2002 Shows

A monthly radio magazine devoted to covering major issues in public health.
Produced and hosted by Dr. Marvin Malek, with Dr. Andy Coates, Dr. Gerald Zahavi, and Elaine Hills.

To listen to our archived and most recent programs, simply select the programming year below and go to the appropriate sub-page, click on the program title to download the file, or in Microsoft Explorer, right click and select "Save target as" option, specifying where you want to save the MP3 file. Most of our programs are encoded in MP3; a couple of earlier programs were encoded in RealOne/RealMedia. You will need RealPlayer software, available on-line for free from Real Networks, to hear the latter format broadcasts. Many browsers already have RealPlayer plug-ins installed.


Program #23 (December 2002):
Women & HIV: 20th Year of the Epidemic [MP3].
: An archive interview from December, 2001 is presented: Dr. Mardge Cohen and Marta Santiago describe life with HIV after 20 years of the HIV epidemic, highlighting the advances in treatment which have changed the lives of those who are infected. The interview focuses on the special problems that HIV-infected women face. Dr. Mardge Cohen is Director of Women's HIV/AIDS research at Cook County Hospital in Chicago, and the recipient of several NIH grants in the field. Marta Santiago is an HIV-infected patient who attends the Women's HIV Clinic at Cook County Hospital.
The International Debt Burden: Implications for the HIV Epidemic in the Global South. Marie Clarke, National Coordinator of Jubilee USA provides an opinion piece addressing the international debt burden facing many of the poor countries of the Global South. She addresses the implications of the debt on the health sector, and its impact on the ability of those countries to respond to the HIV epidemic and other threats to the public health.

Program #22 (November 2002):
The International Tobacco Trade and the Framework Convention on Tobacco Control [MP3].
: Judy Wilkenfeld and Joshua Sharfstein discuss the international tobacco trade, focusing especially on their marketing efforts, particularly to increase the prevalence of tobacco smoking among inhabitants of the Global South. We also discuss the treaty negotiation convened by the World Health Organization which has been ongoing since 1999 to restrict the efforts of tobacco companies to increase global tobacco consumption. Particular focus is given to the US position in the treaty conference, and how the US position changed with the assumption of power by the Bush administration.
Commentary: Public Health Radio host Marvin Malek discusses the dilemma his colleague faced in dealing with the desire of her child to receive an off-road vehicle for Christmas. The opinion piece goes on to discuss the benefits of various types of Christmas gift choices on child development, and the need to also consider safety. In this opinion piece, special attention is given to the safety problems associated with off-road motor vehicles.

Program #21 (October 2002):
Access to Mental Health Care in the US [MP3]:
Interview: Ken Libertoff discusses the effort to implement "parity" laws in the US. These laws require insurance companies to provide access to mental health care that is equivalent to their insurees' access to care for "physical" health problems. He also discusses the systems available to treat individuals with no health insurance and those insured through the public programs, particularly Medicaid. The quality of public sector mental health services is quite variable across the country, and is often adversely affected by the state-level budget problems. Dr. Libertoff is a practicing clinical psychologist and has been Executive Director of the Vermont Association for Mental Health since 1981.
Commentary: WEIGHING THE CALL FOR WAR AGAINST IRAQ: IMPLICATIONS FOR PUBLIC HEALTH Dr. Victor Sidel weighs the various nuclear menaces that exist worldwide, and discusses the public health implications of undertaking a military venture into Iraq. Dr. Sidel is Distinguished University Professor at Albert Einstein College of Medicine and a past President of the American Public Health Association. He was a founding member of the International Physicians for the Prevention of Nuclear War, the organization that won the 1985 Nobel Peace Prize.

Program #20 (September 2002):
Breast Cancer; National Health Care [MP3] .
Interview: ENVIRONMENTAL CAUSES OF BREAST CANCER Only 25% of the cases of breast cancer can be traced to genetics. Julia Brody and Aaron Blair discuss environmental factors that may cause breast cancer. They discuss the difficulties in undertaking research in this field, and the translation of existing research into public policy. Julia Brody, PhD is the Executive Director of the Silent Spring Institute, a scientific institute based in eastern Massachusetts, which explores the link between environment and women's health, particularly breast cancer. Aaron Blair, PhD, is the Director of Occupational Epidemiology at the National Cancer Institute.
Commentary: HEALTH REFORM: CAN IT HAPPEN IN VERMONT? Deb Richter discusses the case for state-based universal health care, and the effort to implement a universal health care system in the state of Vermont. Dr. Richter is a Family Practitioner in Cambridge, Vermont. She is Past President of Physicians for a National Health Program, and a leader in Vermont Health Care for All, a citizens' movement for universal health care in Vermont.

Program #19 (August 2002):
Tuberculosis & Prisons; Drug Companies and TB [MP3].
Interview: TUBERCULOSIS PART 2: TB IN THE LESS DEVELOPED WORLD, MULTI-DRUG RESISTANT TB, AND TUBERCULOSIS AND THE PHARMACEUTICAL INDUSTRY Lee Reichman returns for more discussion of his book, Timebomb. He discusses the many factors promoting the spread of TB in the less developed countries, in particular conditions in prisons. He also documents the many reasons why the pharmaceutical industry is not interested in developing drugs to treat tuberculosis, and how the international public health community has addressed this problem. Dr. Reichman is a pulmonologist and Director of the National Tuberculosis Center at New Jersey Medical College.
Commentary: CRISIS IN EMERGENCY DEPARTMENT CARE IN THE UNITED STATES Marvin Malek discusses the recent ten day long closure of the only Level 1 Emergency Department in Las Vegas, and the serious impact on the access of that urban area to emergency care. The two primary causes of the crisis in Emergency Care in the US as a whole are discussed: The medical liability insurance crisis, and the epidemic of uninsured and underinsured.

Program #18 (July 2002):
Tuberculosis & Public Health and Welfare Reform[MP3]
Interview: TUBERCULOSIS PART 1: HISTORY, THE BATTLE AGAINST TUBERCULOSIS IN THE US Lee Reichman, author of the recently book, Timebomb, discusses the history of tuberculosis, with particular attention to the United States. He discusses the period of compacency of the 1970s and 1980s, and the price that was later paid for this lapse in the fight against tuberculosis. Dr. Reichman is a pulmonologist and Director of the National Tuberculosis Center at New Jersey Medical College.
Commentary: THE 1996 WELFARE REFORM ACT: PUBLIC HEALTH IMPACTS Wendy Chavkin discusses her research, published in the September, 2002 issue of the American Journal of Public Health, which documents the adverse health impacts of the 1996 Welfare Reform Act. Special attention is paid to chronically ill children, and children with special needs. Dr. Chavkin is a Professor of Maternal and Child Health at Columbia University School of Public Health and faculty member and practitioner in the Dept of Obstetrics and Gynecology at Columbia University School of Medicine.

Program #17 (June 2002):
Breast Cancer Screening/Health Insurance for Health Workers[MP3]
1) BREAST CANCER SCREENING. Peter Greenwald and Suzanne Fletcher discuss the current recommendations for screening to detect breast cancer in women. Peter Greenwald in the Director of Cancer Prevention at the National Cancer Institute. Suzanne Fletcher is Professor of Ambulatory Care and Prevention at Harvard Medical School, and an expert in the field of early detection of breast cancer.
2) UNINSURED HEALTH CARE WORKERS. Brady Case discusses his recent article in the American Journal of Public Health documenting the large number of US health care workers who themselves lack medical insurance along with Regina Simmons and Sheila Hicks. At the time of the interview, Brady Case was a medical student at Harvard Medical School. Regina Hagerman is a home health care worker in Chicago. Sheila Hicks works at the Sachem Skilled Nursing and Rehab Center in the Boston Metro area.
HEALTH CARE FOR ALL. Marvin Malek discusses the many distortions and side effects of the market-based system of health insurance in the US and the need for reform to a universal health care system.

Program #16 (May 2002):
Haitian Health Care [MP3]
Paul Farmer discusses his book Infections and Inequalities: The Modern Plagues, citing Haiti as a case study of social inequalities serving as the fuel to foster the spread of HIV in Haiti during the post 1975 period.Paul Farmer is an acclaimed author, anthropologist, and medical doctor who founded Partners in Progress, a medical aid agency. He is the Medical Director of the Clinique Bon Sauveur in Haiti's Central Plateau.
Werner Fornos evaluates the first year of Bush administration policy toward international family planning and population control, addressing impacts on poverty and the health of women and children.Werner Fornos is the Executive Director of the Population Institute, a non-partisan organization which analyzes population policy.

Program #15 (April 2002):
Cancer Screening [MP3].

Interview: SCREENING FOR PROSTATE CANCER: IMPLEMENTATION OUTPACING SCIENCE. Michael Wilkes and Gavin Yamey describe the technical obstacles and biases affecting cancer screening in general, and describe the lack of a scientific basis to justify screening for prostate cancer. They also recount the controversy that developed when they published an article on the issue in the San Francisco Chronicle. Michael Wilkes is the Editor of the Western Journal of Medicine, and Gavin Yamey is the Deputy Editor.
Commentary: ENERGY POLICY AND PUBLIC HEALTH REVISITED: THE POST 9/11 ERA.Marvin Malek revisits energy policy, and its impact on public health in the context of the concern over the potential health and safety impacts of terrorism on energy generation facilities.

Program #14 (March 2002):
Vested Interests and Health Care Research, with Dr. Linda Rosenstock / Bloodborne Pathogens and Health Care Worker Risk in the Global South, with Dr. Janine Jagger [MP3],
Linda Rosenstock discusses her recent article from the American Journal of Public Health discussing the impact of monied interests-and other vested interests-on the freedom of investigators to pursue and publish research in medicine and public health. The translation of research into public policy is also affected by monied interests.
Linda Rosenstock is the Dean of the UCLA School of Public Health.
Janine Jagger discusses her recent piece in the New England Journal of Medicine documenting the causes and impacts of needlestick injuries and the resulting diseases on health care workers in the Global South.
Dr. Jagger is the Director of the International Health Care Worker Safety Center at the University of Virginia School of Medicine. She is an internationally recognized expert in the prevention of needlestick injuries to health care workers.



Program #13 (February 2002):
The French Health Care System [MP3]
Interview: THE FRENCH HEALTH CARE SYSTEM. Dr. Paul Sorum discusses the health and health care in France, which provides universal coverage at far lower cost than the US. France was recently rated as having the best health care system in the world by a committee of the World Health Organization. Dr. Sorum provides several contrasts between the French and US systems of health care delivery.
Dr. Sorum is a Professor of Pediatrics and Medicine at Albany Medical College. He has traveled extensively in France, and is widely published on the French health care system.
Commentary: AGRICULTURAL ANTIBIOTIC USE. Sherwood Gorbach comments on the utilization of massive amounts of antibiotics in American agriculture, highlighting the threat that already emerging multiply-antibiotic resistant bacteria-- "Superbugs"-will pose to the public health. Dr. Gorbach is a Professor at Tufts Medical School in the Department of Microbiology and Infectious Diseases, and has published extensively in the area of bacterial resistance to antibiotics, and many other topics in the field of Infectious Disease.
Program #12 (January 31, 2002): Special Edition
War and Health [MP3]
Drs. Victor Sidel and Barry Levy discuss their groundbreaking book, War and Public Health. The interview highlights the many direct and "collateral" impacts of military conflict on public health. Dr. Levy practices in the field of occupational and environmental health, and is on the faculty of Tufts University School of Medicine. Dr. Sidel is Distinguished University Professor at Albert Einstein College of Medicine. Both are founding members of the IPPNW, the organization that won the 1985 Nobel Peace Prize, and both are past Presidents of the American Public Health Association.
Dr. Malek reviews the book that is the focus of the show, and notes its special relevance to Americans.

Program #11 (January 2002):
(Not yet available)
Archive edition: Dr. Himmelstein's interview from Show #4 is re-broadcast.
TAX POLICY/GOVERNMENT SPENDING IN THE POST-SEPTEMBER 11TH PERIOD. Dr. Malek comments on unmet needs in public health and economic stimulus proposals.


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