Category: Public Health
Pass the Salt (But Not That Pink Himalayan Stuff)
Humans, like many other animals, crave the taste of salt. Animals frequent salt licks, humans have traded salt for equal weights of gold, and the word “salary” comes from the Roman soldier’s allowance for purchasing salt. Salt appears in our language in idioms like “worth its salt” and “salt of the earth.” Shakespeare’s play King Lear is a variant of a folktale...
Ebola outbreaks: Science versus fear mongering and quackery
“Ebola virus particles” by Thomas W. Geisbert, Boston University School of Medicine – PLoS Pathogens, November 2008 doi:10.1371/journal.ppat.1000225. Licensed under CC BY 2.5 via Wikimedia Commons. Without a doubt the big medical story of the last week or so has been the ongoing outbreak of Ebola virus disease in West Africa, the most deadly in history thus far. Indeed, as of this...
NY federal court hands triple loss to anti-vaccination ideology
The state of New York allows religious and medical (but not philosophical) exemptions from school vaccination mandates. New York City has a policy of excluding unvaccinated schoolchildren from classes when there is an outbreak of vaccine-preventable disease reported in a particular school. Two sets of parents whose children had religious exemptions sued New York City and the state in federal court when...
In which Dr. Gorski is taken to task by an eminent radiologist for his posts on mammography
Introduction: An unexpected e-mail arrives One of the consequences of the growing traffic and prominence of this blog over the last few years is that people who would otherwise have probably ignored what I or my partners in blogging write now sometimes actually take notice. Nearly a decade ago, long before I joined this blog as a founding blogger, if I wrote...
Bill and Hillary Clinton go woo with Dr. Mark Hyman and “functional medicine”
Mark Hyman is a "pioneer" (if you can call it that) in a new form of quackery known as functional medicine, which combines a lot of the worst features of conventional medicine with a large dollop of "make it up as you go along" quackery. Unfortunately, it appears that the Clintons find his narrative compelling.
New evidence, same conclusion: Tamiflu only modestly useful for influenza
Does Tamiflu have any meaningful effects on the prevention or treatment of influenza? Considering the drug’s been on the market for almost 15 years, and is widely used, you should expect this question has been answered after 15 flu seasons. Answering this question from a science-based perspective requires three steps: Consider prior probability, be systematic in the approach, and get all the...
Mammography and the acute discomfort of change
As I write this, I am attending the 2014 meeting of the American Association for Cancer Research (AACR, Twitter hashtag #AACR14) in San Diego. Basically, it’s one of the largest meetings of basic and translational cancer researchers in the world. I try to go every year, and pretty much have succeeded since around 1998 or 1999. As an “old-timer” who’s attended at...
“Right to try” laws and Dallas Buyers’ Club: Great movie, terrible for patients and terrible policy
"Right-to-try" is a new kind of bill that claims to give terminally ill patients the "right to try" experimental therapeutics that have passed phase 1 testing. It's a smokescreen, no more real than the movie that seemingly inspired it.
Messaging and Public Health
Affecting public health has a few components. It includes providing a safe environment at home, at work, and in public spaces. It involves protecting the food and water supply from pathogens and toxins. Perhaps the most challenging component, however, is affecting people’s behaviors. Humans are complex psychological animals, and simply providing information to facilitate a rational decision may not always have the...
Different Strokes for Different Folks: Assessing Risk in Women
You may have noticed that men and women are different. I hope you have noticed. As the French say, vive la différence! It’s not just that one has dangly bits and the other has bumpy chests. Or that one has to shave a beard and doesn’t like to ask for directions while the other has menstrual periods and likes to discuss feelings....