People, Place and Health Collective
@pphcollective.bsky.social
2.1K followers 36 following 60 posts
Public health research that is people centered, place oriented & data driven. We study drugs, infectious diseases + intersecting epidemics. Based at the Brown University School of Public Health.
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pphcollective.bsky.social
We have created a set of slides that explains how NIH works aka how biomedical science is funded in the United States. Enter our game where you "play" as a budding young scientist who is looking to get a grant studying opioid use disorder funded -- will he get it funded? Click through!
A blue background with the image of lab visible. In white text, it says: “HOW NIH WORKS: aka how biomedical research in the United States is funded”. Blue background. A pixelated scientist (90s video game style) wearing a white lab coat says “My PhD may have made me cry but I’m ready to work”. In white text it says: “YOU ARE A BUDDING YOUNG
SCIENTIST LOOKING TO STUDYA PUBLIC HEALTH PROBLEM — LIKE OPIOID USE DISORDER.”
ITS NOW TIME TO WRITE YOUR FIRST GRANT. THIS GUIDE WILL WALK YOU THROUGH HOW MEDICAL SCIENCE (TYPICALLY) GETS FUNDED IN THE UNITED STATES.” Blue background. The scientist stands next to a green video screen that contains a list of NIH institutes. There is an image of the NIH logo with the words “NIH” replaced by a smiley face.
Text: “First, you have to pick from one of NIH’s 27 institutes. Each one of these has priorities that are outlined by congress.
They also put out notices to highlight certain topics of interest.”
“YOU HAVE SELECTED THE NATIONAL INSTITUTE ON DRUG ABUSE. LETS GET TO WORK.” Blue background. The scientist stands before a long desk with a laptop — dotted lines emit from the laptop to a large piece of paper with a spreadsheet on it. There is a bookshelf in the background. The text says that grant applications can be over 100 pages
Text: NOW TIME TO WRITE YOUR GRANT.
This Outlines:
— The aims & goals of the study.
— How the study will be run.
— What the money will be used for.
— Who will be working on it.
— The timeline
Reposted by People, Place and Health Collective
umpamdk.bsky.social
Thank you all the program officers at NIH that persisted through the 2025 fiscal year and were able to fund 99% of the total FY2024 budget. I know this has take a toll on everyone at NIH. Thank you for supporting important health and behavior science and helping to keep the U.S. a leader in science.
jeremymberg.bsky.social
The fiscal year ends tomorrow.

Here are results from NIH Reporter downloaded an hour ago.

The total amount of funding committed for FY2025 at this point is 99.0% of that for FY2024. The same difference could be due to a variety of technical factors.

1/3
A graph showing the fraction of annual grant funding committed for NIH for fiscal years 2015 to 2025. The fiscal year 2025 lagged behind but then caught up over the last two months.
pphcollective.bsky.social
Earlier this month, Professor Brandon Marshall spoke to the Hartford Courant about overdose prevention centers.

“They are highly effective in other countries in communities where there is a very high level of overdose risk,” he said.

www.msn.com/en-us/news/u...
MSN
www.msn.com
pphcollective.bsky.social
Doctoral candidate Leah Shaw and co-authors wrote a blog post a few weeks ago to accompany their study on Rhode Island's Harm Reduction vending machines. They found that these were used significantly on the weekends (30%) and outside regular business hours (50%).

jphmpdirect.com/what-we-have...
What We Have Learned from Rhode Island’s Harm Reduction Vending Machines - JPHMP Direct
Evaluation of the first two years of Rhode Island’s harm reduction vending machines (HRVMs) and their role alongside in-person harm reduction services.
jphmpdirect.com
Reposted by People, Place and Health Collective
gregggonsalves.bsky.social
Hey there. Today was terrible. I’m grieving for all who will get hurt, sick and die from what the #GOP has done. But I remember dark days in the past during the AIDS epidemic in the US in the 80s, in South Africa in the 2000s. Things looked bleak then. Though me and my friends would be dead. 1/
pphcollective.bsky.social
Our information based resource on overdose prevention centers - opcinfo.org - is now available in Chinese and Spanish. With the exception of legislative updates & the literature database, the website and its materials are available in these languages. Use the menu to switch between languages.
"en español
这是网站的中文版"

A green background with all sorts of people in different colored shirts and pants.
Reposted by People, Place and Health Collective
pphcollective.bsky.social
We have created a set of slides that explains how NIH works aka how biomedical science is funded in the United States. Enter our game where you "play" as a budding young scientist who is looking to get a grant studying opioid use disorder funded -- will he get it funded? Click through!
A blue background with the image of lab visible. In white text, it says: “HOW NIH WORKS: aka how biomedical research in the United States is funded”. Blue background. A pixelated scientist (90s video game style) wearing a white lab coat says “My PhD may have made me cry but I’m ready to work”. In white text it says: “YOU ARE A BUDDING YOUNG
SCIENTIST LOOKING TO STUDYA PUBLIC HEALTH PROBLEM — LIKE OPIOID USE DISORDER.”
ITS NOW TIME TO WRITE YOUR FIRST GRANT. THIS GUIDE WILL WALK YOU THROUGH HOW MEDICAL SCIENCE (TYPICALLY) GETS FUNDED IN THE UNITED STATES.” Blue background. The scientist stands next to a green video screen that contains a list of NIH institutes. There is an image of the NIH logo with the words “NIH” replaced by a smiley face.
Text: “First, you have to pick from one of NIH’s 27 institutes. Each one of these has priorities that are outlined by congress.
They also put out notices to highlight certain topics of interest.”
“YOU HAVE SELECTED THE NATIONAL INSTITUTE ON DRUG ABUSE. LETS GET TO WORK.” Blue background. The scientist stands before a long desk with a laptop — dotted lines emit from the laptop to a large piece of paper with a spreadsheet on it. There is a bookshelf in the background. The text says that grant applications can be over 100 pages
Text: NOW TIME TO WRITE YOUR GRANT.
This Outlines:
— The aims & goals of the study.
— How the study will be run.
— What the money will be used for.
— Who will be working on it.
— The timeline
Reposted by People, Place and Health Collective
Reposted by People, Place and Health Collective
bachynski.bsky.social
“Ian Morgan, a postdoctoral fellow with the National Institute of General Medical Sciences, also signed… “We have a saying in basic science,” he said. “You go and become a physician if you want to treat thousands of patients. You go and become a researcher if you want to save billions of patients.”
NIH scientists publish declaration criticizing Trump's deep cuts in public health research
Scores of National Institutes of Health researchers and staffers have come forward to send their Trump-appointed leader a letter challenging policies they say undermine the NIH mission.
apnews.com
Reposted by People, Place and Health Collective
pphcollective.bsky.social
We have created a set of slides that explains how NIH works aka how biomedical science is funded in the United States. Enter our game where you "play" as a budding young scientist who is looking to get a grant studying opioid use disorder funded -- will he get it funded? Click through!
A blue background with the image of lab visible. In white text, it says: “HOW NIH WORKS: aka how biomedical research in the United States is funded”. Blue background. A pixelated scientist (90s video game style) wearing a white lab coat says “My PhD may have made me cry but I’m ready to work”. In white text it says: “YOU ARE A BUDDING YOUNG
SCIENTIST LOOKING TO STUDYA PUBLIC HEALTH PROBLEM — LIKE OPIOID USE DISORDER.”
ITS NOW TIME TO WRITE YOUR FIRST GRANT. THIS GUIDE WILL WALK YOU THROUGH HOW MEDICAL SCIENCE (TYPICALLY) GETS FUNDED IN THE UNITED STATES.” Blue background. The scientist stands next to a green video screen that contains a list of NIH institutes. There is an image of the NIH logo with the words “NIH” replaced by a smiley face.
Text: “First, you have to pick from one of NIH’s 27 institutes. Each one of these has priorities that are outlined by congress.
They also put out notices to highlight certain topics of interest.”
“YOU HAVE SELECTED THE NATIONAL INSTITUTE ON DRUG ABUSE. LETS GET TO WORK.” Blue background. The scientist stands before a long desk with a laptop — dotted lines emit from the laptop to a large piece of paper with a spreadsheet on it. There is a bookshelf in the background. The text says that grant applications can be over 100 pages
Text: NOW TIME TO WRITE YOUR GRANT.
This Outlines:
— The aims & goals of the study.
— How the study will be run.
— What the money will be used for.
— Who will be working on it.
— The timeline
Reposted by People, Place and Health Collective
brownpublichealth.bsky.social
The prevention & response investment that helped lower overdose deaths last year is at risk Abdullah Shihipar MPH'20 warns: "As Congress debates the proposed federal budget, it’s important that we don’t take recent progress for granted." @psychologytoday.com www.psychologytoday.com/us/blog/figh...
Overdose Deaths Declined in 2024 but Progress Is at Risk
The CDC reports that fatal overdoses dropped 27% in 2024. Progress has been made, but proposed budget cuts may hamper future responses.
www.psychologytoday.com
Reposted by People, Place and Health Collective
pphcollective.bsky.social
It's time to talk about medicaid and substance use and how cuts to care will impact people's ability to access care and treatment.
A red image in white text says: lets talk about medicaid & substance use
pphcollective.bsky.social
This was echoed by more than 300 experts in the addictions and substance use field who wrote a letter to Congress warning about the impacts cuts to HHS and Medicaid would have.

prod-i.a.dj.com/public/resou...
prod-i.a.dj.com
pphcollective.bsky.social
This is all happening as overdose deaths finally decline.

“We can’t mistake this progress for victory. Sustained investment is essential if we want to build on this momentum instead of backsliding.” Professor Alex Macmadu told the WSJ.

www.wsj.com/health/drug-...
Fatal Overdoses Fall to Prepandemic Levels
A significant drop in deaths tied to fentanyl and other synthetic opioids fueled the decline.
www.wsj.com
pphcollective.bsky.social
Once again - 8.6 million people could lose their care. That's bound to include thousands, if not millions of people who access substance use treatment.
white text on red: Cuts to Medicaid will force 8.6 million off coverage. 

This could means thousands if not millions of people who will no longer have access to treatment for opioid use disorder.
pphcollective.bsky.social
People on Medicaid are at higher risk of overdosing than other groups (Medicaid being a proxy for poverty) — things are fragile. Pushing people off their care will only increase the risk of overdose and overdose death.
White text on red background: People on Medicaid have a higher risk of overdosing compared to the general population.

in other words, poverty is a risk factor for overdose.
pphcollective.bsky.social
Despite this, only 55% of people with a SUD on Medicaid get care. This tells us that we need to improve access to treatment — that can’t happen if people are being thrown off their insurance.
white text on red background: only 55% of people on Medicaid with an opioid use disorder receive treatment.

Citation: Lindner SR, Hart K, Manibusan B, McCarty D, McConnell KJ. State- and County-Level Geographic 
Variation in Opioid Use Disorder, Medication Treatment, and Opioid-Related Overdose Among Medicaid 
Enrollees. JAMA Health Forum. 2023;4(6):e231574. doi:10.1001/jamahealthforum.2023.1574
pphcollective.bsky.social
Medicaid covers a vast majority of people who are enrolled in treatment for substance use disorder — 93% of claims for treatment were covered by Medicaid according to a recent analysis of national claims data.
White text on red -- a little image of a piece of paper with a circle with a check box in it.

93% of insurance claims for substance use treatment 
were from Medicaid.  

Citation: Walker LS, Cui M, Cantor J, et al. Disparities in Substance Use Disorder Telehealth Services. JAMA Netw 
Open. 2025;8(2):e2459606. doi:10.1001/jamanetworkopen.2024.59606
pphcollective.bsky.social
Currently, Congress is considering a bill that would slash Medicaid by billions of dollars. This would result in 8.6 million people losing their care. Medicaid is a government health insurance plan provides health insurance for low income people.
What is medicaid?
Medicaid is a government health insurance program that provides health insurance for people who are low income (up to 133%-138% of the federal poverty line). Eligibility can vary from state to state depending on
if a state has expanded Medicaid. 

Medicaid covers the majority of substance use treatment in the US.