a national advocate for innovative approaches to public health. dr. uses her research on developing, , testing and disseminate digital health interventions to prevent violence and related behavioral problems. moderating the conversation is a good friend of the aspen institute ofng the health medice society program, alan weil. alan is editor-in-chief of health affairs, the nation's leading health policy journal.y and more about our he's one i'm really cutting short. thank you all really thank you for being here today. thank our panel for being here. before entering things over 2000, just a few housekeeping notes to share. first as you can see, i think you can see, c-span2 today covering today's event but we're also videotaping the program and it would uponn the health medicine society website within 24-48 hours. our interview, our discussion interview, our discussion will run about 40 minutes or so after which will open the conversation to take your questions and comments. but please wait for a mic before speaking and then to introduce yourself and stat

and so i want there to be public health. i went there to be public health. i want us to be stopping every shooting. but i want public health expertise to be collaborating with political messaging and urban planning and economics. health needs to be much more i'm saying this very broadly, much collaborative junior scholars should be able to get tenure for having ten different decibels ends on their committee and getting a grant that has ten different things. like it's not just enough publish in public health journals facing the threat to democracy that we face. and so i mean, there's really i mean, i have a gun center in nashville my colleagues and i are doing you know i have a colleague is working with shotspotter i mean incredible stuff we're stopping the 50,000 the bigger threat, the 500 million right now and. so public health needs to build out totally in it. it sounds frightening to say we need to be more political. this is my soapbox. but but we need every every public health dissertations have ten disciplines and every grant have ten different things.

one thing that strikes me is folks do not understand that it is a public health problem. i think we can coalesce around the fact that this is a health problem. the public health approach is really reproducible standards. the first is you measure how common the problem is. injuries, deaths, consequences. second, identify risk factors. what puts someone at a higher likelihood of getting shot or killed? what protects them? this is important because that gives us a lens to protect people from injury or consequences. the third step is to do something with information, develop intervention and this is where it is not just about policy. legislation is never sufficient and can be harmful in public health. so we evaluate interventions across a spectrum ranging from education to engineering, economic incentives or legislation. the final step is when you figure out what works, it is important to follow those steps. without them you're liable to make mistakes and make things worse. you're liable to act on the wrong cause or underlying risk and we do not have enough funds to address al

so, i take it, one of the points you have to make is that the public health response of the federal government makes a huge difference in terms of health outcomes for the american people. >> i would agree with that. >> whether it's measles or tuberculosis or covid-19, would you agree that vaccines save lives in aggregate? >> i think that by definition, for us to approve for authorize vaccine there has to be overwhelming evidence that many more lives are saved then it might be taken by a vaccine. in other words the safety by definition has to be excellent. >> got you. dr. jernigan, it seems as if, one of the things that is created, has created political social conflict around this is the inevitable fact that even when vaccines save a huge number of lives, millions of lives, as dr. marks testified, if in a small number of cases there are adverse results, the people who suffer them and their families are understandably very upset about that. would you agree that that is a general conflict or dynamic that exists with all vaccines? >> correct. we recognized no medical information -- intervention is

one of the points that you have to make, the public health response of the federal government, makes a huge difference, with the outcomes for their health. >> i would agree with that. >> whether it is measles, tuberculosis, covid-19, we are saving lives into aggregate. >> i think that by definition, -- definition, there has to be overwhelming evidence that many lives are saved. by profile, it has to be excellent. >> dr. jernigan, this is one of the things that we have looked at. we have political and social conflict. it is the inevitable fact that you can look at vaccines that are saving a huge number of lives. as they just testified, if a small number of cases are happening, we have adverse results. the people that suffer them are understandably very accepting -- upset about that. is this going to be listed with all vaccines? >> this is risk-free. >> i can remember a family member who suffered an adverse reaction to any vaccine, measles, tb, covid-19. i hadn't gotten it in the first place. they would have been told not to get it. if we just said to everybody, there is a tiny number o

so when we're thinking about population health, homelessness is absolutely a public health problem becauseavend dire consequences for people and their health in these ways. john: in your view, what's at stake in this case? charley willison: there are many things at stake in this case, but i would say probably the most important thing is, again, going back to this tension where cities have placed a l of very robust resources in these punitive responses to homelessness. now, if they are allowed to continue to do this, the question will be whether or not cities will be incentivized to create these alternative solutions using housing paired with social and medical services, which we know actually successfully ends homelessness. however, if the court rules in favor of johnson, i think this is a very big opportunity for cities to engage in these evidence-based solutions and make investments, especially in west coast cities where they have not previously done so, so that we may actually successfully reduce and end homelessness. john: charley willison of cornell university, thank you very much. ch

prime time advice on public health. we can't blame gates as a sole driver of vaccine hesitancy, but he's not helping to. when the gates foundation aggressively uses its vast wealth to buy influence over the news media, the scientific discourse and, political debates very often in opaque ways, it is begging the wider world to simply speculate and to theorize as to what its real ambitions are. why this mega foundation is so deeply secretive, and why in the world we would ever allow such a malevolent model of private power to take hold in a democratic state? the reason the foundation cannot constitution really be transparent is that so would reveal just how much power it has and how many levers is pulling. the real solution to our bill gates problem is not simply for his foundation to be more transparent. it's for his foundation to lower its voice in unwise, the unaccountable power structure it is built. simply put, if bill gates wants to end conspiracy theories surrounding his work, he should stop talking. so that comes f

public health as well. >> behavioral health service as a whole and most of the contractors are moving to empic on may 22nd. of this year. >> thank you. >> okay. >> i don't have anymoring scombes there is no names go to public comment. public comment is closed i like to move this forward. >> the motion to forward this with a positive recommendation vice chair mandelman. >> aye >> member melgar >> aye. >> chair chan. aye. >> thank you the motion passes. mr. clerk item 11. a resolution approving ma'am upon one to the agreement with san francisco public health and the department of public health for food security services increase the agreement by 1.6 million. and authorize dph to enter in modifications. agreement not increase the city's obligations or liabilities and are necessary for the purposes of the agreement or the resolution. >> thank you. dph? >> good morning. chair chan. supervisor melgar and mandelman. i'm doctor jones deputy director of the office of antiracism and population health disxrigz also director of food security. i'm pleased come here today to seek approval for a con

let's elect people to congress for interested in public health concept. we barely hear that sort of conversation that doesn't even come up on political debates at any level. i don't know when students ask me what they can do, that's the 1st thing i tell them, run for office. when we travel, change your up or anywhere. i feel good after eating versus people in the states are noticeably known to have digestive issues. why is that? i have absolutely no idea, but sounds like you need to change or define yourself by more organic food and cooking and eating at home. no, i do books and i certainly are in favor of organics because of the production values. they use fewer pesticides, i think and better methods for growing for me. and i think that's a good thing. and you know, i'm very fortunate i can afford it. overall, do you think things are getting better or worse and the food industry? well, i think it's very easy for people with money to leave this country. i don't know why you're having any problems helping with education money. can you just fine? that's not

let's elect people to congress for interested in public health concept. while you barely hear that sort of conversation, that doesn't even come up on political debates at any level. i don't know when students ask me what they can do, that's the 1st thing i tell them, run for office. when we travel, change your up or anywhere. i feel good after eating versus people in the states are noticeably known to have digestive issues. why is that? have absolutely no idea but so, so we like you need to change your define yourself by more organic food and cooking and eating at home. now i, i do books and i certainly are in favor of organics because of the production values. they use fewer pesticides, i think and better methods for growing for me. and i think that's a good thing. and you know, i'm very fortunate i can afford it. overall, do you think things are getting better or worse in the food industry? oh, i think it's very easy for people with money d e shall flee in this country. i don't know why you're having any problems. really help people with education money

let's elect people to congress for interested in public health concept. we barely hear that sort of conversation that doesn't even come up on political debates at any level. i don't know when students ask me what they can do, that's the 1st thing i tell them, run for office. when we travel, change your up or anywhere. i feel good after eating versus people in the states are noticeably known to have digestive issues. why is that? i have absolutely no idea but so, so we like you can just change or define yourself by more organic food and cooking and eating at home. now i do books and i certainly are in favor of organics because of the production values, they use fewer pesticides, i think and better methods for growing for me. and i think that's a good thing. and you know, i'm very fortunate i can afford it overall. do you think things are getting better or worse and the food industry? oh, i think it's very easy for people with money to leave this country. i don't know why you're having any problems helping with education money, can you just fine? that's not

commissioner commission have (unintelligible) or was failing to do something it oversee is department of public health public horses and sf d t h fwez. >> if this commission appears to be all to literally to hide and patients death for two months the declaration lawsuit against the city didn't report the fiduciary duties for protecting the city's vulnerable. and you cost the city $430 million for one of the two public hospitals for two full years to get them resiefrtd. but the declaration is - san franciscans deserve a better oversight. on april 14th we reached a too year anniversary of the recertification from the governing body. thank you. >> last comment. >> the next item is the director's report. >> xhfrl. >> thank you president green two items on the director's report. >> i'd like to review with you all. item one of the laguna honda hospital will be honored at 24 pregovernment awards. >> laguna honda will be honored on april 25th city hall, you know, recognized ongoing performance for workers with the city and county of san francisco the competition is stiff and medicaid a huge fabulous of people

>> i mean, i think like any public health crisis, we need to think about a public health solution. like you would with cancer or heart disease, addiction is no different. so it really is, you know, it's a health issue. and so we need to be looking at evidence based approaches to harm reduction, treatment and recovery services. and, you know, that looks like a number of different things. so it looks like, you know, on the one hand, prevention and education so that we can help folks, avoid addiction in the first place, it also looks at making sure that people have access to treatment. and we know that this is really a challenge. and we've been falling short in this area. we know that most people that die of overdoses have never had substance use treatment. so there's a serious need, and there's a number of ways that we can do this. i mean, one other good example is, through, fentanyl test strips because many people that, use certain, substances, rouz don't know what's in them. and so it's important for people to know before they take them, and test them for these really dangerous and

and policy approaches to address the public health issue. washington journal. join the conversation tuesday morning 7:00 eastern on c-span, c-span now, or c-span.org. tuesday, nasa administrator bill nelson testified about the agency's 2020 five budget request. watch coverage of the comttee hearing starting at 10:00 a.m. eastern on c-span three, c-span now, or c-span.org. >> c-span is your unfiltered view of government. we are funded by these television companies and more, including comcast. >> you think this is just a community center? it is way more than that. >> comcast is partnering with community centers so students from low income families can get the tools they need to be ready for anything. >> comcast supports c-span as a puic service, along with these other television providers, giving you a front row seat to democracy. >> c-span has been delivering unfiltered congressional coverage for 45 years. here is a highlight for me key moment. >> i stand here with my colleagues from the arizona delegation senate and house and with close friends of congresswoman

materially increase the obigations. >> for item 2 we have cal aim director, from department of public health. >> good morning. my name is bernadette gates the san francisco health network cal aim director. i am here to request your approval to use the california department of healthcare services technical assistance marketplace to provide high level background, cal aim which stands for california advancing and innovating medi-cal is a 5 year waver that includes several initiatives as a part of the very broad medi-cal transformation that seeks to improve health outcomes and equity for clients with the most complex medical and social conditions. providing access and transforming health or path technical assistance marketplace is in partnership with the california department of healthcare services and include a nost cost agreement that allows us to more effectively plan for and implement various cal aim projects, and this resolution is requesting authority for the department of public health to accept non standard agreements in the term-in the agreement with dhcs. to provide a bit more detail,

this is a great day for public health in the united states. these are federally enforceable drinking water standards. now that need to be actually complied with across all 50 states, you know, up to now the states, some states have tried to move forward and enforce drinking water standards for these chemicals. the companies were fighting back even suing some of the states. but now we have an enforceable federal standard that will apply across the country that a huge the different method crisis following equity was rate on the mexican embassy and keep the spillover into a legislative session at least 3 ecuadorian minutes of the summons before a commission for questioning, which quickly became he said, police raided the embassy on friday to arrest equity was full of vice president will take loss, is gone to political, to sign and buy mexico off to being twice convicted of corruption. i mean, while gloss has gone on hunger strike to protest against to the rest of the mexican embassy. his lawyer says he attempted suicide while in prison earlier th

the epa, despite having the ability to do so, never approved a public health emergency following thatastating train derailment in east palestine, ohio. even though the disaster forced the evacuation of half the town and generated fears about potential long-term health consequences. wars, an e-mail obtained by news nation allegedly between an epa attorney and the pr armchair seemed to indicate that the two people there discussed the emergency declaration "agree with you, jeff, the issue of declaring a public health emergency is a difficult one. we have the authority but have only used it once in montana. best not to get into this." in case you don't know, that town in montana was believed to have been poisoned by asbestos back in the 1980s even though the major employer there was allegedly aware of the danger. so the argument being made in this e-mail allegedly is we don't want to go there, which is all the more angering because the people there in east palestine clearly suffered. >> trace: which is why commonsense is about to take it out. kevin, thank you. [♪♪] [♪♪] >> trace: the "fox

i this is a sensible public health measure. ., . ~ ., measure.t i said earlier, if _ measure. i go back to the point i said earlier, if you _ measure. i go back to the point i said earlier, if you live _ measure. i go back to the point i said earlier, if you live in - measure. i go back to the point i said earlier, if you live in a i measure. i go back to the point i said earlier, if you live in a free i said earlier, if you live in a free society, you are free to make both bad and good decisions. this piece of legislator says you are still free but in fact, you're no longer free but in fact, you're no longer free to decide at the age of 18, you can pay tax, you can have a job he can pay tax, you can have a job he can fight for your country, you can get married, but you cannot decide that you're going to smoke. i will point out that terrible countries around the world have the source of government dictations where you are free but only free to do what we think is right for you to do. that is not a country that i want to live in or my children to

— and i think that's helped or public health and i think when you're under 18, under— health and let the nanny state be right once in a while — nanny state be right once in a while. let's listen to the nanny in this case — while. let's listen to the nanny in this case. and help save lives and second—hand smoke has a impact as welt _ second—hand smoke has a impact as welt the _ second—hand smoke has a impact as well. the public good comes into play. _ well. the public good comes into play. so — well. the public good comes into play. so i — well. the public good comes into play, so i think these are the issues — play, so i think these are the issues. there is a need for regulation on control, and i think this is— regulation on control, and i think this is a — regulation on control, and i think this is a good one.— regulation on control, and i think this is a good one. let's talk about the fli- this is a good one. let's talk about the flip side _ this is a good one. let's talk about the flip side of— this is a good one. let's talk about the flip side of choice. _ this is a good one.

so the onus congress gave us was a public health standard. when it comes to vaping products, it's the benefit of helping adults reduce use of combustible tobacco, the major killer, outweigh the risk of teenagers and children getting addicted to nicotine which is a brutal, fierce addiction that's almost impossible to shake once you have it. and so far only 31 products last i counted have produced the evidence to meet that public health standard. all the others you refer to simply don't produce the evidence. now, if i could say a word about enforcement. i know that was the other issue. it bothers me as much as it does you to see what's on our shelves. but i do want you to know that we really picked up our enforcement. over 600 warning letters to manufacturers. hundreds of civil money penalties now and we've also now begun to do injunctions to stop. but every one of these cases, in an environment where every step we make ends up in court in complicated lawsuits have us go back and take that into account. it's a battle every day. we're engaged in

of public health and medicine. welcome to d w. what would you say the most urgent measures of brazil needs to take right now? well, thank you very much for the invitation to be interviewed. um, so the big problem is one separate amex, char, refreshing methods really tend not to be very effective. so the most important thing is getting people, especially those most vulnerable to the severe complications of tang, essentially as children, the elderly resigning an impoverished communities to get them to seek medical care in treatment for to prevent those should be a complications we heard in the re report that's interesting like this, this is not a problem that is restricted to 4 areas, but all pull people affected more. yes. certainly because of this, because of the uncollected refuse and that service breeding sites for the mosquito . the 8 is a trip to mosquito that translates dang, game. you know, we see the largest bird. it's not only a dandy but other other arbor virus or mosquito borne diseases such as the gun, s