public health
tsmith | May 9, 2006 Grand Rounds has eaten up most of my blog time for today, but I do want to direct you to this article on neonatal mortality in the United States and globally. Not good news for the U.S. and the UK--we're tied for the bottom of industrialized countries. The numbers, overally, are terrible:
Each year, according to the report, more than a half-million women die as a result of pregnancy and childbirth difficulties, 2 million babies die within their first 24 hours -- more than 5,000 deaths a day -- 2 million more die within their first month and 3 million are stillborn.
It's a brief article,…
tsmith | May 5, 2006 National Safe Kids week officially begins tomorrow, May 6th. This year they're highlighting pool and water safety--a good topic to brush up on if you have children that will be around pools or other swimming areas this summer. And it's not just swimming lessons and water wings that parents need to be concerned about. More after the jump.
When it comes to safety, most parents do not know that drowning is one of the top two causes of accidental death among children. National Safe Kids Week activities and communications will educate parents and children about the steps they can take to…
tsmith | May 4, 2006Cheyenne shelter dogs to be euthanized
All 70 to 80 dogs at the Cheyenne Animal Shelter will be euthanized because of an outbreak of canine influenza that has closed the shelter for more than two weeks, shelter officials announced.
Shelter officials said there was no way to test for the virus quickly and thus no way to tell which dogs were infected. Shelter director Alan Cohen said that unless all the dogs were killed, he couldn't guarantee that they wouldn't re-infect themselves and other animals.
"If I do not euthanize these animals, how can I let them loose knowing they might spread it to…
tsmith | May 3, 2006It's been awhile since I've discussed prions on here. (Indeed, so long that the last time was on my old blog, but I imported a few of them that can be found here, here, and some background on prions here). Allow me to copy a bit of that to re-introduce the topic:
Prions are, of course, the transmissible agents that cause diseases such as kuru and Creutzfeldt-Jakob in humans, and related disease such as "mad cow" disease, scrapie, and chronic wasting disease in animals. Though there was initially much controversy about these agents in the early years (most notably, because they did not…
tsmith | May 2, 2006I see that Hank's still touting his "Padian found ZERO seroconversions among 176 discordant heterosexual couples over 6 years" line, even after that study was extensively analyzed here (and his ideas about it were shown to be mistaken). At least he's dropped it from 10 years down to 6 years--progress, I suppose. He's now discussing a new MMR report that documents 88 HIV transmission events over a 17-year period in Georgia prisions. Despite the fact that Hank doesn't dispute that these sexual transmission events occurred (noting that the "infectivity is low, low, low"), Hank still ends his…
tsmith | May 1, 2006[From the archives; originally published Nov. 3, 2005]
Ebola is one of my favorite pathogens. With the reputation it has, many people assume it's killed many more worldwide than it actually has. People hear of Ebola and all kinds of grotesque images come to mind: organs "liquefying" (doesn't really happen quite like that); bleeding from every orifice (okay, that one can be on-target); the victims dying a horrible death from a virus with an incredibly high mortality rate. There are four known subtypes of Ebola, named for their place of isolation: Ebola Reston, Ivory Coast, Sudan, and Zaire.…
tsmith | April 29, 2006More topics I'd have covered this week, given endless time and energy:
An update on the Chikungunya outbreak I discussed here (and see this comment on the outbreak from a medical entomologist in the region dealing with it first-hand).
Orac on viruses as cancer treatment, inspired by a recent episode of House (more episode reviews by Scott at Polite Dissent can be found here).
An update on mumps activity from the Iowa Department of Health. I haven't written about this in a few days because there's not much more to tell. Cases are still increasing, and they're recommended that students…
tsmith | April 26, 2006Novel Swine Influenza Virus Subtype H3N1, United States
In several of my influenza posts, I've discussed ways that the viruses can evolve. These are termed "antigenic drift," where the virus accumulates small mutations in the RNA genome; and antigenic shift, where large sections of the genome are swapped, generally in their entirety. While it was long thought that the latter was the most likely type of mutation to cause a pandemic, we now know that even the right kind of antigenic drift may be enough to allow a novel influenza virus to enter the human population, which seems to have…
tsmith | April 25, 2006...whereby the Catholic church may be more accepting of condom use (and discussion thereof) than some American "sex education" classes.
tsmith | April 25, 2006Yeah, I think the title about covers it.
This week's Grand Rounds is up over at The Health Business blog. A few posts I'd like to highlight this week: this one at inkycircus about a pinworm infestation, complete with video link. (Probably not for the faint of heart!)
How evil (ew ew ew ew) is this: after laying eggs around the anus, the female worm secretes an itching agent, which causes the host to scratch his or her ass, thereby transferring the eggs to the fingers, a mere hop skip and jump away from more oral ingestion. And so, the ew ew ew ew ew EW life cycle continues. But take…
tsmith | April 24, 2006So, I've had this research article on multiple drug-resistant Salmonella in the drafts section for about a week now, waiting for me to do a bit of background research before commenting on it. (Anything involving Salmonella always makes me a bit hesitant--one almost needs a PhD on the bacterium just to keep up with the nomenclature). This morning I'm doing my quick glance-through of my blogroll, and lo and behold, what do I find but these posts by Mike the Mad Biologist, who just happens to have been quoted in the New York Times write-up of the research.
Michael Feldgarden, who helps…
tsmith | April 22, 2006Again, I never get to discuss all the topics I find interesting. So to keep you busy over the weekend, check out a few that I didn't have time to emphasize this week:
Neurotopia on the zombies among us.
Orac's series on medicine and evolution:
Part 1
Part 2
Part 3
Part 4
Part 4a
New studies suggesting that mercury fillings aren't harmful.
Can you name that virus over at Buridan's ass?
Professional societies spurning women editors? (More here from Evolgen).
Ewen on the science behind the recent monoclonal antibody drug trial gone bad.
The National Science Foundation website is up for a…
tsmith | April 21, 2006Skeptics warn bird flu fears are overblown
Doomsday predictions about bird flu seem to be spreading faster than the virus itself. But a small group of skeptics say the bird flu hype is overblown and ultimately harmful to the public's health.
There's no guarantee bird flu will become a pandemic, and if it does there's no guarantee it will kill millions of people. The real trouble, these skeptics say, is that bird flu hysteria is sapping money and attention away from more important health threats.
While I agree with some points the so-called "skeptics" make (we don't know if H5N1 will become…
tsmith | April 21, 2006California woman hospitalized with plague
Health officials in Los Angeles have confirmed the city's first human case of bubonic plague in more than two decades.
They say a woman, who was not identified, was admitted April 13 with a fever, swollen lymph nodes and other symptoms. A blood test confirmed she had contracted the bacterial disease. Officials said she was placed on antibiotics and is in stable condition.
Though this case is notable because it's the first one reported in Los Angeles in decades, plague is endemic in many areas of the United States, though it's infrequently transmitted…
tsmith | April 20, 2006I've discussed preparedness issues previously (like here, here, here, here, and here, for instance), and noted that we're still sorely unprepared for an outbreak of pandemic influenza. It's also been a frequent topic at Effect Measure, and of course at the flu wiki. What's largely been discussed, however, is preparedness at the personal level, and at the federal level. Discussed less frequently has been preparedness at the local/community level (though again, I should note this definitely has been a concern and emphasis of the flu wiki folks, and is specifically included on this page of…
tsmith | April 19, 2006According to msnbc:
Normally adventurous Chinese diners are eating fewer owls, civets and other wildlife due to fears of SARS and bird flu, according to a survey released Tuesday by U.S. and Chinese conservation groups.
The survey of 24,000 people in 16 cities found that nearly 72 percent had not eaten wild animals in the past year, up from 51 percent in a similar 1999 survey, said San Francisco-based WildAid and the official China Wildlife Conservation Association.
For those who may be unfamiliar with civets, they're almost like a cross between a cat and a weasel, and have been linked to…
tsmith | April 18, 2006I started this as a comment to this thread, but perhaps this is enough for its own spin-off discussion. IndianCowboy said:
I'm not denying the influence of these genes on one's ability to maintain a certain weight. I'm not even denying the size of their influence, but one thing that bothers me is that many researchers, bloggers, reporters, whatever impute more into the findings than they should.
And I agree with that. Clearly it's not all genetic, and diet + exercise play a large role. Additionally, any one genetic locus (which is what's usually found in a study) alone is unlikely to be…
tsmith | April 17, 2006An interesting new paper has come out recently, reviving discussion of the effects of "nature" versus "nurture" in the development of obesity. Certainly everyone knows someone--or perhaps, is that someone, who can sit down and finish off an entire pizza without gaining an ounce, while others of us tend to gain weight just from looking at food. How much of our weight is due to our eating and exercise habits, and what's due to our genetics?
Anyone who even browses the health section of their local paper or online news source (or really, anyone who's not been living in a cave for much of the…
tsmith | April 15, 2006I don't know how other bloggers decide what to post. For me, everytime I run across a "oh, that would be so cool to discuss" topic/link/story etc., I copy the topic/link/story etc. into a new entry here, hoping to have time to elaborate on it at a later date. Some of them I get to--some of them just drift slowly to the bottom of the pile, untouched. But they're still interesting topics, so here are a few more that I didn't have time to write about, and as new topics come up, probably won't be able to get to in the immediate future:
A recent CNN story referring to the hygiene hypothesis.…
tsmith | April 14, 2006If you're in the food service industry, don't go back to work while you still have an intestinal bug. Or, fer crimeny's sake, at least wash your hands thoroughly.
The majority of cases of foodborne gastroenteritis in the United States are caused by noroviruses. This report summarizes an investigation by the Kent County Health Department (KCHD) in Michigan into three norovirus outbreaks and a cluster of community cases that were associated with a national submarine sandwich franchise restaurant during May 3--9, 2005. The investigation identified a potential source, a food handler who had…