Tag Archives: public health

2021 in Review: Our Reports on Prevention and Response to the Impacts of COVID-19

As of December, more than 800,000 Americans have now died from the COVID-19 virus. Since the beginning of the pandemic in 2020, the U.S. has recorded nearly 50 million cases. In the past year, we have continued to produce reports that guide researchers, policy makers, public health professionals, clinicians, and others who struggle to save lives and support people dealing with the impacts of COVID-19, as well those who build on the lessons learned from this pandemic to prepare for future health crises. As always, these reports are free to read online or download.

Public Health Lessons for Non-Vaccine Influenza Interventions: Looking Past COVID-19

Public Health Lessons for Non-Vaccine Influenza Interventions: Looking Past COVID-19

The COVID-19 pandemic has challenged the world’s preparedness for a respiratory virus event. While the world has been combating COVID-19, seasonal and pandemic influenza remain imminent global health threats. Non-vaccine public health control measures can combat emerging and ongoing influenza …[more]

Globally Resilient Supply Chains for Seasonal and Pandemic Influenza Vaccines

Globally Resilient Supply Chains for Seasonal and Pandemic Influenza Vaccines

Influenza viruses, both seasonal and pandemic, have the potential to disrupt the health and well-being of populations around the world. The global response to the COVID-19 pandemic and prior public health emergencies of international concern illustrate the importance of global preparedness and …[more]

Vaccine Research and Development to Advance Pandemic and Seasonal Influenza Preparedness and Response: Lessons from COVID-19

Vaccine Research and Development to Advance Pandemic and Seasonal Influenza Preparedness and Response: Lessons from COVID-19

The global response to COVID-19 has demonstrated the importance of vigilance and preparedness for infectious diseases, particularly influenza. There is a need for more effective influenza vaccines and modern manufacturing technologies that are adaptable and scalable to meet demand during a …[more]

Countering the Pandemic Threat Through Global Coordination on Vaccines: The Influenza Imperative

Countering the Pandemic Threat Through Global Coordination on Vaccines: The Influenza Imperative

The COVID-19 pandemic has laid bare the fragility of the global system of preparedness and response to pandemics and the fragmentation of our research and development ecosystem. The pandemic has provided a disruptive moment to advance new norms and frameworks for influenza. It also has …[more]

Short-Term Strategies for Addressing the Impacts of the COVID-19 Pandemic on Women's Workforce Participation

Short-Term Strategies for Addressing the Impacts of the COVID-19 Pandemic on Women’s Workforce Participation

The COVID-19 pandemic and the associated recession have significantly affected women’s workforce participation. These impacts have varied from job loss to additional caregiving responsibilities. Black and Hispanic women have been particularly affected, bringing into sharp relief historical …[more]

School-Based Strategies for Addressing the Mental Health and Well-Being of Youth in the Wake of COVID-19

School-Based Strategies for Addressing the Mental Health and Well-Being of Youth in the Wake of COVID-19

COVID-19, along with heightened racial trauma, has caused unprecedented disruption in the lives of youth aged 10-18, leading them to experience increases in mental health concerns. Addressing these negative impacts requires that education leaders, school districts, state and local decision …[more]

Addressing Disaster Vulnerability among Homeless Populations during COVID-19

Addressing Disaster Vulnerability among Homeless Populations during COVID-19

During the COVID-19 pandemic, disruptions to key services for populations experiencing homelessness may lead to secondary effects in the context of a disaster, including effects on health and safety, which require additional population-specific support. Reducing disaster vulnerability for people …[more]

COVID-19 and the Present and Future of Black Communities: The Role of Black Physicians, Engineers, and Scientists: Proceedings of a Workshop

COVID-19 and the Present and Future of Black Communities: The Role of Black Physicians, Engineers, and Scientists: Proceedings of a Workshop

While the COVID-19 pandemic has had devastating health and economic impacts in the United States, communities of color, especially Black communities, have been disproportionately affected. On June 23, 2020, the Roundtable on Black Men and Black Women in Science, Engineering, and Medicine of the …[more]

Rental Eviction and the COVID-19 Pandemic: Averting a Looming Crisis

Rental Eviction and the COVID-19 Pandemic: Averting a Looming Crisis

As the federal moratorium on rental eviction is set to expire on July 31st, 2021, actionable guidance is urgently needed on how to ensure that renters can stay in their homes and housing aid reaches the communities that need it most. This report from the National Academies of Sciences, …[more]

Mental Health and Substance Use Disorders in the Era of COVID-19: The Impact of the Pandemic on Communities of Color: Proceedings of a Workshop—in Brief

Mental Health and Substance Use Disorders in the Era of COVID-19: The Impact of the Pandemic on Communities of Color: Proceedings of a Workshop—in Brief

The Forum on Mental Health and Substance Use Disorders of the National Academies of Sciences, Engineering, and Medicine hosted a virtual workshop, Mental Health and Substance Use Disorders in the Era of COVID-19: With a Special Focus on the Impact of the Pandemic on Communities of Color, on …[more]

Understanding and Communicating about COVID-19 Vaccine Efficacy, Effectiveness, and Equity

Understanding and Communicating about COVID-19 Vaccine Efficacy, Effectiveness, and Equity

Effective communication is needed to ensure shared understanding of how well COVID-19 vaccines work and whether they are being equitably distributed. Without clear, consistent, readily accessible communications, people may lose faith in the vaccines and in those providing them. State, tribal, …[more]

Innovations in Pharmaceutical Manufacturing on the Horizon: Technical Challenges, Regulatory Issues, and Recommendations

Innovations in Pharmaceutical Manufacturing on the Horizon: Technical Challenges, Regulatory Issues, and Recommendations

In 2002, the U.S. Food and Drug Administration (FDA) launched the Pharmaceutical Quality for the 21st Century Initiative to encourage adoption of innovative technologies that would lead to an agile, flexible pharmaceutical manufacturing sector. The goal was to encourage a transition to …[more]

The Impact of COVID-19 on the Careers of Women in Academic Sciences, Engineering, and Medicine

The Impact of COVID-19 on the Careers of Women in Academic Sciences, Engineering, and Medicine

The spring of 2020 marked a change in how almost everyone conducted their personal and professional lives, both within science, technology, engineering, mathematics, and medicine (STEMM) and beyond. The COVID-19 pandemic disrupted global scientific conferences and individual laboratories and …[more]

COVID-19 Addendum to Critical Issues in Transportation

COVID-19 Addendum to Critical Issues in Transportation

The year 2020’s raging coronavirus pandemic and reckoning with long-standing racial injustice led to widespread disruption and suffering, social unrest, and renewed calls for an accounting of our fragmented public health system and troubled history of racial inequity.

The crises of 2020 …[more]

Meeting Regional STEMM Workforce Needs in the Wake of COVID-19: Proceedings of a Virtual Workshop Series

Meeting Regional STEMM Workforce Needs in the Wake of COVID-19: Proceedings of a Virtual Workshop Series

The COVID-19 pandemic is transforming the global economy and significantly shifting workforce demand, requiring quick, adaptive responses. The pandemic has revealed the vulnerabilities of many organizations and regional economies, and it has accelerated trends that could lead to significant …[more]

Rapid Response by Laboratory Animal Research Institutions During the COVID-19 Pandemic: Lessons Learned: Proceedings of a Workshop–in Brief

Rapid Response by Laboratory Animal Research Institutions During the COVID-19 Pandemic: Lessons Learned: Proceedings of a Workshop–in Brief

The National Academies of Sciences, Engineering, and Medicine convened a workshop to explore lessons learned at animal research institutions in response to SARS-CoV-2, the cause of the COVID-19 pandemic. Expert scientists conducting COVID-19 research, as well as institutional leadership …[more]

Learning from Rapid Response, Innovation, and Adaptation to the COVID-19 Crisis: Proceedings of a Workshop–in Brief

Learning from Rapid Response, Innovation, and Adaptation to the COVID-19 Crisis: Proceedings of a Workshop–in Brief

The world continues to grapple with the profound and unprecedented impacts of the COVID-19 pandemic, which by January 2021 had infected more than 90 million people worldwide and taken over 1.9 million lives. The crisis quickly mobilized action by universities, industry, and federal, state, and …[more]

Emergency Evacuation and Sheltering During the COVID-19 Pandemic

Emergency Evacuation and Sheltering During the COVID-19 Pandemic

Fundamental shifts in preparedness planning are needed to ensure health, safety, and smooth operations during emergencies in the context of the COVID-19 pandemic. To prepare for emergency events requiring evacuation, it is necessary to revise shelter planning and mass care operations, shelter …[more]

Critical Findings on COVID-19: Select Publications from the National Academies of Sciences, Engineering, and Medicine

Critical Findings on COVID-19: Select Publications from the National Academies of Sciences, Engineering, and Medicine

For more than 150 years, the National Academies of Sciences, Engineering, and Medicine have issued reports detailing leading research on public health and infectious disease. In response to the global outbreak of COVID-19 in 2020, the National Academies has continued this work by issuing …[more]

Preparing for and Responding to Record-Breaking Natural Disasters

According to the National Oceanic and Atmospheric Administration, in 2020 the U.S. experienced a record-smashing 22 weather and climate disasters that killed at least 262 people and injured scores more. Damages from these disasters exceeded $1 billion each and totaled approximately $95 billion for all 22 events. How can we best prepare for, respond to, and recover from disasters? Our titles explore impacts of natural disasters and ways to promote resiliency for future disaster events. All are free to download.

Evidence-Based Practice for Public Health Emergency Preparedness and Response

Evidence-Based Practice for Public Health Emergency Preparedness and Response

When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover …[more]

Strengthening Post-Hurricane Supply Chain Resilience: Observations from Hurricanes Harvey, Irma, and Maria

Strengthening Post-Hurricane Supply Chain Resilience: Observations from Hurricanes Harvey, Irma, and Maria

Resilient supply chains are crucial to maintaining the consistent delivery of goods and services to the American people. The modern economy has made supply chains more interconnected than ever, while also expanding both their range and fragility. In the third quarter of 2017, Hurricanes Harvey, Irma and Maria revealed some significant …[more]

Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop

Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop

California and other wildfire-prone western states have experienced a substantial increase in the number and intensity of wildfires in recent years. Wildlands and climate experts expect these trends to continue and quite likely to worsen in coming years. Wildfires and other disasters can be particularly devastating for vulnerable communities. …[more]

A Framework for Assessing Mortality and Morbidity After Large-Scale Disasters

A Framework for Assessing Mortality and Morbidity After Large-Scale Disasters

In the wake of a large-scale disaster, from the initial devastation through the long tail of recovery, protecting the health and well-being of the affected individuals and communities is paramount. Accurate and timely information about mortality and significant morbidity related to the disaster are the cornerstone of the efforts of the disaster …[more]

Emergency Alert and Warning Systems: Current Knowledge and Future Research Directions

Emergency Alert and Warning Systems: Current Knowledge and Future Research Directions

Following a series of natural disasters, including Hurricane Katrina, that revealed shortcomings in the nation’s ability to effectively alert populations at risk, Congress passed the Warning, Alert, and Response Network (WARN) Act in 2006. Today, new technologies such as smart phones and social media platforms offer new ways to communicate …[more]

Strengthening the Disaster Resilience of the Academic Biomedical Research Community: Protecting the Nation's Investment

Strengthening the Disaster Resilience of the Academic Biomedical Research Community: Protecting the Nation’s Investment

The academic biomedical research community is a hub of employment, economic productivity, and scientific progress. Academic research institutions are drivers of economic development in their local and state economies and, by extension, the national economy. Beyond the economic input that the academic biomedical research community both receives …[more]

Healthy, Resilient, and Sustainable Communities After Disasters: Strategies, Opportunities, and Planning for Recovery

Healthy, Resilient, and Sustainable Communities After Disasters: Strategies, Opportunities, and Planning for Recovery

In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private …[more]

Strategic Issues Facing Transportation, Volume 2: Climate Change, Extreme Weather Events, and the Highway System: Practitioner’s Guide and Research Report

Strategic Issues Facing Transportation, Volume 2: Climate Change, Extreme Weather Events, and the Highway System: Practitioner’s Guide and Research Report

TRB’s National Cooperative Highway Research Program (NCHRP) Report 750: Strategic Issues Facing Transportation, Volume 2: Climate Change, Extreme Weather Events, and the Highway System: Practitioner’s Guide and Research Report provides guidance on adaptation strategies to the likely impacts of climate change through 2050 in the planning, …[more]

Integrating Social and Behavioral Sciences Within the Weather Enterprise

Integrating Social and Behavioral Sciences Within the Weather Enterprise

Our ability to observe and forecast severe weather events has improved markedly over the past few decades. Forecasts of snow and ice storms, hurricanes and storm surge, extreme heat, and other severe weather events are made with greater accuracy, geographic specificity, and lead time to allow people and communities to take appropriate …[more]

Disaster Resilience: A National Imperative

Disaster Resilience: A National Imperative

No person or place is immune from disasters or disaster-related losses. Infectious disease outbreaks, acts of terrorism, social unrest, or financial disasters in addition to natural hazards can all lead to large-scale consequences for the nation and its communities. Communities and the nation thus face difficult fiscal, social, cultural, and …[more]

When Science Meets the Public, Communication Matters


As we turn to science for answers and explanations to understand and manage the COVID-19 pandemic, it is very clear that a number of influences—psychological, economic, political, social, cultural, and media-related— determine how contentious issues in science are understood and perceived. Successful scientists must be effective communicators within their professions and in political and social settings. Our publications synthesize research on communication and provide guidance to improve public engagement with science. As always, all are free to download.

Communicating Science Effectively: A Research Agenda

Science and technology are embedded in virtually every aspect of modern life. As a result, people face an increasing need to integrate information from science with their personal values and other considerations as they make important life decisions about medical care, the safety of foods, what …

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The Science of Science Communication III: Inspiring Novel Collaborations and Building Capacity: Proceedings of a Colloquium

Successful scientists must be effective communicators within their professions. Without those skills, they could not write papers and funding proposals, give talks and field questions, or teach classes and mentor students. However, communicating with audiences outside their profession – people …

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The Science of Science Communication II: Summary of a Colloquium

Successful scientists must be effective communicators within their professions. Without those skills, they could not write papers and funding proposals, give talks and field questions, or teach classes and mentor students. However, communicating with audiences outside their profession – people …

[more]

Science Literacy: Concepts, Contexts, and Consequences

Science is a way of knowing about the world. At once a process, a product, and an institution, science enables people to both engage in the construction of new knowledge as well as use information to achieve desired ends. Access to science—whether using knowledge or creating it—necessitates …

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Trust and Confidence at the Interfaces of the Life Sciences and Society: Does the Public Trust Science? A Workshop Summary

Does the public trust science? Scientists? Scientific organizations? What roles do trust and the lack of trust play in public debates about how science can be used to address such societal concerns as childhood vaccination, cancer screening, and a warming planet? What could happen if social …

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Science for Fighting a Pandemic: Coronavirus Resources

As the United States and other countries respond to the outbreak of respiratory illness caused by the COVID-19 infectious disease, it is critical that science-based information guide public health strategies. Our publications provide guidance for federal, state, and local public health officials, transportation officials, and policy makers as they grapple with this crisis. As always, all are free to read online or download. For additional publications, please visit our Coronavirus Resources Collection.

Exploring Lessons Learned from a Century of Outbreaks: Readiness for 2030: Proceedings of a Workshop

In November 2018, an ad hoc planning committee at the National Academies of Sciences, Engineering, and Medicine planned two sister workshops held in Washington, DC, to examine the lessons from influenza pandemics and other major outbreaks, understand the extent to which the lessons have been …

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Stronger Food and Drug Regulatory Systems Abroad

Ensuring the safety of food and the quality and safety of medicines in a country is an important role of government, made more complicated by global manufacturing and international trade. By recent estimates, unsafe food kills over 400,000 people a year, a third of them children under 5, mostly …

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Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use

Protecting the health and safety of health care workers is vital to the health of each of us. Preparing for and responding to a future influenza pandemic or to a sustained outbreak of an airborne transmissible disease requires a high-level commitment to respiratory protection for health care …

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Emergency Working Groups at Airports

Airports—especially in the past two decades—have generally sought to promote and increase collaboration among the members of the airport community, particularly between an airport and its airlines. One metric of this trend has been the increase in the number of U.S. airports with full-time …

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Airport Roles in Reducing Transmission of Communicable Diseases

TRB’s Conference Proceedings 55: Airport Roles in Reducing Transmission of Communicable Diseases summarizes a 2-day Insight Event convened by the Airport Cooperative Research Program and its Insight contractor, Eastern Research Group, Inc., March 6 and 7, 2018, in Washington, D.C. The event …

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Building Communication Capacity to Counter Infectious Disease Threats: Proceedings of a Workshop

Building communication capacity is a critical piece of preparing for, detecting, and responding to infectious disease threats. The International Health Regulations (IHR) establish risk communication—the real-time exchange of information, advice, and opinions between experts or officials and …

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Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public’s Health and National Security: Proceedings of a Workshop

Disasters tend to cross political, jurisdictional, functional, and geographic boundaries. As a result, disasters often require responses from multiple levels of government and multiple organizations in the public and private sectors. This means that public and private organizations that normally …

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Preparing Airports for Communicable Diseases on Arriving Flights

TRB’s Airport Cooperative Research Program (ACRP) Synthesis 83: Preparing Airports for Communicable Diseases on Arriving Flights examines current disease preparedness and response practices at U.S. and Canadian airports in coordination with public health officers and partners. While larger …

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The Neglected Dimension of Global Security: A Framework to Counter Infectious Disease Crises

Since the 2014 Ebola outbreak many public- and private-sector leaders have seen a need for improved management of global public health emergencies. The effects of the Ebola epidemic go well beyond the three hardest-hit countries and beyond the health sector. Education, child protection, …

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Emerging Viral Diseases: The One Health Connection: Workshop Summary

In the past half century, deadly disease outbreaks caused by novel viruses of animal origin – Nipah virus in Malaysia, Hendra virus in Australia, Hantavirus in the United States, Ebola virus in Africa, along with HIV (human immunodeficiency virus), several influenza subtypes, and the SARS …

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Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response: Volume 1: Introduction and CSC Framework

Catastrophic disasters occurring in 2011 in the United States and worldwide–from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand–have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the …

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The Institute of Medicine on the US Measles Outbreak

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Photo credit: KidRisk.org

MMR – measles, mumps, rubella – vaccination is again in the news as an outbreak of measles that began at Disneyland before Christmas has spread to six states. As of last Friday, 70 people have been diagnosed with measles, and hundreds more have been exposed at schools, doctor’s offices, hospitals, shopping malls and other places visited by infected patients. Arizona reported its first case of measles related to Disneyland when a woman in her 50s was diagnosed. The outbreak has spread to Utah, Washington, Colorado, Oregon and across the border to Mexico. The Institute of Medicine has produced a number of reports on the safety and importance of vaccination. We asked Kathleen Stratton, an Institute of Medicine Scholar and Study Director of several notable IOM reports on vaccines, for her thoughts on vaccination and public health.

“Vaccines save lives. That’s a fact. We need vaccines developed against some very serious infectious diseases, like respiratory syncytial virus, and we need everyone to heed advice regarding existing vaccines, like the measles vaccine.”

The reports below and others on the subject of vaccination are free to download from our website.

The Childhood Immunization Schedule and Safety: Stakeholder Concerns, Scientific Evidence, and Future Studies

Vaccines are among the most safe and effective public health interventions to prevent serious disease and death. Because of the success of vaccines, most Americans today have no firsthand experience with such devastating illnesses as polio or …

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Infectious Disease Movement in a Borderless World: Workshop Summary

Modern transportation allows people, animals, and plants–and the pathogens they carry–to travel more easily than ever before. The ease and speed of travel, tourism, and international trade connect once-remote areas with one another, eliminating …

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What You Need to Know About Infectious Disease

About a quarter of deaths worldwide–many of them children–are caused by infectious organisms. The World Health Organization reports that new infectious diseases are continuing to emerge and familiar ones are appearing in new locations around …

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Adverse Effects of Vaccines: Evidence and Causality

In 1900, for every 1,000 babies born in the United States, 100 would die before their first birthday, often due to infectious diseases. Today, vaccines exist for many viral and bacterial diseases. The National Childhood Vaccine Injury Act, passed …

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Immunization Safety Review: Vaccines and Autism

This eighth and final report of the Immunization Safety Review Committee examines the hypothesis that vaccines, specifically the measles-mumps-rubella (MMR) vaccine and thimerosal-containing vaccines, are causally associated with autism. The …

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Science Debate 2012: Vaccination and Public Health

The leading U.S. science and engineering organizations developed a list of 14 science policy questions facing the U.S. in 2012. You can read these questions–and the Presidential candidates’ answers–at ScienceDebate.org.

For each of the Science Debate 2012 questions, we’re going to provide you a selection of the authoritative and unbiased resources of the National Academies to help inform your response to the candidates’ answers. Today, we’re looking at this ScienceDebate question on Vaccinations and Public Health:

Vaccination campaigns against preventable diseases such as measles, polio and whooping cough depend on widespread participation to be effective, but in some communities vaccination rates have fallen off sharply. What actions would you support to enforce vaccinations in the interest of public health, and in what circumstances should exemptions be allowed?

How would you respond? Download these reports for free at NAP.edu or purchase a print copy to read.

 

Adverse Effects of Vaccines

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Adverse Effects of Vaccines: Evidence and Causality892 pages | Hardcover | Price: $71.95In 1900, for every 1,000 babies born in the United States, 100 would die before their first birthday, often due to infectious diseases. Today, vaccines exist for many viral and bacterial diseases. The National Childhood Vaccine Injury Act, passed in 1986, was… [more]
Immunization Safety Review

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Immunization Safety Review: Measles-Mumps-Rubella Vaccine and Autism102 pages | Paperback | Price: $25.20Immunization is widely regarded as one of the most effective and beneficial tools for protecting the public’s health. In the United States, immunization programs have resulted in the eradication of smallpox, the elimination of polio, and the control and near… [more]
Priorities for the National Vaccine Plan

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Priorities for the National Vaccine Plan368 pages | Paperback | Price: $51.30Vaccination is a fundamental component of preventive medicine and public health. The use of vaccines to prevent infectious diseases has resulted in dramatic decreases in disease, disability, and death in the United States and around the world. The current… [more]
Ranking Vaccines

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Ranking Vaccines: A Prioritization Framework: Phase I: Demonstration of Concept and a Software Blueprint170 pages | Paperback | Price: $54.00As a number of diseases emerge or reemerge thus stimulating new vaccine development opportunities to help prevent those diseases, it can be especially difficult for decision makers to know where to invest their limited resources. Therefore, it is increasingly… [more]
For the Public's Health

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For the Public’s Health: Revitalizing Law and Policy to Meet New Challenges140 pages | Paperback | Price: $35.10The Robert Wood Johnson Foundation asked the Institute of Medicine (IOM) to examine three topics in relation to public health: measurement, the law, and funding. IOM prepared a three book series-one book on each topic-that contain actionable recommendations… [more]

Take 5: Top Books on Health and Medicine

Got health professionals on your holiday shopping list? Take five and check out our top gift ideas. NAP books and merchandise make thoughtful gifts for thinking people.

Relieving Pain in America
Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and ResearchChronic pain affects at least 116 million American adults–more than the total affected by heart disease, cancer, and diabetes combined. It costs the nation up to $635 billion each year in medical treatment and lost productivity. Pain is a uniquely individual…

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The Health of Lesbian, Gay, Bisexual, and Transgender People
The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better UnderstandingAt a time when lesbian, gay, bisexual, and transgender individuals–often referred to under the umbrella acronym LGBT–are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about..

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The Future of Nursing
The Future of Nursing: Leading Change, Advancing HealthThe Future of Nursing explores how nurses’ roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America’s increasingly…

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For the Public's Health
For the Public’s Health: The Role of Measurement in Action and AccountabilityDespite having the costliest medical care delivery system in the world, Americans are not particularly healthy. Recent international comparisons show that life expectancy in the U.S. ranks 49th among all nations, and infant mortality rates are higher in the…

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Accounting for Health and Health Care
Accounting for Health and Health Care: Approaches to Measuring the Sources and Costs of Their ImprovementIt has become trite to observe that increases in health care costs have become unsustainable. How best for policy to address these increases, however, depends in part on the degree to which they represent increases in the real quantity of medical services as..

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New Report States Smoking and Obesity Shrink U.S. Lifespans

A new report released Tuesday says that the nation’s history of heavy smoking is a major reason why lifespans in the U.S. fall short of those in many other high-income nations, and evidence suggests that current obesity levels also play a substantial part. According to Explaining Divergent Levels of Longevity in High-Income Countries, three to five decades ago smoking was much more widespread in the U.S. than in Europe or Japan, and the health consequences are still playing out in today’s mortality rates. Smoking appears to be responsible for a good deal of the differences in life expectancy, especially for women. Obesity’s contribution to lagging life expectancies in the U.S. also appears to be significant. It may account for a fifth to a third of the shortfall in longevity in the U.S. compared to other nations. And if the obesity trend in the U.S. continues, it may offset the longevity improvements expected from reductions in smoking.

The Institute of Medicine has published a number of books that address the problem of smoking in our nation. The most recent, Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence addresses health effects of secondhand smoke. This book assesses the relationship between secondhand smoke exposure and acute coronary events. It also surveys critical epidemiological studies on the effects of smoking bans and evidence of links between secondhand smoke exposure and cardiovascular events.

The health and well-being of children in the United States are threatened by the ever-increasing number and percentage who are overweight and obese—now at one in four children. Childhood and adolescent obesity has increased dramatically in just three decades. Obese children and adolescents are more likely to have hypertension, high cholesterol, and type 2 diabetes when they are young, and they also are more likely to be obese when they are adults. Local Government Actions to Prevent Childhood Obesity serves as a tool for local government officials and those who work in partnership with them to help in tackling the prevention of childhood obesity in their jurisdictions.

These books and others from the Institute of Medicine provide information, recommendations, and analysis to assist decision-makers.

Explaining Divergent Levels of Longevity in High-Income Countries Explaining Divergent Levels of Longevity in High-Income Countries

Over the last 25 years, life expectancy at age 50 in the U.S. has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the U.S. spends more on health care…
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Secondhand Smoke Exposure and Cardiovascular Effects Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence

Data suggest that exposure to secondhand smoke can result in heart disease in nonsmoking adults. Recently, progress has been made in reducing involuntary exposure to secondhand smoke through legislation banning smoking in workplaces, restaurants, and other…
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Local Government Actions to Prevent Childhood Obesity Local Government Actions to Prevent Childhood Obesity

The prevalence of childhood obesity is so high in the United States that it may reduce the life expectancy of today’s generation of children. While parents and other adult caregivers play a fundamental role in teaching children about healthy behaviors, even…
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Combating Tobacco Use in Military and Veteran Populations Combating Tobacco Use in Military and Veteran Populations

The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to…
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Ending the Tobacco Problem Ending the Tobacco Problem: A Blueprint for the Nation

The nation has made tremendous progress in reducing tobacco use during the past 40 years. Despite extensive knowledge about successful interventions, however, approximately one-quarter of American adults still smoke. Tobacco-related illnesses and death place a…
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Bridging the Evidence Gap in Obesity Prevention Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making

To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new…
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Progress in Preventing Childhood Obesity Progress in Preventing Childhood Obesity: How Do We Measure Up?

The remarkable increase in the prevalence of obesity among children and youth in the United States over a relatively short timespan represents one of the defining public health challenges of the 21st century. The country is beginning to recognize childhood…
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Living in a Food Desert: How Lack of Access to Healthy Foods Can Affect Public Health

Need to run to the grocery store? For some of us, this is relatively easy because we probably live fairly close to one. For others, a trip to a grocery store represents a significant transportation challenge. In the United States, “food deserts”, neighborhoods and communities that have limited access to affordable and nutritious foods, tend to be located in urban and rural low-income neighborhoods. People who live in these areas are less likely to have access to supermarkets or grocery stores that provide healthy choices for food. With limited or no access to food retailers or supermarkets that stock fresh produce, low-fat dairy, whole grains, and other healthy foods, these populations may be more likely to suffer from high rates of diabetes, cardiovascular disease, and obesity.

The Public Health Effect of Food Deserts: Workshop Summary discusses the public health effects—including the prevalence of obesity and the incidence of chronic diseases—of food deserts. This book offers insight on the extent of food deserts, their impact on individual behaviors and health outcomes in various populations, and effective ways to increase the availability of fruits and vegetables and to improve the food environment.

One serious health consequence of living in food deserts is, ironically, obesity. Without ready access to nutritious foods, people living in food deserts often have diets that are high in calories but low in nutritional value. To address this particular public health concern, the Institute of Medicine has published a number of reports that examine how we can roll back the obesity epidemic in the United States.

Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making examines obesity as a societal problem that affects whole populations, like those living in food deserts. This book features a practical, action-oriented framework to support the use of evidence in decision-making about obesity prevention policies and programs and sets a course for the development of new and relevant research.

The books mentioned above and others from the Institute of Medicine provide information and guidance for decision-makers to respond to the challenges of food deserts and their impact on our society.

The Public Health Effects of Food Deserts

The Public Health Effects of Food Deserts: Workshop Summary

In the United States, people living in low-income neighborhoods frequently do not have access to affordable healthy food venues, such as supermarkets. Instead, those living in “food deserts” must rely on convenience stores and small neighborhood stores that…

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Bridging the Evidence Gap in Obesity Prevention

Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making

To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new…

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Local Government Actions to Prevent Childhood Obesity

Local Government Actions to Prevent Childhood Obesity

The prevalence of childhood obesity is so high in the United States that it may reduce the life expectancy of today’s generation of children. While parents and other adult caregivers play a fundamental role in teaching children about healthy behaviors, even…

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Community Perspectives on Obesity Prevention in Children

Community Perspectives on Obesity Prevention in Children: Workshop Summaries

As the public health threat of childhood obesity has become clear, the issue has become the focus of local, state, and national initiatives. Many of these efforts are centered on the community environment in recognition of the role of environmental factors in…

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Childhood Obesity Prevention in Texas

Childhood Obesity Prevention in Texas: Workshop Summary

Childhood Obesity Prevention in Texas summarizes the information gathered at a workshop held February 5-6, 2009, in Austin, Texas. At this workshop, committee members met with Texas lawmakers, public officials, and community leaders to exchange ideas…

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Progress in Preventing Childhood Obesity

Progress in Preventing Childhood Obesity: How Do We Measure Up?

The remarkable increase in the prevalence of obesity among children and youth in the United States over a relatively short timespan represents one of the defining public health challenges of the 21st century. The country is beginning to recognize childhood…

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Perspectives from United Kingdom and United States Policy Makers on Obesity Prevention

Perspectives from United Kingdom and United States Policy Makers on Obesity Prevention: Workshop Summary

Both the United Kingdom and the United States are grappling with nationwide epidemics of obesity. Obesity contributes to diabetes, cardiovascular disease, and some cancers, among other diseases. Although many people are aware of obesity’s causes and…

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Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin

Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin: Summary

The Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin was initiated by a desire to share experiences regarding the problem of obesity in children…

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DNA Testing: From the Doctor’s Office to the Drugstore

The Human Genome Project, completed in 2003, identified the genes that make up human DNA. Major advances in genomic technologies in the early 21st century have helped to increase dramatically the number of genes identified as playing a role in a variety of common disorders. Genetic or genomic testing can be used to guide medical decision-making and treatment, ranging from personalized drug therapy to assessing an individual’s risk of developing common chronic diseases.

New reports from the Institute of Medicine discuss various possibilities for the future and potential issues that could arise from our ever-expanding knowledge of our genetic makeup. The Value of Genetic and Genomic Technologies: Workshop Summary explores the concept of value in regards to genomics and genetics and how that concept affects the ways decisions are made about using tests and technologies. This book brings together diverse perspectives on the value of genetic testing and discusses its use in clinical practice.

Advances in our understanding of genomics, combined with significant reductions in the cost of genetic tests, have spawned new business models in which companies market genetic tests and personalized genetic profiles directly to consumers. For example, it is now possible to purchase a home DNA paternity test at many pharmacies in the United States. Special DNA test kits allow anyone to trace their ancestry. Direct-to-Consumer Genetic Testing: Summary of a Workshop discusses the scientific and ethical foundations for commercial genetic testing, personal and social issues, research and medical issues, and the impact on health care and public health.

These books and others from the Institute of Medicine explore the possibilities and directions for the future for both researchers and private industry.

The Value of Genetic and Genomic Technologies

The Value of Genetic and Genomic Technologies: Workshop Summary

Knowing one’s genetic disposition to a variety of diseases, including common chronic diseases, can benefit both the individual and society at large. The IOM’s Roundtable on Translating Genomic-Based Research for Health held a workshop on March 22, 2010, to…
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Direct-to-Consumer Genetic Testing

Direct-to-Consumer Genetic Testing: Summary of a Workshop

Today, scores of companies, primarily in the United States and Europe, are offering whole genome scanning services directly to the public. The proliferation of these companies and the services they offer demonstrate a public appetite for this information and…
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Establishing Precompetitive Collaborations to Stimulate Genomics-Driven Drug Development

Establishing Precompetitive Collaborations to Stimulate Genomics-Driven Drug Development: Workshop Summary

Despite the many basic research discoveries in genetics, relatively few gene-based treatments, drugs, or preventative measures have been developed. One way to bridge this gap may be for industry, academia, and government to develop partnerships that share…
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Systems for Research and Evaluation for Translating Genome-Based Discoveries for Health

Systems for Research and Evaluation for Translating Genome-Based Discoveries for Health: Workshop Summary

With the advent of genome-wide association studies, numerous associations between specific gene loci and complex diseases have been identified–for breast cancer, coronary artery disease, and asthma, for example. This rapidly advancing field of genomics has…
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Innovations in Service Delivery in the Age of Genomics

Innovations in Service Delivery in the Age of Genomics: Workshop Summary

New discoveries in genomics–that is, the study of the entire human genome–are changing how we diagnose and treat diseases. As the trend shifts from genetic testing largely being undertaken for rare genetic disorders to, increasingly, individuals being…
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Diffusion and Use of Genomic Innovations in Health and Medicine

Diffusion and Use of Genomic Innovations in Health and Medicine: Workshop Summary

Until fairly recently, genetic information was used primarily in the diagnosis of relatively rare genetic diseases, such as cystic fibrosis and Huntington’s Disease, but a transformation in the use of genetic and genomic information is underway. While…
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