What if we could build our world from scratch—with health, justice, and thriving communities at its core?

In his new book Imagine Doing Better: Why Policies Backfire and How Prevention Thinking Can Change Everything, Dr. Paul J. Fleming, Associate Professor in the Department of Health Behavior and Health Education at the University of Michigan, argues that prevention—and imagination—should guide how we shape the future.

In this conversation, Salma and Paul explore what our great-great-great-great-grandchildren might say about the choices we’re making today, and how we can reimagine the systems that define our lives—from healthcare and education to the environment, justice, and public safety. Together, they discuss how prevention thinking moves beyond treating problems after they arise to transforming the structures that create them in the first place.

They also grapple with deeper questions: Are current reforms truly changing the systems that cause harm—or simply reinforcing them? Who gets to shape the conversation about the policies and practices that define a better tomorrow? And how do we sustain hope in generational work that, like a relay race, depends on each generation taking concrete steps and handing the baton forward from a stronger starting point?

Useful resources:

• Fleming PJ. Imagine Doing Better Why Policies Backfire and How Prevention Thinking Can Change Everything. Johns Hopkins University Press; 2025.
• Fleming PJ. Making a Better World Possible. https://pjfleming.com/newsletter

Host: Dr. Salma Abdalla Editors: Catalina Melendez Contreras and Zachary Linhares Marketing: Kinkini Bhaduri Music: Eden Avery / Melting Glass from Epidemic Sound https://www.epidemicsound.com/track/2fqOXWpHab/

The techniques that make health messages more effective—personalization, customization, targeted delivery—are the same tools driving the spread of inaccurate health claims at scale. Dr. Matthew Kreuter, WashU’s Kahn Family Professor of Public Health and founding director of the Health Communication Research Laboratory, is an expert on effective and equity-oriented health communications and has been thinking about these issues for decades.

In this episode, Salma and Dr. Kreuter trace the evolution from pamphlet racks to algorithm feeds. They discuss why well-intentioned public health messaging can backfire and highlight the importance of listening. They explore why certain terms have become counterproductive, the costs of communicating false certainty, and why public health can’t message its way out of complex problems.

Tune in for a candid discussion about the double-edged nature of communication in the algorithm age, and why the future of health communication may depend less on what we say than on how well we listen.

Useful resources:

• Kreuter MW, Farrell DW, Olevitch LR, Brennan LK. Tailoring Health Messages. 0 ed. Routledge; 2013. doi:4324/9781315045382
• Johnson KJ, Weng O, Kinzer H, et al. iHeard STL: Development and first year findings from a local surveillance and rapid response system for addressing COVID-19 and other health misinformation. Dinga JN, ed. PLoS ONE. 2023;18(11):e0293288. doi:1371/journal.pone.0293288
• Schneider T. Rich trove of data on social needs waits to be tapped. WashU Public Health. August 12, 2025. https://schoolofpublichealth.washu.edu/rich-trove-of-data-on-social-needs-waits-to-be-tapped/
• Health Communication Research Laboratory. iHeard St. Louis. https://stl.iheard.org
• Health Communication Research Laboratory. 211 counts. https://211counts.org/home/index
• Williams D. What is misinformation, anyway? Conspicuous Cognition. December 1, 2024. https://substack.com/@conspicuouscognition/p-151889774

Host: Dr. Salma Abdalla Editors: Catalina Melendez Contreras and Zachary Linhares Marketing: Kinkini Bhaduri Music: Eden Avery / Melting Glass from Epidemic Sound https://www.epidemicsound.com/track/2fqOXWpHab/

What is epidemiology and how do we ensure that research is done right in this field? Dr. Matthew A. Fox, Professor in the Departments of Epidemiology and Global Health at Boston University School of Public Health, has dedicated his career to ensuring that epidemiologists get it right.

In this episode, Salma and Matt explore what epidemiology actually is, and is not, and discuss the importance of formulating research questions and hypotheses. They dive into how flaws in methods selection, researchers’ incentives, and funding pressures can skew study results. Matt reflects on the pivotal role of the pandemic in challenging scientific status quo and highlights the importance of research transparency and good communication of research—even questioning the relevance of scientific journals as they exist today.

Tune in to learn more about the world of epidemiology and the importance of rigor, diligence and transparency in research.

Useful resources

• SERious Epi podcast: https://seriousepi.blubrry.net/
• Free Associations podcast: https://populationhealthexchange.org/feature/free-associations-podcast/
• Fox MP, MacLehose RF, Lash TL. Applying Quantitative Bias Analysis to Epidemiologic Data. Springer International Publishing; 2021. doi:10.1007/978-3-030-82673-4
• Lesko CR, Fox MP. An evolved interpretation of Austin Bradford Hill’s causal viewpoints and their influence on epidemiologic methods. American Journal of Epidemiology. 2025;194(6):1476-1481. doi:10.1093/aje/kwae367
• Gelman A. What if I were to stop publishing in journals? Statistical Modeling, Causal Inference, and Social Science. March 11, 2014. https://statmodeling.stat.columbia.edu/2014/03/11/stop-publishing-journals/
• Mastroianni A. The rise and fall of peer review. Experimental History. December 13, 2022. https://www.experimental-history.com/p/the-rise-and-fall-of-peer-review

Host: Dr. Salma Abdalla Editors: Catalina Melendez Contreras and Zachary Linhares Marketing: Kinkini Bhaduri Music: Eden Avery / Melting Glass from Epidemic Sound https://www.epidemicsound.com/track/2fqOXWpHab/