They represent the interests of the tobacco industry,” said Dr. Vera Luiza da Costa e Silva, the head of the Secretariat that oversees the W.H.O treaty, called the Framework Convention on Tobacco Control. “They are putting their feet everywhere where there are stronger regulations coming up.
The big footprint mentioned by Dr. Luiza da Costa e Silva, in today’s New York Times piece, “U.S. Chamber works Globally to Fight Anti-Smoking Measures” is that of the U.S. Chamber of Commerce and their affiliated American Chambers abroad.
The Chamber is a U.S. trade association with an annual revenue of $165 million. It spends more on lobbying than any other interest group in the country and has more than 100 affiliates around the globe. The U.S. Chamber’s positions on public policies around the world, including public health policies, are often perceived as carrying the weight of the U.S. business community. As such, disregarding their positions can carry an implied economic threat.
The influence peddling of the Chamber is evident in many international fights, so it’s unsurprising that pushing back on tobacco control is a top priority for the corporate group. A top executive at the tobacco giant Altria Group serves on the chamber’s board, though the cigarette makers’ payments to the chamber are not disclosed.
Protections against exposure to beryllium allotted to workers are far too weak, especially in the construction industry, where an estimated 23,000 construction workers come in contact with beryllium every day while performing open-air blasting.
Beryllium levels can be extremely elevated due to high dust concentrations on construction sites and can result in chronic beryllium disorder. Patients gradually develop cough, chest pain, progressive shortness of breath, weakness and fatigue. Loss of appetite, weight loss, lung and right-sided heart failure may occur in people with advanced disease.
On September 4, 2014, the Obama Administration’s Office of Management and Budget (OMB) received the U.S. Department of Labor’s (DOL) proposed rule to allow the U.S. Occupational Safety and Health Administration (OSHA) to update the Beryllium standard. As detailed in Executive Order 12866, OMB’s Office of Information and Regulatory Affairs is required to complete its review of such rules within 90 days of receipt, with an additional 30-day review extension allowed if needed.
But eight months have passed, and there is no sign that OMB is close to completing its review.
The prevalence of injuries and fatalities in childbirth is among the most anguishing problems in health care.
The heartache of having a baby die or suffer injuries necessitating lifelong care is incalculable. Meanwhile, the potential liability for untoward outcomes in delivery drives up doctors’ liability insurance rates, prompting periodic warnings that obstetricians are being driven out of business.
But it turns out that solutions exist to preventing a significant percentage of the tragedies that cause all of this suffering and handwringing. A new Public Citizen report recounts childbirth safety initiative undertaken by four organizations in the past 15 years that have generated striking results.
Ascension Health reduced its neonatal fatality rate by nearly 50 percent across its 43 hospitals despite having a rate 62 percent below the national average at the outset of its initiative; New York-Presbyterian/Weill Cornell Medical Center reduced incidence of a brain injury caused by oxygen deprivation to 2 percent of the national average; Premier Inc., a health care alliance, reduced birth trauma among full-term newborns by 74 percent in the 16 hospitals participating in its safety initiative; and Hospital Corporation of America reduced maternal fatalities due to pulmonary embolism by 86 percent.