Harm Reduction

The U.S. Supreme Court ruled that "the liberty secured by the Constitution of the United States to every person within its jurisdiction does not import an absolute right in each person to be, at all times and in all circumstances, wholly freed from restraint. There are manifold restraints to which every person is necessarily subject for the common good." Mask and vaccine mandates, therefore, are, under some circumstances, constitutional.
The recent fires in Canada that resulted in a few days of heavy smoke-related air pollution in the Northeast have momentarily grabbed our attention. The very vocal "enviro-fearful" are concerned with more fires to come; the quieter "enviro-fearless" shrug it off as bad forest management. Each side accuses the other of bias in their interpretation of these events. There's another predictor of the future that has no such prejudice, and they're signaling their alarm by getting out.
On February 23, 2023, the World Health Organization released the “Zero Draft” (WHO CA+)  of their post-COVID Pandemic Preparedness Proposal, which some have categorized as a treaty. A final document is promised for 2024. Various governments and political factions have already trashed the draft, claiming it encroaches on the sovereignty of member nations. So, is it merely advisory, or is it binding?
Over the last few years, it’s become clear that using a patient’s race as a variable in some predictive models – like those involving kidney function – leads to poorer outcomes. Meanwhile, removing that variable leads to improved prediction of patient risk, more prompt treatment, and presumably better outcomes. A new study shows that by taking the race variable “out of the equation” the predictive model fares worse. Should we consider race as a determinant of health?
Masks were once confined to those celebrating Halloween or as historical notes about historic plagues. But they returned to command our awareness in the Age of COVID. There are differences of opinion on how efficacious they are: the overall benefit versus how much damage they might have done. A new study speaks to their physiologic harms.
With COVID-19’s “public health emergency” barely behind us, lawyers and policymakers are taking advantage of public sensitivity and planning for the next plague. How good their solutions are remains to be seen, but novel suggestions, and attention to new technology and historical practices, are few and far between.
Fast fashion refers to quickly designed clothing, easily produced from low-cost (cheap) materials and offered in trendy stores. Zara might be considered a fast fashion’s model. But what becomes of those no longer desirable clothes when the trend changes and the fashion shifts?
For many complex medical devices such as endoscopes, sterilizing with ethylene oxide is the only method that does the job without damaging the device during the process. Approximately 50% of all sterile medical devices in the U.S. make use of ethylene oxide. The EPA’s ethylene oxide risk assessment demonstrates what happens when faulty data and bad modeling is used as the basis of regulatory policy.
There's much discussion about banning gas stove tops because they emit nitrogen dioxide (NO2). Claims are also casually made about these burners with little scientific support about the harmful effects of carbon monoxide, carbon dioxide, and propane/natural gas emissions. Here are some obvious falsehoods and hidden biases in gas stove−childhood asthma research.
Even as the Surgeon General bemoans the dangers of social media to young people, several states are enacting laws allowing those 14 and over to work without permits, reversing child labor laws enacted almost a century ago. How did we get to the point of curtailing the protection of our most vulnerable segment of the population?
Let us consider Nature's remaining proposals to reclaim and reset the Biosphere and aerosol pollution. The authors challenged us to read their proposals and then discuss them. In the spirit of that challenge, I have let them do the talking (to be found in the quotes). But I do want to share a few final thoughts.
It's finally time to consider Safe and Just Earth System Boundaries proposals to reclaim and reset Earth Systems Boundaries. First up, the three most significant (at least in my view): climate, water, and nutrients. The authors of the paper in Nature challenged us to read their proposals and then discuss them. In the spirit of that challenge, I will let them do the talking.