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A nationally representative Annenberg Public Policy Center survey found that while most U.S. adults understand core STI transmission routes, knowledge gaps persist around less common pathways and vaccine availability.

Majorities correctly identified gonorrhea, syphilis, chlamydia, HPV, and genital herpes as sexually transmitted, but far fewer recognized mpox (35%) or Zika (13%) as sexually transmitted infections.

Misconceptions included 20% believing STI transmission can occur via toilet seats and only 33% identifying breastfeeding as a possible HIV transmission route. While 68% recognized an HPV vaccine, only 42% were aware of an mpox vaccine, and most respondents were uncertain about vaccine availability for other STIs. Read the survey here.

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A reference-integrity audit of 2.5 million biomedical papers and 125.6 million references in PubMed Central identified 4,046 fabricated references across 2,810 papers after multi-database verification and filtering.

Fabrication rates rose markedly, from 1 in 2,828 papers in 2023 to 1 in 458 in 2025, a more than 12-fold increase overall. Most affected papers contained one or two fabricated references, and review articles showed higher fabrication rates than other article types.

Notably, 98.4% of affected papers had received no publisher action at the time of the audit, highlighting gaps in oversight. Read the study in Lancet here.
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Individual and systemic racism affects virtually every aspect of public life. It is especially pervasive in medicine and public health. Being Black, indigenous, or a person of color (BIPOC) can be harmful to your health. 

The U.S. Congress and several local and state governments have declared racism a public health crisis. While these declarations are not legally binding, they convey that racial and cultural justice is necessary to safeguard all citizens’ health. Racism at individual and societal levels negatively impacts vulnerable populations’ mental and physical health. It also prevents members of marginalized groups from receiving equitable and adequate healthcare. 

Understanding why racism is a public health emergency can shed light on the health-related harms of racism and bigotry. It also stimulates efforts to remedy the injustices and improve the general health of all Americans. 

Why Is Racism a Public Health Emergency? 

A public health emergency occurs when the effects or consequences of a public health threat are pervasive enough to overwhelm the organizations and facilities responsible for responding to it. In most cases, policymakers and community leaders cannot legally enforce emergency declarations. Nevertheless, they serve as a call to action to review and revise current policies and practices that allow the emergency to permeate. 

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