CSG Midwest
Mammograms are perhaps the best-known tool to detect breast cancer, but their effectiveness can be diminished if the breast tissue itself is dense enough to hide the tumors.

On June 22, 2016, President Barack Obama signed into law the Frank R. Lautenberg Chemical Safety for the 21st Century Act, or H.R. 2576, which provides for a major overhaul of the 1976 Toxic Substances Control Act, or TSCA. While TSCA was enacted to regulate chemicals, the U.S. Environmental Protection Agency had only mandated testing on approximately 200 of the tens of thousands of chemicals used in commerce since TSCA’s inception. In addition, the EPA had restricted the uses of only five chemicals in existence before the passage of the TSCA in 1976.

In February, the Centers for Disease Control and Prevention released the Prevalence of Healthy Sleep Duration among Adults—United States, 2014 report, which found that nearly 35 percent of U.S. adults ages 18-60 are not getting the recommended seven hours of sleep per night. The average hours of sleep Americans get each night vary across states and across geographic locations, the average hours of sleep Americans get each night also vary across racial and ethnic groups, age groups, employment statuses, levels of educational attainment, and relationship statuses.The implications of sleep deprivation extend beyond individual health and can impact public safety and the workforce.

Kentucky is taking the lead, using an innovative approach, to provide its 9,000 state employees and their dependents with readily accessible primary care options. The state has established health clinics that provide primary care and treatment for allergies, acute infections, strep throat, rashes, cold and flu, and routine wellness and prevention. Since its inception in 2010, state employees have experienced reduced time away from work, increased work productivity and reduced out-of-pocket health care costs.

Today the EPA released its proposed update to the air quality standards for ground-level ozone.  The proposal lowers the ground-level ozone standard from 75 parts per billion, where it’s been since 2008, to a range of 65 to 70 parts per billion.   EPA estimates most areas will be in compliance with the standard by 2025. 

A revised ozone standard of 70 to 60 parts per billion was recommended by the Clean Air Science Advisory Committee, a scientific panel that advises EPA in setting the national ambient air quality standards...

Colorado’s commitment to be the healthiest state will be achieved through spending smarter, not necessarily more, according to Tom Massey, deputy executive director and chief operating officer of the state Department of Health Care Policy and Financing. “As health care itself changes, so must the way we finance health care,” Massey said. “We must reform our payment models so we get better quality and value.”

Already there are complaints that servings of fresh fruits and vegetables, as recommended for a healthy diet, are more expensive than other less healthful foods.  The Wall Street Journal reported this week on an Arizona State University’s study of price increases due to the three year drought in California.


When New York City passed the first menu labeling law in 2008 to combat obesity, it didn’t change the number of calories people consumed, found a 2009 study published in Health Affairs, an academic health policy and research journal. But when restaurants offered lower-calorie meals, people would choose them over higher-calorie fare, a 2011 study published in the British Medical Journal found. That’s what Healthy Fare for Kids, a Chicago-based organization, is trying to promote.

Since 2008, as a condition of doing business, the city of Minneapolis requires corner stores to sell perishable produce. The current requirement is to sell five varieties of fresh produce and for stores that are certified by the Women, Infants and Children program (WIC) 7 varieties and 30 pounds in total stock are required. According to Governing magazine, Minneapolis is the first city to move from incentives to requirements.

Going to work sick can impact your recovery time, co-workers’ health, and potentially customers depending on the job. Sick food workers, regardless of the location of the worker in the food supply chain, can cause others to get sick. The Food Chain Workers Alliance’s new report shows that more than half of workers go to work sick. Handling food while sick can spread diseases like Hepatitis A, E. coli, Salmonella, and Shigella. The CDC estimates that 3,000 Americans die of foodborne disease each year.