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...

The CDC announced new isolation guidelines last week that bring COVID-19 in line with recommendations for other viral respiratory diseases. Virologist Dr. Andy Pekosz returns to the podcast to talk with Stephanie Desmon about what this means in the contexts of vaccines, variants, and protecting the most vulnerable.

Food insecurity uniquely impacts youth ages 14-18 but it’s largely a hidden problem. Kristen Mmari, an adolescent health researcher at Johns Hopkins, talks with Lindsay Smith Rogers about the long-term impacts being hungry can have on young people and why most programs aimed at relieving food insecurity don’t help this age group. They also discuss false claims that nutrition assistance programs contribute to childhood obesity. Learn...

Opioid use disorder is a major contributor to maternal mortality in the US. The gold standard of care is medication like methadone, but for incarcerated pregnant people, treatment can be difficult to access and highly stigmatized. Johns Hopkins obgyn and reproductive health researcher Dr. Carolyn Sufrin and Bloomberg Fellow Camille Kramer talk with Lindsay Smith Rogers about their new study that shows not only just how difficult OUD medication is to access behind bars for anyone, let alone...

The manslaughter conviction of Jennifer Crumbley, whose son shot and killed four students at his school, is unprecedented. But will it be a watershed moment for gun violence in schools? Tim Carey, law and policy advisor at the Johns Hopkins Center for Gun Violence Solutions, talks with Stephanie Desmon about the unique facts of this case, larger implications, and why Child Access Prevention laws are an important part of the conversation. Please note that since this podcast was recorded, a man...

Imagine going to the pharmacy to buy a needed medicine and then finding out you purchased a falsified product that was, at best, ineffective, but at worst contained something toxic or deadly? This is the unfortunate reality in many places worldwide. Dr. Murray Lumpkin, who leads global regulatory systems for the Bill & Melinda Gates Foundation, talks with Lindsay Smith Rogers about the substantial problem of substandard and falsified drugs, and what the world’s watchdog systems are trying...

The Alabama Supreme Court issued an extraordinary ruling on February 16 that embryos that are the result of in vitro fertilization are “children.” Public health law expert Joanne Rosen returns to the podcast to talk with Dr. Josh Sharfstein about the case and its implications for IVF, how it connects to the larger context of post-Roe litigation, and what’s at stake as anti-abortion sentiment crashes up against medical technology designed to facilitate pregnancies.

Measles outbreaks can quickly spread like wildfire. Vaccination expert Dr. Saad Omer returns to the podcast to talk with Dr. Josh Sharfstein about the threat posed by this highly contagious and potentially lethal virus – especially when communities let their guard down. They discuss the situation in Florida, misinformation spreading on social media, and what's needed to minimize the threat.

What's the state of the evidence on the impact of social media on the mental health of adolescents? Dr. Ceren Budak, a computational social scientist at the University of Michigan, talks with Dr. Josh Sharfstein about a new report from the National Academies of Science, Engineering, and Medicine. The report finds a gaping need for more evidence – and for participation by social media companies in supporting research. They discuss recommendations for caregivers, Congress, and social media...

Deadly hepatitis C is curable, but 2.5 million Americans remain infected without treatment. Dr. Francis Collins, longtime director of the National Institutes of Health, is now serving as a special advisor to Present Biden for an effort to eliminate hepatitis C in the US. He speaks with Stephanie Desmon about why hepatitis C has been so tricky to diagnose and treat and what it will take to launch a coordinated effort to cure every American living with the disease.

From a 2019 school shooting in West Baltimore, Healing City Baltimore was born. The program aims to help city agencies train their employees, reform stigmatizing policies, and build new response programs—all with a goal of helping to improve mental health and well-being. Councilman Zeke Cohen and executive director Reverend Kim Lagree talk with Dr. Josh Sharfstein about this initiative, which recently won the Culture of Health prize from the Robert Wood Johnson Foundation and is now a model...

Alcohol use is the fourth leading cause of death in the US, but there are evidence-based approaches to preventing alcohol misuse and deaths and treating use disorders. Dr. Cara Poland, an addiction medicine specialist at Michigan State University, talks with Stephanie Desmon about excise taxes, evidence of the harms of alcohol, and her personal connection to the topic. They also discuss the differences between misuse and disorders and challenging false notions around alcohol’s health...

Missed diagnoses account for 800,000 deaths or permanent disabilities among Americans every year. Johns Hopkins neurologist Dr. David Newman-Toker talks with Stephanie Desmon about the consequences of missed opportunities and diagnoses, especially for vascular events, infections, and cancers. They also discuss why solutions are complex and will require major efforts in terms of research and resources.

In the Dobbs decision, the SCOTUS majority hoped to return legal issues around abortion back to the states. But since overturning Roe v. Wade, a flurry of litigation has now put two consequential cases before the Supreme Court. Public health law expert Joanne Rosen talks with Dr. Josh Sharfstein about these two cases and the wide-ranging impacts they could have. They also discuss why abortion health care, largely an issue governed by individual states, keeps finding its way back into...

When the FDA approved an RSV vaccine for infants in July of 2023, parents and pediatricians rejoiced. But product shortages and a patchwork of insurance coverage throttled the rollout, leaving many babies still unprotected this winter. Pediatrician and Internist Dr. Wendie Grader-Beck talks with Dr. Josh Sharfstein about her frustrations around implementation, and what needs to be done before the next RSV season for this lifesaving technology to fulfill its promise.

Thanks to policies like tobacco taxes, clean indoor air acts, and legislation to ban flavor additives, tobacco use is declining around the globe. But there’s still an enormous burden of death and disease from smoking, and rates of use are still particularly concerning among key groups like youths and Black Americans. Joanna Cohen, director of the Institute for Global Tobacco Control, talks with Stephanie Desmon about where the US stands on major policies like banning menthol, how New...

Tuesday, February 6 is the International Day of Zero Tolerance for Female Genital Mutilation/Cutting. Dr. Michele Decker, founding director of Johns Hopkins Center for Global Women’s Health and Gender Equity, and Dr. Nicole Warren, a nurse and an expert on the harmful practice of female genital cutting talk with Stephanie Desmon about the practice and its cultural roots, challenging long-standing cultural norms, and why this year’s Day of Zero Tolerance puts an emphasis on how collective...

How are updated COVID vaccines performing against severe and long COVID? What have we learned about COVID transmission that could help people calculate their risk in certain situations? Do we know more about when people might be most infectious? What’s the latest evidence on seasonality? And do we have any new answers about long COVID? Katelyn Jetalina, aka Your Local Epidemiologist, returns to the podcast to talk about what’s new in COVID research. Learn more here:...

Professor Nancy Glass of the Johns Hopkins School of Nursing studies violence against women and girls in humanitarian settings and conflicts around the world. She speaks with Dr. Josh Sharfstein about key themes from this difficult work and how they apply to reports of the rape, mutilation, and murder of Israeli women and girls during the Hamas attacks on October 7, 2023. They also discuss what comes next for survivors. *Please note: This podcast was recorded several weeks ago. Earlier this...

With more widespread use of cannabis has come an uptick of reports of related psychotic symptoms, especially among youths and young adults. Dr. David Wolinsky, a psychiatrist at Johns Hopkins, talks with Stephanie Desmon about cannabis and the risk of psychosis and what is known (and not known) about how cannabinoids interact with our bodies. They also discuss who might be most at risk and some takeaways people can consider about cannabis use when the field of research is still so lacking...

More than 85,000 participants attended the 28th Conference of the Parties to the UN Framework Convention on Climate Change in Dubai, better known COP28, which ended in December. The big news: a call to governments to speed the transition away from fossil fuels. Susan Joy Hassol, author and climate change communicator, tells Stephanie Desmon that the final agreement is a hollow disappointment misaligned with the urgency of the climate crisis. They discuss the “minefield” of the growing climate...

Ketamine prescriptions for chronic pain and mental health are increasing, but what is known about the safety and effectiveness for off-label use? And how are doctors prescribing a drug approved as an anesthetic in clinical settings for outpatient use? Dr. Caleb Alexander returns to the podcast to talk with Lindsay Smith Rogers all about ketamine.

Rural communities have unique challenges and opportunities when it comes to health. Cara James, president and CEO of Grantmakers in Health, a philanthropic organization that supports rural health foundations, talks with Dr. Josh Sharfstein about some of the unique facets of small communities including economic disparities and struggling health care systems. They also discuss addressing misinformation and the role that foundations can play in connecting people with much-needed services.