Disease

Vaccination protocols have been set by age, but age-specific efficacies are not well established. Age is by far the most important determinant of mortality rate; the probability of death increases exponentially with age for major causes of death, including COVID. Here we examine relationships between mortality rates, age, and vaccination coverage for the original series and booster shots as they changed during the pandemic.[1]
If you look at Google’s Ngram viewer [1], the word transgender has been used 1285% more in 2019 than the year I graduated from medical school in 1976. Given the multiplicity of articles and arguments on all media platforms, you would think that the transgender community was growing at some quiet but phenomenal rate. I decided to educate myself to fill in the large gaps in my knowledge. Perhaps you are like me and want to have a better understanding. Here is what I have learned from medicine’s scientific literature.
On Episode 6 of the Science Dispatch Podcast, ACSH contributor Susan Goldhaber explains the genetic underpinnings of Alopecia areata, an autoimmune disease affecting some 2.5 million Americans—including Jada Pinkett Smith. Now that Will Smith's so-called "slap heard 'round the world" has faded from the headlines, let's discuss the science behind the infamous Oscar meltdown. We then examine fiber's exaggerated health benefits and the anti-GMO movement's descent into obscurity.
Along with our usual dietary advice about eating moderate amounts of many different types of food, physicians often suggest we reduce our sodium intake because of the deleterious effects on our blood pressure and heart. A new study suggests that the recommendation about salt is about to come tumbling down.
A new study compares our spending on cancer and cancer mortality rates with other high-income countries. You know the findings before I begin; we spend more to “get less.” But is mortality the correct metric?
The Kaiser Family Foundation (KFF) is an important non-profit organization founded in 1948 and headquartered in San Francisco. It published an online survey of not only the “whos,” like demographic statistics but also some of the “whys” on COVID vaccination acceptance or hesitancy.
COVID has made travel more difficult. Between a shortage of pilots and other staff, changeable weather, and varying mask rules, travel days between one place and another are often grueling. I know because I just finished a bit of an extended vacation. The CDC’s current guidance is not especially helpful.
Good genes and a good diet should spare most of us from developing Type II diabetes. The popular nutritional thought suggests that it is predominantly a bad diet, perhaps woven with a genetic “propensity” that gets the rest of us in trouble. A new observational study pulls at the threads of that argument.
Prediabetes is a cautionary warning, based upon a blood glucose or HbA1c, a marker of long-term glucose metabolism that signals if you might be at risk for developing diabetes. If prevention is indeed worth a pound of cure, prediabetes is the signal to make some changes. A new study looked at how Johns Hopkins, #8 in US News and World Report’s listing of hospitals for endocrine care, is heeding that signal.
There were more COVID deaths in 2021 than 2020, acceptance of vaccination remains stalled, and some locations are making progress but others are not. Nevertheless, masks have been coming off. Some jurisdictions have declared victory over COVID, but wishing will not make it so.
If we've learned anything about Covid it's that when we think we start to understand it the virus changes behavior, as if to spitefully prove us wrong. It's happening again. Now there are Omicron subvariants that can infect people who have not only had Covid but were infected with a slightly different Omicron variant. This pretty much buries the idea of herd immunity – something we were chasing early in the pandemic.
There is a structure to how we have organized care. Primary care physicians care for our day-to-day and chronic illnesses while helping us navigate the landscape to find specialists and hospital care when that is needed. They are our Sherpas – knowledgeable of the landscape and its pitfalls and nuances. You wouldn’t attempt to climb Everest without them. Ultimately, because a rope connects you, you must trust them with your life. While that may be a bit dramatic an analogy for a primary care physician, that rope, that trust, is built from many smaller, lower risk encounters. A consistent health Sherpa results in better care.