Harm Reduction

Surgeons have been cutting back (pun intended) in their prescription of opioids for pain relief after surgery. Is it affecting patient satisfaction? Evidently not.
A new study looks at factors for surgical residents not passing the Board exams, the national measure of surgical competence. Being married with children decreases the pass rate for women, but not men. What's up with that?
From a public health perspective, what's the biggest preventable cause of cancer? Pesticides? Poor diet? Pollution? UV light? No, no, no, and nope. It's tobacco, by far. Obesity and infectious diseases are #2 and #3.
Teenagers are rebellious and they do stupid things. Given the range of options available to them -- from drinking and driving to unprotected sex -- vaping is a rather mild vice. However, it is still harmful, so laws need to be in place to prevent teens from getting them.
Time for a riddle: Q: What is the difference between Pez and Juul? A: Not much. Both companies sell products intended to help people stop smoking, and both use fruit flavors to market them to children. If you want to see what Pez and Juul have in common you better read this.
A recent study identifies a new risk calculator, one which better predicts the surgical outcomes of complications or death. And while it's an improvement, can it be a useful tool? After all, how many people gamble with their loved ones?
Sometimes physicians learn on-the-job as it were - they don't call it a practice for nothing. A new study looks at how well interventional cardiologists learn new techniques and what mayhem may occur on the way.
While indoor air pollution in the U.S. involves cleaning or hygiene products, as well as cosmetics, for most of the world's population the source of indoor air pollution is cooking. India tries to move to a more sustainable fuel source, but with unintended consequences.
One of the core principles of ACSH is harm reduction – an essential component of any sane public health policy. Dr. Jeffrey Singer (pictured) writing for the Cato Institute, calls for harm reduction, both from opioid prescribers and policymakers. Dr. Singer graciously allowed us to reprint his latest essay, which is a must-read.
A new study shows that simply picking the "right" hospital may not guarantee the quality of your care. However, where you're placed on the medical and surgical wards can lead to longer stays -- or even readmission.
A JUUL smoker is injured by vaping, then experiences a conversion and will never use the e-cig again. A modern-day story of the sinner redeemed. If only the story was true, and not a series of half-truths wrapped in righteous indignation.
The press reports global estimates of 7 million premature deaths associated with air pollution. That's despite dramatic improvements in air quality. How clean is clean enough?