Articles by Amanda Merck

We Need More Complete Data on Social Determinants of Health

April 26, 2023

Data can drive action for healthy change. But what if we don’t have enough data? Or the right data? Or equitable data? Unfortunately, even with more health reports and more health dashboards than ever before, we still face inconsistent and incomplete data. We are lacking sufficient data – especially data disaggregated by race/ethnicity – on social determinants of health, firearm violence, traffic crashes, and adverse childhood experiences. Insufficient data happens for many reasons. Limited funding, limited staff, uncertain methods, logistical challenges, entrenched practices, inadequate analysis, and inadequate or non-uniform reporting after data collection are occurring at the local, state, and federal levels. Let’s explore the most critical missing data and how ...

433 People Urge Better Crash Data Collection to Guide Traffic Safety

April 19, 2023

Tell NHTSA to Align Crash Data with a Safe System Approach

For too long, the blame for our nation’s high traffic fatality rate has fallen on individual drivers and factors, rather than on environmental and systemic traffic safety factors. One of the contributors to and consequences of this approach is insufficient crash data. Insufficient crash data hinders efforts to define and monitor the problem and identify risk and protective factors, and thwarts strategies to prevent these unnatural and gruesome deaths. Now is your opportunity to urge federal leaders to collect better crash data to guide traffic safety. Public comments are wanted by the National Highway Traffic Safety Administration (NHTSA) on revisions to the Model Minimum Uniform Crash Criteria (MMUCC), a voluntary guideline of standardized crash data variables for state and ...

#SaludTues 1/10/2023: American Roads Shouldn’t be this Dangerous

December 22, 2022

More Americans died in motor vehicle traffic crashes in 2021 than any other year since 2005, according to the National Highway Traffic Safety Administration (NHTSA). These are violent and tragic deaths. The roughly 2,700,000 injuries from non-fatal crashes are also violent and tragic with individuals often sustaining multiple traumatic injuries, injuries that significantly reduce their quality of life. These violent deaths and injuries are preventable. However, despite past efforts to reduce violent deaths and injuries on American roads, auto-centric guidance and policies and the growing size of automobiles undermine safety efforts today. It’s time to take meaningful action to prevention violent deaths and injuries on our roads. Let’s use #SaludTues on January 10, 2023, ...

5 Essential Frameworks for Preventing Violent Child Death

December 8, 2022

violent child death is a problem in America

The U.S. has a violent child death problem. Developing strategies to prevent violent child death from firearms and traffic crashes is a demanding task that requires consideration of numerous upstream, interrelated, and tangential issues. To help safety advocates develop strategies to prevent violent child death, we compiled five frameworks to help: Understand and explain how proposed strategies will prevent violent child death Layer multiple strategies to cover shortcomings in strategies Prioritize upstream primary prevention strategies to improve outcomes for entire populations Consider the level of intrusiveness of strategies Apply racial equity tools to ensure equitable adoption/implementation of strategies The five frameworks include: Logic Model/Theory ...

What Are the Risk and Protective Factors for Violent Child Death?

October 27, 2022

Gun violence and traffic crashes may seem like unpredictable events. But they are not random. They are systematic. Data reveal trends and patterns in gun violence and traffic crashes that can help us identify risk factors and protective factors. This is especially important for addressing violent child deaths. So what do the data show? Join Salud America! as we explore data on risk factors as part of our four-part series on violent child death. Read the Series Overview and Part 1. Nothing is as Random as You Think Very little is random when it comes to our health and length of life. Rather, trends in health outcomes point to various individual, social, and environmental factors that either contribute to or safeguard against health-related problems. Although often not ...

The U.S. Has a Violent Child Death Problem

September 8, 2022

Thanks to vaccinations, antibiotics, and medical treatment, death from infectious disease has declined drastically among children in high-income countries. But violent death is a serious threat to children in the United States. Here, guns and traffic crashes are the top killers of youth aged 1-19. Worse, these violent child deaths have increased in recent years. We can’t explain away all traffic crashes on individual behavior. We also can’t explain away all firearm incidents on individual behavior. These are systemic problems that require systemic solutions. Salud America! is exploring the scope of violent child death as part of its four-part series on public health approaches to addressing child deaths from guns and traffic crashes. The State of Child Traffic ...

186 People Endorsed Our Comment: Address Policies that Perpetuate ‘Good,’ ‘Bad’ Neighborhoods

September 2, 2022

Address Policies that Perpetuate ‘Good,’ ‘Bad’ Neighborhoods and Schools

We asked for your help to speak up for equitable policies so that everyone has a fair, just opportunity to be their healthiest, and 186 people responded. The National Academies of Sciences, Engineering, and Medicine (NASEM) has nominated an ad hoc committee to analyze federal policies that contribute to preventable and unfair health outcomes in America, particularly among Latinos and other racial/ethnic minority populations. The committee wanted personal and/or professional feedback by Sept. 30, 2022, on: Examples of federal policies that create and/or contribute to racial/ethnic health inequities Examples of policies that promote racial/ethnic health equity The most important considerations when prioritizing action regarding federal policies to advance racial and ethnic ...

From Guns to Roads: We Need a Public Health Approach to America’s Violent Child Death Problem

August 17, 2022

Did you know guns and traffic crashes are the leading causes of death for youth ages 1-19? These deaths are problematic and unacceptable for four key reasons: These child deaths are unnatural and violent. Child deaths from guns and traffic crashes have risen since 2013, with spikes in both in 2020. Traffic and firearm death rates among American youth are higher than other high-income countries. These violent deaths are preventable. Traffic and gun violence are not criminal justice issues, they are public health issues. Preventing violent child deaths from traffic crashes and firearms requires a comprehensive and multi-layered public health approach to: Define and monitor the problem Identify risk and protective factors Develop prevention strategies ...

Report: The Deadliest Cities for People Walking Are Now Even More Dangerous

July 27, 2022

Although driving declined in 2020, U.S. pedestrian deaths increased, especially among Latinos and other people of color, according to the new Dangerous by Design report from Smart Growth America and the National Complete Streets Coalition. Pedestrian deaths have risen each year since 2009 – up 62% overall since then. Why? Roads in America are designed and funded primarily to quickly move people driving. Also, vehicles have been getting larger and more powerful. But speed comes at the expense of safety. Although transportation planners, engineers, and agencies claim to seek simultaneous goals of speed and safety, these two goals are incompatible, signified by the rising trend in pedestrian deaths. “States must use the enormous freedom and flexibility of federal ...

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Amanda Merck

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