 1 minuut, 32 seconden
Eradicating Polio: Reaching the Last Child
Once a global scourge, polio is tantalizingly close to eradication with only 11 wild poliovirus cases reported worldwide in 2017. In this Forum event — held in advance of World Polio Day — experts from the Government of Pakistan, UNICEF, Rotary International, and the Harvard Opinion Research Program explained what factors contributed to this remarkable progress. Where were we five years ago in the effort to end transmission? What challenges emerged and how were they overcome? And where do we go from here? Looking specifically at the latest findings from Pakistan, Afghanistan and Nigeria, speakers described the key roles of polling and data collection, community and family engagement, new communication efforts and more in building trust to enable widespread vaccinations. They explored what brought us to this “last mile” of polio eradication, and what needs to be done to fully eradicate this ancient, debilitating and entirely preventable disease.
Presented jointly with NPR on Friday, October 20, 2017
20-10-2017 • 1 uur, 25 seconden
Climate Change: Responses from the Public and Private Sectors
Climate-related programs face challenges from federal regulation rollbacks and proposed spending cuts. In response, some members of the public and private sectors have stepped in, announcing various commitments to take action to curb climate change. What can cities, states, research institutions and businesses do to lead the way on climate change and to make the greatest impact on the environment and public health? A stellar panel of national, state, corporate and science leaders addressed the question in this Forum.
Presented jointly with Reuters on Friday, October 13, 2017.
13-10-2017 • 59 minuten, 14 seconden
The Future of the Affordable Care Act: What Happens Next?
The future of the Affordable Care Act (ACA) is unclear. Republicans have decided not to vote this week on the Graham-Cassidy bill, but promised to revisit ACA repeal-and-replace efforts. Democrats announced recently a single-payer health care proposal. And another hurdle for the ACA looms. With open enrollment beginning on November 1, questions remain about the stability of the ACA insurance exchange marketplace, particularly around the fate of cost-sharing subsidies and other factors that affect enrollment, affordability and access to varied plans. This Forum brought together health and public policy experts from across diverse perspectives to look at what’s next for the Affordable Care Act. What can Americans expect and where does health care reform go from here?
This Forum event was presented jointly with Reuters on September 27, 2017.
Watch the entire series at ForumHSPH.org.
27-9-2017 • 1 uur, 1 minuut, 37 seconden
Gene Editing: Promises and Challenges
In labs and in clinical trials, scientists are seeking ways to rewrite DNA, a building block of life. Tools such as zinc-finger nucleases (ZFNs), TAL effector nucleases (TALENs) and, more recently, CRISPR/Cas9 have the power to seek out and replace faulty DNA. The possibilities seem almost limitless: with the ability to edit DNA at will, researchers theoretically could wipe out malaria-causing mosquitos, make disease- and pest-proof crops without the need for pesticides, and cure genetic diseases, such as sickle cell anemia and cystic fibrosis. Cancer is another target, with human clinical trials using CRISPR already underway, while, in separate efforts, HIV has been reportedly eliminated in mice thanks to the tool.
But scientists and ethicists alike are worried about the speed at which the gene editing field is moving — and the implications of the results. In this panel, we discussed the promises and challenges presented by gene editing for individual and public health. What scientific and ethical hurdles must be overcome before tools like CRISPR and others can move safely and more widely out of the lab and into fields, farms, and hospitals
This Forum event was presented jointly with NBC News Digital on May 19, 2017, as part of The Andelot Series on Current Science Controversies.
Watch the entire series at ForumHSPH.org.
19-5-2017 • 54 minuten, 43 seconden
Supplements and Health: Sorting the Facts
“Lose belly fat.” “Build muscle.” “Lower your cholesterol.” “Improve your sex drive.” Browse the shelves of any supermarket or pharmacy, and you will find dietary supplements that promise to do all this, and more. Supplements are a multi-billion-dollar business, and today more than half of American adults take them, many at the advice of their doctors. But dietary supplements can have real risks. They are not required by federal law to be proven safe “to the FDA’s satisfaction” before hitting the market, raising concern among critics about a perceived lack of safety oversight and consumer education.
Using the latest science as the basis for discussion, Forum experts examined the risks and benefits of supplements. How effective are they? What about dosages — or interactions with prescription medications? Should supplements be subject to more stringent rules and tests? What role should doctors, pharmacists, and drugstores have in helping consumers make safe, educated choices about supplements? This panel attempted to help sort the facts about supplements and health.
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented jointly with PRI’s The World & WGBH on May 11, 2017.
Watch the entire series at ForumHSPH.org.
11-5-2017 • 58 minuten, 10 seconden
The Opioid Crisis: A Governors Roundtable
Opioid overdoses claim the lives of 91 Americans every day, according to the Centers for Disease Control and Prevention. In this Forum event, four former governors offered candid insights into how government policy can help, exploring what works and what doesn’t. They spoke about experiences within their own states, as well the broader national epidemic. Topics included prescription drug monitoring programs; treatment vouchers; naloxone use; and crackdowns on illegal supply streams. The governors also discussed the goals of the 21st Century Cures Act to fight the epidemic and the role of the Trump Administration’s opioid task force.
Presented May 5, 2017, jointly with PRI’s The World & WGBH News.
Watch the entire series at ForumHSPH.org.
5-5-2017 • 59 minuten, 47 seconden
Lead Contamination Beyond Flint: Drinking Water and Children's Health
On the whole, American drinking water is safe. However, more than a year after toxic lead levels forced a federal state of emergency in Flint, MI, 63 percent of Americans report that they worry a great deal about polluted drinking water. This statistic comes from a new Gallup poll indicating that water pollution ranks the highest of six environmental concerns among respondents. While pipes in Flint are expected to be replaced with the help of a $97 million settlement, there are other cities with histories of unsafe lead levels — or other toxins — in drinking water. These contaminants can threaten health, particularly among children. This Forum grappled with safekeeping American drinking water supplies. Does the drinking water infrastructure need replacement? How would such an effort look? Do public alert systems help? What about other potential lead exposure sources? What is the role of regulation in a time of proposed deep cuts to EPA funding? What does the public need to know? This timely discussion was held in advance of Earth Day.
Presented April 20, 2017, jointly with The Huffington Post.
Watch the entire series at ForumHSPH.org.
20-4-2017 • 1 uur, 1 minuut, 13 seconden
Race and Policing: State and Local Perspectives
Building on two previous Forums about race, criminal justice and health (from February 2015 and October 2015), this event examined specific approaches and models to address the complexities of race and policing. Experts in law enforcement, public health, community relations and the law spoke. Subjects included safeguarding law enforcement and communities, promoting more effective communication and de-escalation techniques, and narrowing the social, economic and health gaps that persist between underserved and middle-class America. The emphasis was on local and state approaches.
This event was presented jointly with PRI's The World & WGBH on March 27, 2017.
Watch the entire series at ForumHSPH.org.
27-3-2017 • 1 uur, 37 seconden
Marijuana: The Latest Scientific Findings and Legalization
California, Massachusetts, Maine, and Nevada became the latest states to legalize recreational marijuana, bringing to 28 the number of states that have okayed the drug for medicinal use, recreational use, or both. Even more states have rules that allow certain kinds of cannabis extracts to be used for medical purposes. At the same time that state legalization is increasing, the Trump administration is signaling that it may ramp up enforcement of federal drug laws, even when they come into conflict with state laws allowing recreational marijuana use. State and local governments may find themselves on uncertain legal ground. Meanwhile, policymakers navigating this new landscape are also working largely without the benefit of a solid foundation of scientific evidence on the drug’s risks and benefits. In fact, a new National Academy of Medicine report describes notable gaps in scientific data on the short- and long-term health effects of marijuana. What do we know about the health impacts of marijuana, and what do we still need to learn? This Forum brought together researchers studying marijuana’s health impacts with policymakers who are working to implement new laws in ways that will benefit and protect public health.
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented jointly with The Huffington Post on Friday, March 24, 2017.
Watch the entire series at ForumHSPH.org.
24-3-2017 • 56 minuten, 52 seconden
The 21st Century Cures Act: Implications for Research and Drug Development
The passage of the 21st Century Cures Act has drawn both applause and criticism. A sweeping bipartisan effort with multiple components, the law dramatically boosts funding for medical research, particularly in areas such as cancer and brain disease. The law also relaxes regulatory processes for pharmaceuticals and medical devices. In doing so, the law’s supporters point to the potential for faster treatments benefiting from a streamlined approval process. Critics raise concerns that safety and efficacy might be compromised, with potentially devastating consequences. And the law also has been questioned for failing to explicitly address high drug prices, a growing public issue. These debates are unfolding as the Trump administration is expected to imminently announce its choice for a new FDA commissioner, who will head an agency directly impacted by the Cures act. In this Forum, experts will explore the implications of the law for biomedicine, regulation, pharmaceuticals and patient advocacy.
This Forum event was presented jointly with STAT on February 27, 2017.
Watch the entire series at ForumHSPH.org.
27-2-2017 • 57 minuten, 37 seconden
Hormone-Altering Chemicals: Fertility and Health Implications
How can common chemicals affect our health? This Forum at HSPH was presented jointly with The Huffington Post.
Watch the entire series at ForumHSPH.org.
31-1-2017 • 54 minuten, 47 seconden
The Future of Food: Feeding the Planet During Climate Change
By 2050, a projected 9.7 billion people will inhabit the planet. How will we produce enough nutritious food to support this burgeoning population and ensure access to food resources, particularly as climate change stresses the environment? This Forum explored innovative methods and systems for producing food, as well as new types of products and underutilized sources. The panelists talked about emerging technologies, including advances in genomics and aeroponics, to grow food. They also discussed ways to sustain at-risk food resources made vulnerable from climate change, and the impacts for populations in developing countries.
Part of The Andelot Series on Current Science Controversies, this event was presented jointly with PRI's The World and WGBH on December 13, 2016.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
13-12-2016 • 1 uur, 2 minuten, 14 seconden
The Chronic Pain Epidemic: What's to Be Done?
More than 100 million Americans struggle with chronic pain, according to one Institute of Medicine estimate, at an annual cost of as much as $635 billion in treatment and lost productivity. Further, the misuse of potent opioid painkillers, while increasing risk of addiction and abuse, can confuse the conversation around appropriate chronic pain management. This Forum brought together a panel of experts to discuss the causes, treatment and impact of chronic pain, exploring the neuroscience behind the pain experience. The panelists examined how clinicians can best serve their patients, highlighting the recommendations of the U.S. Department of Health and Human Services’ recent National Pain Strategy. The Forum also looked at myriad pain management options, including marijuana and mindfulness meditation. And panelists examined relevant pain care policies, including prescription monitoring program regulations, drug development and funding for research.
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented jointly with The Huffington Post and in association with Harvard Health Publications on November 10, 2016.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
11-11-2016 • 58 minuten, 6 seconden
The 2016 US Presidential Election: Examining Possible Health Care Futures
Health care has emerged as a hotly debated issue of the 2016 presidential election, with the Republican and Democratic presidential nominees expressing starkly different views on the Affordable Care Act (ACA). While approximately 20 million people have gained healthcare coverage since the law’s passage, implementation has been marred by setbacks, including the withdrawal of some major insurers from the ACA marketplace. A new poll by POLITICO and the Harvard T.H. Chan School of Public Health shows deep ideological divides between the parties about the healthcare law, with a majority of voters saying they believe the law is failing. In addition, a recent announcement that healthcare premiums for some ACA plans will increase 25 percent on average next year has fed political debate. In this Forum event, expert panelists discussed the implications of the possible outcomes of the 2016 election.
This event was presented in Collaboration with Reuters November 3, 2016.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
4-11-2016 • 1 uur, 1 minuut, 22 seconden
The Domestic Violence Crisis: Mobilizing the Public and Private Sectors
According to the CDC, nearly 29 million U.S. women and 16 million U.S. men have experienced severe physical violence by an intimate partner at some point in their lifetime. Most of those experiences occur before the age of twenty-five. The evidence is clear that domestic violence takes a physical and emotional toll on individuals, families and communities. Those exposed both directly and indirectly are at a greater risk of mental health disorders, infectious and chronic diseases and death. And the global annual cost in lost productivity, health care, and law enforcement is estimated to be in the trillions. This Forum event, held during National Domestic Violence Awareness Month, explored the many dimensions of domestic violence, the need for evidence-based prevention strategies and the role that the public and private sectors need to play to shift the conversation from intervention to preventive action. The panel included thought leaders and experts in public health and research coming together to advance the prevention of domestic violence.
This event was Presented jointly with The Huffington Post on October 24, 2016.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
24-10-2016 • 56 minuten, 18 seconden
Child Care and Health in America: Today's Challenges for Tomorrow's Children
Quality child care can help children develop lasting social, emotional, and learning skills and can promote healthy eating and play. But high-quality care, whether it comes from a nanny, a sitter, a daycare, or a preschool, can be difficult to find—and to afford. Drawing on the findings of a newly released poll by NPR, the Robert Wood Johnson Foundation, and Harvard T.H. Chan School of Public Health, this Forum event brought together a panel of experts to discuss parents’ priorities and perceptions about their children’s care and how they square up against expert assessments of child care quality. How do parents find and select child care, and how does that care impact the health and well-being of children and families? How can child care be made accessible, high-quality and affordable? How do we even measure quality in a meaningful and accountable way? Forum panelists discussed ways to equip parents with better information about child care, and policy changes that can help children thrive.
This event was presented October 18, 2016 in Collaboration with The Robert Wood Johnson Foundation and NPR.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
18-10-2016 • 1 uur, 2 minuten, 3 seconden
Zika in the U.S., Puerto Rico and Beyond: Risks and Response
With more than 23,100 cases of Zika in the continental U.S. and U.S. territories — including four newly reported non-travel cases in Miami-Dade County, Fla — this Forum continued a conversation begun in March 2016 to discuss the risks and response to the spreading Zika virus. The focus was on the U.S. and Caribbean, as well as other regions experiencing increases in cases. Public health experts examined our deepening understanding of how the virus works and how its spread may be controlled; where Congressional funding might be best spent; how vaccines might potentially help; and how public health messaging around the virus may impact at-risk groups, particularly pregnant women.
This event was presented September 29, 2016 in Collaboration with Reuters.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
30-9-2016 • 57 minuten, 45 seconden
Eating Disorders, Mental Health and Body Image: The Public Health Connections
More than 30 million Americans — women and men, children and adults — grapple with eating disorders. These complex illnesses, which include anorexia, bulimia, and binge eating disorder, severely undermine health and cost lives. This event explored the many dimensions to eating disorders, including their biological bases, risk factors and treatment options. What role does body image play, and how do industries, such as fashion and advertising, often promulgate unrealistic societal standards of beauty? How might women and girls, in particular, be affected by such pressure? And what’s to be done? For example, would enacting legislation that requires minimum BMIs for models, or requiring disclosures of digitally altered ads, help? This panel included expertise in psychiatry, children’s health, policy and eating disorders prevention.
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented September 20, 2016 in Collaboration with PRI’s The World and WGBH.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
20-9-2016 • 54 minuten, 45 seconden
Health in the American Workplace
Experts take on the concerns most expressed by American employees in a poll done by NPR, the Robert Wood Johnson Foundation, and Harvard T.H. Chan School of Public Health. The panelists also describe lessons learned from employers that cultivate healthy environments – to see if there are feasible measures to produce a more accessible, supportive, healthier workplace.
Presented July 11, 2016 in Collaboration with The Robert Wood Johnson Foundation and NPR.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
Date: July 11, 2016
11-7-2016 • 58 minuten, 47 seconden
Organ Transplantation: Medical, Technological and Ethical Challenges
People die each day waiting on lists for lifesaving organs, and the rise of chronic diseases such as diabetes only increases the demand. With the need for scientific innovation and donor support becoming ever more critical, this Forum explored biomedical advances that promise to address the scarcity, as well as the efforts of medical leaders, advocates and policymakers to reduce the numbers waiting for transplants. Through 3-D printing, scaffolding, chips and other innovations, scientists made extraordinary strides in tissue engineering and developing artificial organs. This program looked at the potential of advances like these, along with the ongoing role of current donation programs; ethics of matching and allocation policies; controversies around buying and selling organs; and approaches such as “presumed consent”, used in some countries to increase supply, where patients are presumed to have given permission to donate their organs, unless they have explicitly opted out.
Part of The Dr. Lawrence H. and Roberta Cohn Forums, this event was presented May 20, 2016 in Collaboration with The Huffington Post and in Association with Harvard Health Publications.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
20-5-2016 • 1 uur, 4 minuten, 22 seconden
Asleep at the Wheel: Drowsy Driving and Public Health
Driving while under the influence of drugs or alcohol has long been established as a public safety hazard. But what about hitting the road while fatigued? An estimated average of 83,000 accidents involving drowsy driving occurred annually between 2005 and 2009, according to the National Highway Traffic Safety Administration (NHTSA), and some estimates are even higher. These accidents cost lives, cause injuries, and damage property. This Forum event explored the risks, impacts and prevention of drowsy driving. Speakers included Arianna Huffington, author of the new book The Sleep Revolution; Mark Rosekind, Head of NHTSA; Charles Czeisler, renowned sleep medicine expert; and Jay Winsten, leader of a large-scale media initiative to draw attention to the perils of distracted driving.
Presented May 10, 2016, in Collaboration with The Huffington Post.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
10-5-2016 • 1 uur, 2 minuten, 36 seconden
Building Resiliency in an Age of Terrorism: Public Health Perspectives
A series of terrorist attacks — including recent bombings in Belgium — has shaken the public’s sense of security as they go about the most mundane tasks of daily life. Images of carnage at subway stations, restaurants, workplaces, concerts and sporting events have flashed across the world’s social media and traditional news outlets. Afterwards, questions inevitably surface about what could have been done to prevent attacks in the first place, while people are encouraged to carry on with their usual lives. But has the shadow of terrorism become part of that “new normal” and, if so, what are the public health implications? This Forum — which took place a week after the 3rd anniversary of the Boston Marathon bombings — asked what makes a society resilient in the face of attacks or perceived threats. Experts in homeland security, psychological resiliency, crisis leadership, and disaster preparedness and response participated.
Presented April 25, 2016, in Collaboration with PRI's The World & WGBH.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.
25-4-2016 • 1 uur, 1 minuut, 16 seconden
Health Care Inequalities in America: The Need for Continuing Reform
Over the last two years, we have seen major expansions in health care coverage through both federal and state insurance exchanges, as well as by expanding Medicaid coverage. This Forum examined whether these efforts to extend coverage have improved the health care experiences of low-income Americans and have narrowed the gap in access to high-quality care between themselves and other Americans. The discussion drew on the findings of a new poll by NPR, the Robert Wood Johnson Foundation, and Harvard T.H. Chan School of Public Health that looked at patients’ perspectives on health care over the last two years, with a focus on the reported experiences of low-income Americans. Through this discussion, panelists identified a future agenda for eliminating inequalities in care.
Presented April 20, 2016, in Collaboration with the Robert Wood Johnson Foundation and NPR.
Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org.