Methadone is a highly effective treatment for substance use disorder but strict regulations like daily clinic visits have led to its nickname, “liquid handcuffs.” Dr. Yngvild Olsen, director of the Center for Substance Abuse Treatment at the Substance Abuse and Mental Health Services administration, talks with Lindsay Smith Rogers about new federal regulations that expand access to this life saving medication.  They talk about how the COVID era showed that changes can make methadone much...

World Malaria Day is April 25. Today, guest host Thomas Locke takes us to Capitol Hill where we meet malaria scientists who have joined an advocacy group to lobby members of Congress to fund critical interventions against malaria. They talk about their work and what scientific messages they bring to DC to impart on policy makers who play a major role in efforts to combat this preventable and deadly disease. This special episode is an extended version of Malaria Minute, a podcast from the...

Humans are transforming, degrading, and altering Earth’s natural life support systems so profoundly that our actions have created an existential crisis. For Earth Day, Sam Myers, founding director of the Planetary Health Alliance and director of the brand new Johns Hopkins Institute for Planetary Health, talks with Dr. Josh Sharfstein about the concept of planetary health, an interdisciplinary approach to understanding how the state of the earth affects the health of us all. Learn more: ...

The presence of infectious diseases can be picked up through wastewater surveillance but how can this data be useful in predicting future outbreaks? Dr. Dylan George, director of the Center for Forecasting and Outbreak Analytics at the CDC, talks with Dr. Josh Sharfstein about how the Center’s forecast for the 2023-2024 respiratory virus season performed and the role of wastewater surveillance as part of a multifaceted approach to aggregating data. Resources from this episode: ...

There’s a lot of research around Type 2 diabetes that has informed patient care when it comes to diagnosis, treatment, and lifestyle management. But much less is known about Type 1, long mislabeled “childhood diabetes.” Johns Hopkins epidemiologists Elizabeth Selvin and Michael Fang talk with Stephanie Desmon about new research debunking a lot of previously held assumptions about Type 1 diabetes, the prevalence of adult onset and correlation with obesity, and why different approaches to...

Cigarette butts are the most littered object in the world. With their plastic filters and toxic substances, they are a significant source of contamination for soil and water. Grazi Grilo, a researcher at the Global Institute for Tobacco Control, talks with Stephanie Desmon about her work quantifying the scope of the problem, and why some of the very things that make cigarettes so environmentally hazardous also provide enormous benefits for the tobacco industry.Read more about her work...

Dr. Antonia Novella served as the 14th Surgeon General under President George H.W. Bush from 1989 - 1993. She is the first female and first Hispanic Surgeon General in U.S. history. Dr. Novella talks with Dr. Josh Sharfstein about her life and career, from being born with a rare condition called Hirschsprung’s disease to her childhood in Puerto Rico and her notable career in medicine and public health. She also discusses facing prejudice, staring down Big Tobacco, and even buying support hose...

Much research has been dedicated to the long-lasting negative impacts of adverse childhood experiences—far less has focused on the powerful effects of positive experiences. Dr. Melissa Walls, co-director of the Center for Indigenous Health and a member of the Bois Forte and Couchiching First Nation bands, talks with Lindsay Smith Rogers about her research with benevolent childhood experiences among Indigenous communities. They discuss the importance of researching the positive, not only for...

On March 26, Baltimore’s iconic Francis Scott Key Bridge was hit by a cargo ship and collapsed, killing six people. Since then, many have found themselves watching endless loops of the video and ongoing coverage, and some are feeling symptoms of anxiety or even intense fear. Dr. George Everly, a Johns Hopkins psychologist, talks with Stephanie Desmon about the phenomenon of “psychological contagion” and how something so rare but so spectacular can suddenly make us question our sense of...

Recent reports of spillover of avian virus H5N1 into cows, cats, and even one human are concerning to the scientific community for a number of reasons. But what does the public need to know? Virologist Dr. Andy Pekosz and public health veterinary expert Dr. Meghan Davis return to the podcast to talk with Stephanie Desmon about these spillovers events and what they mean for biosecurity and our safety.

Per- and polyfluorinated substances are in all kinds of products from waterproof makeup to fire retardants. Dr. Ned Calonge, co-author of a new report from the National Academies of Sciences, Engineering and Medicine, talks with Stephanie Desmon about these “forever chemicals” and what is known about their impact on health, who is most at risk, and what people should do if they have high levels of exposure. Read the report...

Xolair is the first FDA-approved therapy to prevent severe and potentially life-threatening reactions in adults and children who are allergic to dairy, eggs, wheat, nuts and other foods. Dr. Robert Wood, the director of pediatric allergy and immunology at Johns Hopkins, talks with Lindsay Smith Rogers about this drug that has the potential to make life a little easier for patients and parents of children with severe allergies.

A hidden population of children serve as caregivers for family members who are chronically ill, elderly, disabled or injured. Left out of the systems that support adult caregivers, these youths often sacrifice their education, health, well-being, and childhoods. Connie Siskowski, founder and president of the American Association of Caregiving Youth, and Dr. Julie Belkowitz, a pediatrician at the University of Miami School of Medicine talk with Dr. Josh Sharfstein about these young people and...

How can a play about rural Norway in 1882 help us process the trauma of the COVID-19 pandemic? That's the question posed by Theater of War Productions, which is hosting readings of The Enemy of the People, by Henrik Ibsen—and then is leading intense community conversations immediately following the productions. Bryan Doerries, artistic director of Theater of War Productions, speaks to Dr. Josh Sharfstein about how this old Norwegian play speaks to the trauma experienced by the public health...

Despite a national plan to eliminate syphilis by 2010, the sexually transmitted infection has reached the highest rates since the 1950s. Dr. Khalil Ghanem, a researcher of sexually transmitted infections at the Johns Hopkins Bloomberg School of Public Health, talks with Stephanie Desmon about syphilis infections and the disease course, and why rates are so high not just in the US but around the world. Learn more: https://publichealth.jhu.edu/2024/why-is-syphilis-spiking-in-the-us

The 2010 passage of the Affordable Care Act marked a major change in health insurance coverage and care for millions of Americans. Department of Health and Human Services Secretary Xavier Becerra talks with Stephanie Desmon about the remarkable changes “Obamacare” has brought about, why it’s important for all Americans not to take these for granted, and the next set of challenges in mending a health care system that’s still too focused on treatment of complications, not prevention.

More than 2 billion people lack access to safe drinking water, and more than 3 billion are living without safe sanitation systems. For World Water Day, Ken Conca, a professor of international relations at the School of International Service at American University, joins the podcast to talk with Dr. Josh Sharfstein about the state of the world’s water. They discuss how some of the biggest challenges to water access and quality are political and legal, rather than technical, in nature....

Menopause: inevitable, stigmatized, mysterious, and bringing a broad range of symptoms and experiences. Dr. Martha Hickey, a menopause researcher at the University of Melbourne, talks with Stephanie Desmon about a new Lancet series on menopause. They discuss how ageism and sexism come into play, the vast array of experiences women may have, and how individual circumstances can impact symptoms. They also talk about why it’s time to stop referring to menopause as a medical disorder and think...

Four years after the early days of the pandemic, how are hospitals thinking about infection control, how much has changed, and to what degree have things returned to “normal”? Dr. Lisa Maragakis, the head of infection control at Johns Hopkins Hospital, returns to the podcast to talk with Dr. Josh Sharfstein about this “post-pandemic phase” and why health care has not fully recovered from pandemic disruptions.

A new report models projections of the human costs of conflict in Gaza over the next six months across several scenarios. Paul Spiegel, director of the Center for Humanitarian Health, and Tak Igusa, professor of Civil and Systems Engineering at the Johns Hopkins Whiting School of Engineering talk with Dr. Josh Sharfstein about the project they developed with the London School of Hygiene and Tropical Medicine. See the full report here: https://gaza-projections.org/

In his new book Within Reason: A Liberal Public Health for an Illiberal Time, Dean Sandro Galea of the Boston University School of Public Health challenges closed-mindedness and invective in public health.  In this special, extended bonus episode, Dr. Galea and his friend and colleague Dr. Josh Sharfstein discuss—and debate—the fairness of his critique.

Condoms were once an essential part of the public health toolkit to fight HIV and STIs. But over the last decade, and coinciding with the rise of medication that prevents HIV infection, condom use among men who have sex with men has declined. Steve Goodreau, an expert in mathematical modeling and HIV and STIs at the University of Washington, talks with Stephanie Desmon about his research on declining condom use and why public health should be doing more to tout the advantages of what was once...

Health misinformation is rampant—online and through rumors—but there are steps people can take to help stamp them out. Aishwarya Nagar and Tara Kirk Sell from the Center for Health Security are co-authors of a new playbook aimed at helping public health practitioners, medical professionals, and health communicators recognize and respond to health-related rumors and misinformation. They talk through some specific tactics with Lindsay Smith Rogers and also discuss how we can all help improve...

When Sue Baker started her research career in the 1960s, there was no field devoted to injury prevention despite accidents being a leading cause of death in the US. In honor of Women’s History Month, Stephanie Desmon talks with injury prevention pioneer Baker about her half century of research looking at everything from aviation safety to hot dog choking deaths, and her hands-on approach to research which included getting her pilot’s license, working in a medical examiner’s office, and...