Are you concerned about the state of the U.S. public health system? Do you want to work with others to figure out a new way forward?

As the COVID-19 pandemic continues to affect the world, it has demonstrated the importance of a robust public health system, one that is ready to respond in times of crisis as well as supporting the foundations of a healthy society. The 2021 Salk Health Activist Fellowship will focus emerging activists on re-envisioning public health in America to address our current dismal state of health. While COVID-19 has exposed problems in our healthcare infrastructure, it is only one of a multitude of problems that need to be addressed. Now is the opportunity to look across disciplines to create a renewed vision of public health and create lasting change.

During the 9-week program, Fellows will learn from regional and national experts, past public health initiatives, and work in multidisciplinary teams to bring fresh solutions to the challenges facing public health in the U.S. Fellows will gain insights into the existing U.S. public health system, behavioral science principles, and how technology can be incorporated to foment change. Fellows will expand their ideas on health, exploring what health means to U.S. communities, as they work toward outside-the-box solutions that re-envision a new approach to public health. Utilizing the framework of design-thinking, they will synthesize their experiences to propose an innovative idea to a current public health challenge within either a local, statewide, or national context.

This Fellowship takes on a key challenge: the reality that professionals are not well prepared to deal with or talk about death, dying, and grieving families, especially during an era of COVID-19. The Fellowship allows participants to learn, confront, and discuss the legal, medical, social, cultural, familial, and spiritual aspects of death and dying within a multi-disciplinary group in a low-pressure environment. The sessions include opportunities to practice conversation skills, facilitated conversations, and virtual site visits.

The home for the 2019 Salk Health Activist Fellowship.

We are going to use this platform to be able to communicate effectively, collaborate, and build each other up for this fellowship. Activism starts here. Let us learn and use each other's strengths to the best of our ability. 

Together, we can change the world. 

Pregnant women, no matter their socioeconomic status, should have equal rights and access to the best care. We hope to narrow down the potential causes of increased mortality rates and design unique solutions to address gaps in quality and access to care. 

Patients who lack the basic access to Food Transportation and Housing are at greatest risk for being isolated from the healthcare system. Efforts underway to improve and remove that barrier are needed to ensure long term patient improvement.

The home for the 2018 Salk Health Activist Fellowship.

We are going to use this platform to be able to communicate effectively, collaborate, and build each other up for this fellowship. Activism starts here. Let us learn and use each other's strengths to the best of our ability. 

Together, we can change the world. 

Vitiligo (vit-ih-LIE-go) is a disease that causes the loss of skin color in blotches. The extent and rate of color loss from vitiligo is unpredictable. It can affect the skin on any part of your body. It may also affect hair and the inside of the mouth. The main reason and cause of vitiligo is the fact that the body itself decides to destroy its skin pigment. Without a doubt, this is an irregularity of the system. However, the main culprit for this setback is the immune system. Doctors currently can’t predict whether the Vitiligo on a person will spread, and  how fast. Currently, there is no known cure for Vitiligo, but treatment may be able to make skin tone appear more even. However, treatments can be time consuming and expensive, and often not covered by health insurance.  Because Vitiligo affects a person’s appearance, it is considered as a “cosmetic problem.” However, it is more than a “cosmetic problem.” It is a medical condition. People who have Vitiligo have a higher risk of getting some other medical conditions – such as hearing loss; painful sunburns; develop other autoimmune diseases; changes in vision/eye problems; anxiety and depression. Vitiligo is not contagious, and it is not life threatening. However, it is life-altering. Some people develop low self-esteem. They may no longer want to hang out with friends. They can develop serious depression. Most people have Vitiligo for life, so it’s important to develop coping strategies. Researchers have found that many people who have vitiligo often feel anxious and embarrassed around others. It’s easy to understand why. People often stare and make rude remarks. Some people are obviously frightened. Facing this day in and day out can take a toll on a person’s overall wellbeing. 

Vision: 

- Raise awareness about vitiligo and the dermatological and psychological impact the disease has on those affected by it.

- Partner with healthcare professionals, educational institutions and social workers and activists to work diligently toward securing grant funding and increase sponsors and donors.

- Encourage governmental agencies to make vitiligo research and advocacy efforts a high priority.

- Improve the care of patients with vitiligo by providing medical professionals with the best available information about vitiligo and its treatment.

- Improve teacher and staff training in schools so they are prepared to provide support to parents and students cope with this disease. 

The World Health Organization defines The Social Determinates of Health (SDH) as the circumstances in which people are born, grow up, live, work, and age, along with the systems put in place to deal with illness. These are in turn shaped by a wider set of forces that include the local environment, economics, education, social and community context, and access to healthcare.

According to the Centers for Disease Control and Prevention, we know that poverty limits access to healthy foods and safe neighborhoods and that more education is a predictor of better health. We also know that differences in health are striking in communities with poor SDOH such as unstable housing, low income, unsafe neighborhoods, or substandard education. By applying what we know about SDOH, we can not only improve individual and population health but also advance health equity.

Addressing these factors are vital to improve the overall health of the population. The SDH are ultimately influenced by the money, power, and resources at the local, state, and international level which has a large influence in health inequities.

Educating health professionals about the social determinants of health generates awareness among those professionals about the potential root causes of ill health and the importance of addressing them in and with communities, contributing to more effective strategies for improving health and health care for underserved individuals, communities, and populations.

About Addiction is committed to challenging harmful stereotypes surrounding addiction and recovery. In today's world, "the addict" is often depicted as someone who is lazy, weak-willed, and even dangerous to our communities. Individuals battling substance use disorders are consistently portrayed in this inaccurate and unfair light, leaving many stranded in a world of overwhelming stigma and cyclic abuse. 

The reality of addiction is that it knows no boundaries. Addiction affects people from all walks of life, regardless of race, gender, or socioeconomic status. Addiction is not a lack of moral judgment, nor is it a lack of willpower. Addiction is a mental illness, a heavily-researched disruption of the body's normal physiological processes.

We, as a nation, are currently facing an epidemic of prescription drug misuse, abuse, and addiction. The number of Americans battling substance use disorders is growing exponentially, with over 100 lives lost to drug overdoses every single day. 

Thankfully, we are beginning to see increased recognition and concern for this problem. Across the nation, communities are mobilizing to create new resources for treatment and recovery. But all of these efforts can only do so much good if we continue to allow harsh and inaccurate stereotypes to propogate. It is paramount that while we continue to build these resources, we simultaneously shift public opinion about addiction away from judgment and discomfort and toward understanding, support, and acceptance. 

About Addiction believes that we must create a world where individuals with substance use disorders are first recognized for who they truly are: human beings, each unique and valuable, who have fallen on difficult times. We must make a conscious effort to learn and to understand the process of this disease and how we can help those affected. We must support our neighbors in their recovery, both short- and long-term, and empower them to re-build their lives and pursue healthy, successful futures. Re-shaping perspectives of addiction is truly the first step on the road to recovery.  

The vision of this group is to realize the implementation of medical marijuana as a viable therapeutic option. Although legislation has enacted its use in Pennsylvania for a select number of disease states, a number of barriers to implementation exist before comprehensive medical marijuana therapy can become a reality.

This action group hopes to learn from local leaders in medical marijuana policy reform, anticipate these barriers to impelementation, and combine resources to address the root causes that might affect the greatest downstream change. 

Last, this action group hopes to investigate research showing the influence of comprehensive marijuana policy on opioid abuse and overdose in pilot states across the country. Synthesis and analysis of this research may illuminate the role of medical marijuana as an alternative to opiate therapy in the management of long term pain. We hope to investigate this with both precision and urgency and present our findings to experts in pain management.

Persons experiencing homelessness often have poor access to healthcare and experience significant barriers to basic health management. While this occurs in a wide range of disease processes, this is most obvious is management of basic diseases such as wounds. Small abrasions and injuries are exacerbated by difficult living situations and lack of access to supplies. Patients experiencing homelessness who present to the hospital with significant wounds and/or infections are often discharged with minimal instructions or supplies to ensure maintenance of wound care. 

By providing these patients with a basic backpack with wound care supplies as well as instructions for resources, wound care amongst this population could be significantly improved. Patients would not only have dry supplies to maintain healing but would also have a list of free clinics to visit for further healthcare. By allowing for proper wound healing outside of the hospital, patients would have less frequent admissions for severe infections which would ultimately benefit not only the patients but healthcare systems at large.

The flu is a common disease, affecting all ages, which can lead to serious illness and even death. Many people percieve the flu as something similar to a cold: It's not going to kill me. I'll be fine. I don't need my flu shot. Faces of the Flu allows people to tell their flu stories to show others how bad the disease can really be. Through this project, Faces of the Flu aims to increase the utilization of flu shots to prevent further morbidity and mortality from influenza.

We are going to use this platform to be able to communicate effectively, collaborate, and build each other up for this fellowship. Activism satrts here, let us learn and use each other's strengths to the best of our ability. 

We are here to help, and are open to any and all questions that you may possess. If we don't know the answer, we will do our best to find someone who does. Together, we can change the world.