Public Health Out Loud

While there are studies that show cannabis may be useful in alleviating pain, nausea, and other symptoms associated with certain medical conditions, some doctors and researchers are seeing a rise in unexpected and serious health problems linked to its use – including cannabis use disorder, cannabis hyperemesis syndrome, and even psychosis. In this episode, Dr. Rachel Wightman, an emergency physician who has been at the forefront of treating patients affected by these conditions joins Dr. Philip Chan to help us understand these emerging issues. 

Palliative and hospice care can both have a huge impact on one's quality of life  during serious illness. How do these types of care differ and when are they important? In this episode, Dr. Chan sits down with Diana Franchitto and Dr. Jennifer Ritzau of HopeHealth, a nonprofit palliative and hospice care organization in Rhode Island, to answer these questions and more. 

May is Older American's Month and a good time to think about our needs as we age and those of the older adults in our communities. In this episode, Deb Burton, a social gerontologist and executive director of RI Elder Info joins Dr. Chan to  highlight some important considerations that everyone should be thinking about. Her message is clear: regardless of age, planning in advance is key. 

Children often face a wide range of struggles like social challenges, difficulties at school, substance use, and so much more. As any parent or caregiver knows, helping a child can be overwhelming at times. Where can one turn for help?  In this episode, Ashley Gingerella O'Shea, director of strategic communications at Rhode Island's Executive Office of Health and Human Services joins Dr. Philip Chan to discuss a new and much-needed resource to help parents navigate children's behavioral health.  For parents and caregivers, please visit kids.ri.gov/behavioral-health for information to guide you in finding support, resources, and answers to many of your questions.

Sexual violence affects 1 in 4 women and 1 in 9 men nationally - and it can happen anywhere, usually by someone you know. In honor of Sexual Assault Awareness Month, RIDOH's Dr. Staci Fischer, medical director and chief administrative officer for the Rhode Island Board of Medical Licensure and Discipline and Angela Kemp,  prevention coordinator for RIDOH's Violence and Injury Prevention Program join Dr. Philip Chan to talk about the types of sexual assault, what you need to know in general, and even how to handle it somewhere you may not expect - in the care of a healthcare professional. This episode of Public Health Out Loud covers topics related to sexual violence that some listeners may find difficult to listen to. Listeners are encouraged to reach out to the RI Victims of Crime Helpline for support and advocacy as needed at: 1-800-494-8100 or helplineri.com.

March is National Sleep Awareness Month. Sleep is a precious commodity when there is a newborn in the home - but did you know that HOW an infant sleeps is very important to their safety? In this episode, RIDOH's Chief of the Safe Sleep Program, Margo Katz joins Dr. Philip Chan to talk about what parents and caregivers need to know to keep babies healthy during their slumber. 

Alexandra Dowding and her family nearly died from a silent killer - carbon monoxide. The odorless, invisible gas made them very sick and forced them out of their West Warwick home. In this episode, Dowding joins Dr. Philip Chan, along with Jason Rhodes, RIDOH's Chief of the Center for Emergency Medical Services to talk about what you need to know and how you can protect yourself and your loved ones from carbon monoxide poisoning. 

In this episode of Public Health Out Loud, Dr. Philip Chan talks about measles with Dr. Suzanne Bornschein, RIDOH's infectious disease state epidemiologist. From recent outbreaks to risk factors and symptoms, download and listen to find out the best and safest way to protect yourself. 

Imagine if there was a way to help create supportive, stigma-free environments for people living with substance use and mental health conditions, especially in the workplace. The Rhode Island Recovery-Friendly Workplace Initiative aims to do just that. Jeffrey Wolfsberg, program director for the Recovery-Friendly Workplace Program at the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, & Hospitals (BHDDH) joins Dr. Philip Chan in this episode to talk about how the initiative not only supports the workforce but can also boost a business's bottom line. 

In this episode, Jonathan Lucero McKinney, a physician assistant at Care New England Medical Group's Internal Medicine Center in Pawtucket, Rhode Island and co-host of the Outloud YouTube channel, joins Dr. Philip Chan to discuss the Rhode Island Department of Health's PrEP Champions Network.  The network helps connect people with PrEP - a medication that can help prevent the spread of HIV. Download and listen to find out how anyone in the state can find a participating PrEP Champions Network clinic near them to access this medication, as well as trusted, stigma-free, sexual healthcare. 

January is Radon Awareness Month - a time to call attention to the dangers of this silent killer. What is radon and how common is it?  How do you know if you have radon lurking in your home? In this episode, Alex Yelle, an Industrial Hygienist for RIDOH's Radon and Asbestos Control Programs joins Dr. Chan to answer these questions and talk about how you can protect yourself and your family. 

It's a new year and many people are setting resolutions for better health. If you are looking to make time for weight loss, healthier eating, physical activity, and even prevention and management of chronic diseases like Diabetes – then you won't want to miss this episode. Download and listen as Erica Hanson, the Rhode Island Department of Health's Community Health Network manager and Ana Almeida-DoRosário, community outreach coordinator at the Brown University Health, Community Health Institute join Dr. Philip Chan to discuss the no and low-cost resources available to help with a new you, in the new year. 

RIDOH Oral Health Program Dental Director, Dr. Samuel Zwetchkenbaum joins Dr. Philip Chan in this episode to talk about a subject that's gotten some recent media attention – fluoride. Why is it added to some public water systems and how does it benefit oral health? While there has been quite a lot of discussion following the release of a major study on fluoride in drinking water, Dr. Zwetchkenbaum shares what he knows on the subject and sets the record straight. 

November 21st is the American Cancer Society's Great American Smokeout, an annual event that encourages people to quit smoking or reduce their tobacco and nicotine use for at least 24 hours to live a healthier life and reduce their cancer risk. Ámbar Delgado, Manager of Advocacy at Tobacco Free RI Statewide Network, talks about why reducing tobacco and nicotine use should still be on our radar and highlights the resources available to all Rhode Islanders who want to quit. 

Every landlord in Rhode Island is now required by law to register their residential rental properties in a new Rhode Island Department of Health (RIDOH)-managed database, which was launched in September. RIDOH's Deputy Director, Seema Dixit joins us to answer your questions about the Rental Registry. Why does this registry exist and what is required? What happens if a property owner doesn't register? How can landlords obtain the required lead certificate? Download and listen to get answers to these questions and more. 

October is Domestic Violence Awareness Month. Often referred to as intimate partner violence, it affects roughly 48 percent  - nearly half- of all women and about 41 percent of all men at least once in their lifetime.  In this episode, Dr. Chan is joined by Dr. Cynthia Roberts, senior evaluator from the Rhode Island Coalition Against Domestic Violence and Dr. Samantha Rosenthal, a professor of health science at Johnson & Wales University and adjunct professor of epidemiology at Brown School of Public Health, for a conversation about how data are used to understand some of the causes of intimate partner violence, effective prevention strategies, and the importance of raising awareness.If you or someone you know is experiencing domestic violence, please call the 24-hour Rhode Island statewide helpline at 1-800-494-8100 or visit RICADV.org and click on the “Need Help” tab. Additional Resources: Pregnancy-Associated Violence in Rhode Island: The Data LandscapeRIDOH's Violence and Injury Prevention Program

September is Suicide Prevention Month. It's an important time to remember lives lost and acknowledge the huge impact suicide has had on our communities. It's also a time to bring awareness to the suicide prevention efforts in Rhode Island. In this episode of Public Health Out Loud, Dr. Chan is joined by the Rhode Island Chapter of the American Foundation for Suicide Prevention's Area Director, Kerrie Constant and Board Chair, Keely Taylor. They share their own personal experiences and discuss how everyone can have a role in preventing suicide. Additional resources: 988 Suicide and Crisis Lifeline – If you or someone you know are having thoughts of suicide; experiencing a mental health or substance use crisis; or are in emotional distress, you can call or text 988 or chat with 988 at 988lifeline.org. Trained crisis counselors are available 24/7. Bradley Hospital's Kids' Link -. Kids' Link is a behavioral health triage service and referral network. The program is offered in collaboration with Gateway Healthcare, Lifespan, Hasbro Children's Hospital and Bradley Hospital. Kids' Link RI is available 24 hours a day, seven days a week to help triage children and youth in need of mental health services and refer them to treatment providers. 1-855-543-5465Parent Coach RI is a free 30-day text messaging service that provides parents/caregivers with helpful tips and information to support the youth in their lives through mental and behavioral challenges. tinyurl.com/3fekw78wPreventSuicideRI.org for additional state and national resources, training opportunities, and suicide data.  

Sepsis is a life-threatening condition that can follow an injury or infection and can affect anyone, regardless of age. There is treatment, but it's critical to act fast. In this episode of Public Health Out Loud, Dr. Chan is joined by Tara Cirella, a local mom who tragically lost her daughter, Gianna, to sepsis a few years ago and Dr. Lee Polikoff, a pediatric critical care specialist at Hasbro Children's Hospital.  He was one of the physicians in charge of Gianna's care and is an expert on sepsis. They'll talk about understanding the signs and symptoms of sepsis and the importance of asking questions and advocating for our loved ones if there is a chance they could be suffering from sepsis. It could save a life. This is an episode you won't want to miss. 

September is National Preparedness Month. It's also the peak of the Atlantic Hurricane season! In this episode, Dr. Chan talks with Andrea Creach, from RIDOH's Center for Emergency Preparedness and Response, about how hurricanes and other weather events can impact our health, and what we can do to prepare and protect ourselves from the effects of these types of emergencies. 

National Community Health Worker Awareness Week is August 26-30, 2024 but in truth, Community Health Workers, or CHWs, could easily be celebrated all year. That's because they serve as trusted community leaders, expert problem solvers, and culturally competent subject matter experts-- often bridging the gap between their community's needs and important health or social services. In this episode, Dr. Philip Chan sits down with certified CHWs Rachel Young of the Rhode Island Alliance for Community Health Worker Employers, and Kinzel Thomas, from Family Services-RI.  As we celebrate, commemorate, and  collaborate with CHWs for National CHW Awareness Week, there's no better time to discuss the CHW profession's impact, what unique skills CHWs bring to care teams, certification, and why their roles are so important in clinical or community settings.   For more information and support, we also recommend: Video for Employers: Rhode Island CHWs ~ Your Bridge to Better HealthRhode Island Alliance for CHW Employers: ripin.org/allianceforchwemployers/Family Services-RI: familyserviceri.org/Rhode Island Department of Health, CHW Program: health.ri.gov/chwsCommunity Health Worker Association of Rhode Island: chwari.org/Caring Careers-RI: caringcareers.ri.gov/National Association of Community Health Workers: nachw.org

In this episode of Public Health Out Loud, Dr. Philip Chan talks with Dr. Jerome Larkin, the new Rhode Island Department of Health Director about his background, what led him to accept this position, and a look ahead at his top priorities for the Department.  He also covers a topic that happens to be one of his specialties - ticks and the diseases they carry. 

In this episode of Public Health Out Loud we are talking about a program whose motto says it all: “We're here for you.” The Rhode Island Department of Health's Family Visiting Program has provided prenatal support and services for infants and toddlers to improve outcomes for many years. Download and listen in as Dr. Chan is joined by Sara Remington, the Family Visiting Program Manager and Roxanne Leite, Co-chair of the Rhode Island Parent/Caregiver Advisory Council and former Family Visiting Program graduate. Together, they detail all the program has to offer, attest to its success, and share information on who qualifies for these important visits and how to get started. 

Dr. Omar Bah, a former journalist, fled his home in The Gambia when he became a wanted man for criticizing the country's then-dictator.  Inspired by his own experience, Bah founded the Refugee Dream Center in Providence to offer post-resettlement support to other refugees in the state. He joins Dr. Chan in this episode to talk about his motivation for starting this valuable resource, and much more. What are some of the biggest hurdles facing those seeking asylum?  What services are helpful in bridging the cultural gaps? Download and listen to find out. 

You've probably heard about avian influenza or bird flu in the news recently, as it has made the jump to other species, like dairy cows. What is the risk to the general public? Is it safe to drink milk? In this episode of Public Health Out Loud, local experts, Dr. Suzanne Bornschein, State Epidemiologist at the Rhode Island Department of Health, and Dr. Scott Marshall, State Veterinarian at the Rhode Island Department of Environmental Management fill us in on what we do know about the currently circulating strains and what we can do to reduce the risk of infection. 

In this episode of Public Health Out Loud, Dr. Philip Chan is joined by a guest with over 40 year's experience working to change the way we care for older adults and people with dementia. In honor of Alzheimer's and Brain Awareness Month, Brown University's, Dr. Vincent Mor talks about his research,  steps we can all take to improve our brain health, and more. For more information, check out The Rhode Island Department of Health's  Guide for People Living with Dementia and Their Caregivers.

May is Older American's Month, a time when we recognize the contributions of the older adults in our lives and revisit our commitments to serve them in our communities. But how can we best support them and ensure they are aging in a healthy way? In this episode, Dr. Chan is joined by Maria Cimini, Director of the Rhode Island Office of Healthy Aging, to talk about how healthy aging differs for everyone and the importance of connecting our elders to the services they may need. 

May is National Physical Fitness and Sports Month. Being physically active is essential for staying healthy but what role does physical therapy, or PT, play? In this episode, Dr. Paul Ullucci, director of the Doctor of Physical Therapy Program at Johnson and Wales University joins RIDOH's Dr. Philip Chan to talk about the benefits of PT, what to expect from a physical therapist, and insights for anyone considering a career in this in-demand field. 

In this episode of Public Health Out Loud, Dr. Chan sits down with psychiatrist and professor, Dr. Paul Wallace, to talk  about mental health – from a few of the common types of mental health conditions, to when it may be best to seek treatment – and from whom. Download and give a listen. #MentalHealthAwarenessMonth #NMHAM

April is not only World Autism Month but also Autism Acceptance Month. Here in Rhode Island, the Autism Project has provided quality support, training, and programming - for children and adults with Autism Spectrum Disorder or ASD, since 1997. In this episode of Public Health Out Loud, Dr. Chan talks with the organization's Executive Director, Joanne Quinn about what everyone should know about individuals on the spectrum and their eye-opening campaign to help first responders, and others,  understand how best to help people with ASD during an emergency. 

There's a lot of talk these days about the benefits of being mindful. But a recently published study led by Brown University researchers suggests mindfulness isn't just good for one's mental and emotional well-being. It's also beneficial for our physical health. In this episode of Public Health Out Loud Dr. Philip Chan is joined by Dr. Eric Loucks, director of the Mindfulness Center at Brown University, to explain how being mindful - about what we eat - can help dramatically lower blood pressure. 

WIC - which is short for the Special Supplemental Nutrition Education Program for Women, Infants, and Children - is celebrating its 50th anniversary this month. In this episode of Public Health Out Loud, Dr. Philip Chan is joined by RIDOH's own Ann Barone, Chief for the Office of Women, Infants, and Children to talk about the program's history and the positive impact it has had on so many families over the years. 

The CDC recently released data showing that nationally, there has been a sharp rise in congenital syphilis. Cases have more than tripled in recent years in the US, with 3,700 cases reported in 2022 alone. Here in Rhode Island we've seen several cases of congenital syphilis after over a decade of having none.  What is causing this increase and what can be done to prevent it from happening? On this episode of Public Health Out Loud, Dr. Philip Chan is joined  Dr. Erica Hardy, Director for the Division of Infectious Disease at Women & Infants Hospital and Clinical Assistant Professor of Medicine, Obstetrics, and Gynecology at the Warren Alpert Medical School of Brown University to discuss the answers to these questions and more. 

Tooth decay is the most common chronic disease among children but it is also completely preventable. In honor of National Children's Dental Health Month, Dr. Philip Chan sat down with Katherine Linwood, communications manager at TeethFirst!, a group that provides educational resources on the importance of early dental care. Download and listen in as she touches on the importance of dental care from a very young age and what parents, healthcare, and dental professionals can do to help ensure children are getting the care they need. 

In public health, the term “emergency preparedness” has become linked to the COVID-19 pandemic. But public health emergency preparedness encompasses so much more. In fact, Rhode Islanders all over the State come into contact with people who work in public health emergency preparedness, they just may not know it. In this episode Alysia Mihalakos from the Rhode Island Department of Health's Center for Emergency Preparedness and Response talks with Dr. Philip Chan about public health emergency preparedness, recent responses to emergencies, why preparedness is important to health, and what Rhode Islanders can do to protect their health in emergencies.

A blood transfusion occurs in the US every two seconds. Some examples of those in need include cancer patients; accident, burn, or trauma victims; newborn babies and their mothers; transplant recipients; or surgery patients. Despite blood being critical to saving lives, only 4% of Rhode Island's eligible population actually donates blood. In this episode of Public Health Out Loud, Dr. Philip Chan talks with Caitlin Grimaldi-Flick, marketing and communications manager at the Rhode Island Blood Center about the importance of donating blood. 

In this episode of Public Health Out Loud, RIDOH's Dr. Philip Chan sits down with colleagues Nathaniel Fuchs and Sarah Edwards.  Nathaniel is an epidemiologist who works with data about non-fatal opioid overdoses. Sarah Edwards is from RIDOH's Drug Overdose Prevention Program, and her focus is on working with communities. Together, they explain how the Department's enhanced data tracking system identifies upticks in drug overdoses that allow Rhode Island communities to respond in real time.  

In 2022, 75% of overdose deaths involved illicit fentanyl, a highly potent opioid. In this episode, Dr. Philip Chan is joined by Bryan Volpe, a Drug Intelligence Officer at The New England High Intensity Drug Trafficking Area and Dr. Louis Marchetti, Chief of Operations at the Center for Clinical Toxicology and Laboratory Support, at the Rhode Island State Health Laboratories for a  look at what's being done to keep Rhode Islanders safe from a deadly drug supply.  

Dr. Jan Carney, Associate Dean for Public Health and Health Policy and Professor of Medicine at the University of Vermont  and author of the book Public Health: From Past to Present  joins Dr. Philip Chan for a candid conversation on the topic of public health.  With workforce shortages and professional burnout, what does the future look like for the field? What are some of the biggest lessons learned from past events? What challenges lie ahead? Check it out on this episode of Public Health Out Loud.

In this episode of Public Health Out Loud, the Rhode Island Department of Health's Dr. Philip Chan is joined by Dr. Jeffrey Borkan to explore  a problem that affects everyone – a shortage of primary care physicians in RI.  It's causing long waits for appointments and the inability, in many cases, for doctors to take on new patients. What's causing the shortage, why should we care, and can anything be done to remedy this issue? Download this latest episode to find out. 

As unusual weather patterns, heat waves, floods, and other catastrophic events in unlikely places seem to be on the rise, climate change continues to be a hot topic.  In this episode of Public Health Out Loud, Dr. Philip Chan is joined by climate scientists Dr. Gaurab Basu, Director of Education and Policy at the Harvard School of Public Health's Center for Climate, Health, and the Global Environment and Rachel Calabro, Climate Policy Specialist with the Rhode Island Department of Environmental Management for a frank discussion on some of the alarming changes we are seeing around the world. Is climate change responsible for some of the unusual weather we've been seeing? How does it directly impact public health, and are there positive steps we can take to reduce those impacts here in the Ocean State? Download this episode for the answers to these questions and many more.  

In honor of Domestic Violence Awareness Month, Krista Cunningham and Dr. Cynthia Roberts from the Rhode Island Coalition Against Domestic Violence sat down with the Rhode Island Department of Health's Dr. Philip Chan for a serious look at the causes of domestic and intimate partner violence, how they can be addressed for prevention, and the work that still needs to be done, both in Rhode Island and nationally. 

In this episode of Public Health Out Loud, Dr. Chan discusses the importance of oral health with local dentists, Dr. Sam Zwetchkenbaum and Dr. Jeff Dodge and their role in the Rhode Island Mission of Mercy. This two-day, annual event, has provided thousands of Rhode Islanders, who may not have regular access, with free dental care. Download and listen in as the conversation also explores the need for more oral health professionals in Rhode Island,  and how young people interested in going into the profession have the opportunity to help eliminate dental health inequities and, in Dr. Dodge's words, "make the world a better place." 

Seventy five percent of mental illness begins before the age of 25 and 50% before the age of 14. In this episode of Public Health Out Loud, Dr. Philip Chan sits down with Erik Ewers, a documentary filmmaker whose recent film "Hiding in Plain Sight: Youth Mental Illness” sheds light on these startling mental health statistics through the lens of 23 young people growing up in America. They bravely shared their deeply personal stories with the goal of helping others. Download and listen in for some of the details behind the scenes, the common threads those featured in the film shared, and where you can check out this remarkable, four-hour documentary.

In this episode, Dr. Philip Chan sits down with Johnson and Wales University's Korina Ramsland Short and Roger Williams University's Dr. Jen Stanley to discuss a serious topic before the start of the fall semester. It can be difficult and uncomfortable to discuss, but it is important to talk about it openly and honestly. The topic? Sexual violence prevention. According to the Rape, Abuse and Incest National Network (RAINN), every 68 seconds an American is sexually assaulted.  What conversations can parents and other adults have with young people to help them avoid becoming a statistic? What is being done to make college campuses safer for students? How can we normalize conversations around consent?  Download this episode of Public Health Out Loud to hear what some local experts have to say. 

In this episode of Public Health Out Loud, Dr. Philip Chan takes a deep dive into the world of acupuncture with Providence Community Acupuncture's Cris Monteiro. What is the science behind acupuncture? What's being done to make this centuries-old practice more available to everyone? Download this latest episode for the answers to these questions and many more.  

After a mild winter, more ticks than usual survived into the spring. Because of this, the Rhode Island Department of Health and the Rhode Island Department of Environmental Management have warned Rhode Islanders that this year could be a bad year for the transmission of Lyme disease and other tick-borne diseases. On this episode of Public Health Out Loud, Dr. Philip Chan sits down with infectious disease expert Dr. Jerome Larkin to discuss how tick-borne diseases can impact human health, some ways to minimize your risk, and much more.  

One in every three cancers diagnosed is a skin cancer and one in every five Americans will develop skin cancer in their lifetime. Are you playing it safe this summer?  Dr. Philip Chan explores the best ways to protect yourself with local skin cancer expert Dr. Abrar Qureshi, Chair of the Department of Dermatology at the Warren Alpert Medical School and Professor of Dermatology and Epidemiology at Brown University. What should you look for in an effective sun block? Does a hat with a wide brim really work? Find out in this latest episode of Public Health Out Loud. 

Have things returned to normal in Rhode Island's capitol city since the pandemic? What are the public health priorities-and challenges facing Providence moving forward? Dr. Philip Chan sits down with Providence Mayor Brett Smiley to get the skinny on all this, what it's like to be Mayor, where the city is at now, and much more in this episode of Public Health Out Loud. 

During the Public Health Emergency (or PHE), the federal government paused annual renewals for the Medicaid Program to ensure no one lost access to  health insurance coverage during the pandemic. Now that the PHE has ended, the Medicaid recertification process began again in Rhode Island on April 1.  In this episode of Public Health Out Loud, Dr. Philip Chan is joined by Kristin Sousa, Director of the Medicaid Program, at the Rhode Island Executive Office of Health and Human Services to share some important information about the program.  Why is Medicaid so important?  What do Rhode Islanders need to know about the renewal process and how many people will be affected? Download this week's episode to find out.  

The COVID-19 pandemic worsened the already significant rise in depression and anxiety, for everyone, but especially for youth. In this episode of Public Health Out Loud, Dr. Philip Chan is joined by Dr. Joseph Trunzo, practicing psychologist, incoming president of the Rhode Island Psychological Association, and chair of the Department of Psychology at Bryant University. What factors contribute to a person's mental well-being and how does physical health play a role? How did the COVID-19 pandemic affect mental health in Rhode Island? How is a shortage of mental health workers fueling a growing healthcare crisis? Download this week's episode to find out.

It's been a couple months since the train derailment in East Palestine, Ohio, but many people still have questions about its environmental and health impacts. What do we know about the chemicals that were being transported on that train? What can we learn about crisis communications from this event? How concerned do we need to be about chemical exposure in general and how do we evaluate our risk? Download the latest episode of Public Health Out Loud to get answers from our local experts Dr. Mike Byrns, the principle environmental health risk assessment toxicologist at the Rhode Island Department of Health (RIDOH; Joseph Wendelken, the public information officer at RIDOH; and Mike Healey, the public information officer at the Rhode Island Department of Environmental Management.