A Conversation with Monroe Sirken

Born January 11, 1921 in New York City, Monroe Sirken grew up in a suburb of Pasadena, California. He earned B.A. and M.A. degrees in sociology at UCLA in 1946 and 1947, and a Ph.D. in 1950 in sociology with a minor in mathematics at the University of Washington in 1950 where Professor Z. W. Birnbaum was his mentor and thesis advisor. As a Post-Doctoral Fellow of the Social Science Research Council, Monroe spent 1950--1951 at the Statistics Laboratory, University of California at Berkeley and the Office of the Assistant Director for Research, U.S. Bureau of the Census in Suitland, Maryland. Monroe visited the Census Bureau at a time of great change in the use of sampling and survey methods, and decided to remain. He began his government career there in 1951 as a mathematical statistician, and moved to the National Office of Vital Statistics (NOVS) in 1953 where he was an actuarial mathematician and a mathematical statistician. He has held a variety of research and administrative positions at the National Center for Health Statistics (NCHS) and he was the Associate Director, Research and Methodology and the Director, Office of Research and Methodology until 1996 when he became a senior research scientist, the title he currently holds. Aside from administrative responsibilities, Monroe's major professional interests have been conducting and fostering survey and statistical research responsive to the needs of federal statistics. His interest in the design of rare and sensitive population surveys led to the development of network sampling which improves precision by linking multiple selection units to the same observation units. His interest in fostering research on the cognitive aspects of survey methods led to the establishment of permanent questionnaire design research laboratories, first at NCHS and later at other federal statistical agencies here and abroad.Comment: Published in at http://dx.doi.org/10.1214/07-STS245 the Statistical Science (http://www.imstat.org/sts/) by the Institute of Mathematical Statistics (http://www.imstat.org

War & Public Health in the Twenty-First Century

War has profound adverse effects on public health. War leads to death for military personnel and especially for civilians, long-term physical and psycho- logical consequences to survivors, destruction of sociocultural and ambient environments, and diversion of needed resources. In addition, war legalizes and promotes violence as a mode of solving problems. These and related issues relating to war in the twenty-first century are analyzed in this paper. The authors discuss several approaches to preventing war and minimizing its consequences on health — including addressing the underlying problems that often lead to war, promoting a culture of peace, and controlling weapons

GUEST EDITORIAL Health and Peace

Health and peace are closely linked. One cannot have one without the other. Although health and peace are desirable conditions, we human beings often thwart our best intentions to achieve and maintain them. War has profound impacts on human health. In addition to direct consequences, including the fact that 90% of all deaths related to recent wars were among civilians, war has several indirect consequences, including long-term physical and psychological adverse health effects, damage to the social fabric and infrastructure of society, displacement of people, damage to the environment, drainage of human, financial, and other resources away from public health and other socially productive activities, and fostering of a culture of violence. Many public health issues can be both a consequence and a cause of war, including infectious diseases, mental health disorders, vulnerability of population groups, disparities in health status within and among countries, and weakening of human rights. We, health professionals, can promote peace in many ways and facilitate this work by demonstrating our values, vision, and leadership. Key words: health; public health; physicians; war Health and peace are closely related and both are basic human rights. One cannot have peace without health, or health without peace. People want both health and peace. As leaders in public health, we also want both. In fact, peace is a part of public health -for public health can be defined as "what we, as a society, do collectively to assure the conditions in which people can be healthy" (1). These conditions include, but are not limited to the following: meeting basic human needs, availability of health care and public health services, healthy and safe physical environments, and healthy socio-cultural environments. None of these conditions can be assured unless there is peace. Without peace, there can be no health, basic human needs cannot be fully met, health care and public health services cannot be optimally provided, and healthy and safe physical and socio-cultural environments cannot exist. Therefore, peace, by definition, is part of public health. Likewise, public health is part of peace. Peace can be defined as freedom from civil disturbance, a state of security, or order within a community provided by law or custom, harmony in personal relations, a state or period of mutual concord between governments. Without physical, mental, social, and spiritual health, there can be no peace. Without health, there can be no peace within an individual, within families, within communities or among nations. Although health and peace are highly desirable conditions, we human beings often thwart our best intentions to achieve and maintain them. We engage in risky behaviors that lead to disease or in hateful conversations that lead to war. We tolerate too much government spending on the preparation for war and not enough on the planning for health. We tolerate toxic contamination of the environment in which we live, large disparities in socioeconomic status and other conditions that can lead to war, and armed conflicts that targets civilians. We fail to protect human rights and often overlook the relationship between health and peace. Consequences of War War has profound impacts on human health (2,3). Direct consequences of war include injury, illness, disability, and death, often affecting civilians. During the last decade, 90% of all deaths related to war were among civilians, many of them women and children. The indirect consequences of war can be as serious and widespread as the direct consequences, and all worsen public health. The indirect consequences are the following: a) the individuals physically or psychologically injured during war may have long-term effects, ranging from chronic physical disabilities to long-term psychological trauma; b) war damages the social fabric of society such that work and education, the practice of religion, the programs of government agencies and civil society organizations, and all activities of normal life are disrupted; c) the infrastructure of society -clinics and hospitals, distribution systems for safe food and clean water, electricity networks -are destroyed, and often not 114 www.cmj.h

Climate Change, Human Rights, and Social Justice

The environmental and health consequences of climate change, which disproportionately affect low-income countries and poor people in high-income countries, profoundly affect human rights and social justice. Environmental consequences include increased temperature, excess precipitation in some areas and droughts in others, extreme weather events, and increased sea level. These consequences adversely affect agricultural production, access to safe water, and worker productivity, and, by inundating land or making land uninhabitable and uncultivatable, will force many people to become environmental refugees. Adverse health effects caused by climate change include heat-related disorders, vector-borne diseases, foodborne and waterborne diseases, respiratory and allergic disorders, malnutrition, collective violence, and mental health problems.These environmental and health consequences threaten civil and political rights and economic, social, and cultural rights, including rights to life, access to safe food and water, health, security, shelter, and culture. On a national or local level, those people who are most vulnerable to the adverse environmental and health consequences of climate change include poor people, members of minority groups, women, children, older people, people with chronic diseases and disabilities, those residing in areas with a high prevalence of climate-related diseases, and workers exposed to extreme heat or increased weather variability. On a global level, there is much inequity, with low-income countries, which produce the least greenhouse gases (GHGs), being more adversely affected by climate change than high-income countries, which produce substantially higher amounts of GHGs yet are less immediately affected. In addition, low-income countries have far less capability to adapt to climate change than high-income countries.Adaptation and mitigation measures to address climate change needed to protect human society must also be planned to protect human rights, promote social justice, and avoid creating new problems or exacerbating existing problems for vulnerable populations

Intercomparison of field measurements of nitrous acid (HONO) during the SHARP campaign

Because of the importance of HONO as a radical reservoir, consistent and accurate measurements of its concentration are needed. As part of SHARP (Study of Houston Atmospheric Radical Precursors), time series of HONO were obtained by six different measurement techniques on the roof of the Moody Tower at the University of Houston. Techniques used were long path differential optical absorption spectroscopy (DOAS), stripping coil-visible absorption photometry (SC-AP), long path absorption photometry (LOPAP® ), mist chamber/ion chromatography (MC-IC), quantum cascade-tunable infrared laser differential absorption spectroscopy (QC-TILDAS), and ion drift-chemical ionization mass spectrometry (ID-CIMS). Various combinations of techniques were in operation from 15 April through 31 May 2009. All instruments recorded a similar diurnal pattern of HONO concentrations with higher median and mean values during the night than during the day. Highest values were observed in the final 2 weeks of the campaign. Inlets for the MC-IC, SC-AP, and QC-TILDAS were collocated and agreed most closely with each other based on several measures. Largest differences between pairs of measurements were evident during the day for concentrations ~100 parts per trillion (ppt). Above ~ 200 ppt, concentrations from the SC-AP, MC-IC, and QC-TILDAS converged to within about 20%, with slightly larger discrepancies when DOAS was considered. During the first 2 weeks, HONO measured by ID-CIMS agreed with these techniques, but ID-CIMS reported higher values during the afternoon and evening of the final 4 weeks, possibly from interference from unknown sources. A number of factors, including building related sources, likely affected measured concentrations

IBM, Elsevier Science, and Academic Freedom

Elsevier Science refused to publish a study of IBM workers that IBM sought to keep from public view. Occupational and environmental health (OEH) suffers from the absence of a level playing field on which science can thrive. Industry pays for a substantial portion of OEH research. Studies done by private consulting firms or academic institutions may be published if the results suit the sponsoring companies, or they may be censored. OEH journals often reflect the dominance of industry influence on research in the papers they publish, sometimes withdrawing or modifying papers in line with industry and advertising agendas. Although such practices are widely recognized, no fundamental change is supported by government and industry or by professional organizations

A study on job postures and musculoskeletal illnesses in dentists

Objectives: Musculoskeletal disorders (MSDs) compose a large part of occupational diseases in dental professionals, prevention of which is dependent on assessment and improvement of job postures by means of ergonomic interventions. This study was aimed at evaluation of ergonomic conditions of the profession of dentists and also at assessing the relationship between MSDs and conditions of work. Materials and Methods: This cross-sectional study was performed among 65 dentists using the method of Rapid Entire Body Assessment (REBA). The prevalence of MSDs was obtained by the use of the Nordic Musculoskeletal Questionnaire (NMQ). Results: In this investigation, the prevalence of MSDs for different body parts was: 75.9% for the neck, 58.6% for the shoulders, 56.9% for the upper back, 48.3% for the lower back and 44.8% for the wrist. Job analysis by the use of REBA showed that 89.6% of limbs in group A and 79.3% of limbs in group B had a score > 4. Only neck and lower back pain have significant relationship with the risk levels obtained using the REBA method. Conclusions: It can be concluded that work postures of dentists need to be improved. In addition to education, work station design, rest period during work and regular physical activities should be taken into account

Synergistic Effects of Traffic-Related Air Pollution and Exposure to Violence on Urban Asthma Etiology

Background: Disproportionate life stress and consequent physiologic alteration (i.e., immune dysregulation) has been proposed as a major pathway linking socioeconomic position, environmental exposures, and health disparities. Asthma, for example, disproportionately affects lower-income urban communities, where air pollution and social stressors may be elevated. Objectives: We aimed to examine the role of exposure to violence (ETV), as a chronic stressor, in altering susceptibility to traffic-related air pollution in asthma etiology. Methods: We developed geographic information systems (GIS)–based models to retrospectively estimate residential exposures to traffic-related pollution for 413 children in a community-based pregnancy cohort, recruited in East Boston, Massachusetts, between 1987 and 1993, using monthly nitrogen dioxide measurements for 13 sites over 18 years. We merged pollution estimates with questionnaire data on lifetime ETV and examined the effects of both on childhood asthma etiology. Results: Correcting for potential confounders, we found an elevated risk of asthma with a 1-SD (4.3 ppb) increase in NO2 exposure solely among children with above-median ETV [odds ratio (OR) = 1.63; 95% confidence interval (CI), 1.14–2.33)]. Among children always living in the same community, with lesser exposure measurement error, this association was magnified (OR = 2.40; 95% CI, 1.48–3.88). Of multiple exposure periods, year-of-diagnosis NO$_2$ was most predictive of asthma outcomes. Conclusions: We found an association between traffic-related air pollution and asthma solely among urban children exposed to violence. Future studies should consider socially patterned susceptibility, common spatial distributions of social and physical environmental factors, and potential synergies among these. Prospective assessment of physical and social exposures may help determine causal pathways and critical exposure periods

Military Retention Incentives: Evidence from the Air Force Selective Reenlistment Bonus

The limited lateral entry and rigid pay structure for U.S. military personnel present challenges in retaining skilled individuals who have attractive options in the civilian labor market. One tool the services use to address this challenge is the Selective Reenlistment Bonus (SRB), which offers eligible personnel with particular skills a substantial cash bonus upon reenlistment. However, the sequential nature of the bonus offer and reenlistment process limits the ability to adjust manpower quickly, raising interest in research that estimates the effect of the SRB on retention. While this literature has acknowledged challenges including potential endogeneity of bonus levels, attrition, and reenlistment eligibility, many studies do not address these concerns adequately. This paper uses a comprehensive panel data set on Air Force enlisted personnel to estimate the effect of the SRB on retention rates. We exploit variation in bonus levels within skill groups, control for civilian labor market conditions, and model reenlistment eligibility to avoid common assumptions that lead to biased impact estimates. We find substantial heterogeneity in the effect of the bonus, with the largest effects on first-term service members and those whose skills have not historically received a substantial bonus. We also find evidence that the bonus affects the timing of reenlistment decisions in addition to their frequency