Virginia M. Brennan - Böcker

The events of Hurricane Katrina have been seared into our collective consciousness, revealing a glaring discrepancy between the experiences of privileged whites and those of low-income blacks. The latter faced a scale of physical danger and mental trauma that the former largely escaped. While residents with resources evacuated in cars, poor residents were left to fend for themselves-without food, water, medicine, shelter, or safety. Many poor African Americans died; many more lost loved ones and all of their material belongings. Natural Disasters and Public Health analyzes the public health effects of Hurricanes Katrina, Rita, and Wilma on minorities in New Orleans and along the Gulf Coast. The contributors assess the overall health policy and public health implications of these three natural disasters. While most of the current literature on disaster relief focuses on FEMA, race, urban planning, and the environment, Natural Disasters and Public Health takes a broader perspective, advocating the inclusion of comprehensive public health policy in future disaster relief programs.Unflinching photographs-many from the Astrodome in Houston after the evacuation of New Orleans and including the triage clinic set up there by the Baylor School of Medicine-illustrate the poor conditions under which health care professionals and aid workers ministered to the sick and injured. Reports from the field by disaster relief professionals and research articles by scholars present lessons learned and offer tools and guidance for future planning. This volume is a valuable resource for public policymakers, health care agencies, providers who plan for large-scale emergencies, academics teaching disaster relief courses, and professionals working in this field.

In community after community, pro bono and student-run health clinics have sprung up over the past 30 years, providing critically needed care to medically underserved populations. "Free Clinics" is a mosaic formed by accounts of such clinics around the United States. These wide-ranging narratives-from urban to rural, from primary care to behavioral health care-provide examples that will assist other communities seeking to find the model that best fits their needs. The Patient Protection and Affordable Care Act has improved access to health care for many Americans, but millions remain and will remain uninsured or underinsured. "Free clinics" provide non-emergency care to those in need. Nationwide, professionals can be found offering volunteer services at these clinics. Contributors to this volume-typically people with personal familiarity (as clinicians or area residents) with the clinics they write about-cover a variety of topics, including a review of the literature, data-driven accounts of clinic usage, and ethical guidelines for student-run clinics.They describe the motivations of clinic staff, the day-to-day work of a family nurse practitioner working in clinics and teaching at a university, the challenges and rewards of providing health care for homeless people, and more. Student-run clinics are the topic of the second section: in addition to providing care to a small subset of those in need, student-run clinics are an important venue for training future clinicians and helping the seeds of altruism with which many enter their professions to germinate. "Free Clinics" will be useful to policymakers, students and faculty in public health and health policy programs, and clinicians and students who are embarking on launching new clinics.

The obesity epidemic has a disproportionate impact on communities that are hard-hit by social and economic disadvantages. In Obesity Interventions in Underserved Communities, a diverse group of researchers explores effective models for treating and preventing obesity in such communities. The volume provides overviews of the literature at specific junctures of society and health (e.g., the effectiveness of preschool obesity prevention programs), as well as commentaries that shape our understanding of particular parts of the obesity epidemic and field reports on innovative approaches to combating obesity in racial/ethnic minority and other medically underserved populations in the United States. Authors make specific recommendations to policy makers which are designed to reverse the rising rate of obesity dramatically. The thirty-one literature reviews, commentaries, and field reports collected here address obesity prevention and treatment programs implemented across a spectrum of underserved populations, with particular attention paid to children and adolescents.Aimed at students, clinicians, and community workers in public health and health policy, as well as family medicine and pediatrics, sociology, childhood education, and nutrition - and deeply informed by fieldwork - this book demonstrates the importance of taking a full contextual view, both historical and current, when considering the challenge of reversing upward obesity trends among ethnic minorities, impoverished people, and other underserved populations.