Over a long professional life in global health, I have learnt a bitter lesson: it seems almost impossible for decision-makers to recognize and respond to slowly unfolding threats that take two or three decades to unfold and can involve millions of people. Sadly, big organizations with big money have a … More >
As I write this post, it has been about three weeks since Thomas Duncan was diagnosed with Ebola in Texas. The media and political hysteria that has ensued in this country is amazing, statistically and historically. Unlike, say, tuberculosis or the flu, it is extremely hard to get infected with … More >
Last week, over at The Atlantic, Jacoba Urist wrote about a truism in journalism: deaths closer to home matter more.
This sounds ugly but makes sense intuitively. We feel the death of a loved one in a completely different way than a death across town, let alone a death across the … More >
Ebola’s natural reservoirs are animals, if only because human hosts die to too quickly. Outbreaks tend to occur in locations where changes in landscapes have brought animals and humans into closer contact. Thus, there is considerable speculation about whether ecological factors might be related to the current outbreak. (See this … More >
State of Obesity, a joint project of the Trust for America’s Future and the Robert Wood Johnson Foundation, has released a fascinating report about adult obesity. There are large national disparities. The obesity rate is over 35% in West Virginia and Mississippi, but only 21% in Colorado.
Despite these disparities, obesity … More >
According to a report released last week in the widely-respected health research journal, The Lancet, the United States now ranks 60th out of 180 countries on maternal deaths occurring during pregnancy and childbirth.
To put it bluntly, for every 100,000 births in America last year, 18.5 women died. That’s compared to 8.2 women who … More >
Answer: Everything — they are one in the same!
I recently spoke to my daughter’s 7th grade science class on the dangers of smoking cigarettes and electronic cigarettes. Of course, I had to come up with a metaphor that would capture their attention — and tell a story — ZOMBIES!
World … More >
As the end of the open enrollment period on March 31 draws near, the Covered California state health insurance exchange is engaged in a final push for enrollees that will bring it beyond its baseline enrollment goals, launching a new advertising campaign and resolving application issues caused by a software … More >
The health of the American people has risen and fallen with fluctuations in the health of its poorest. Although more vulnerable in the past, the affluent have generally managed, major epidemics aside, to stay healthier than other Americans. Going back centuries, they regularly had nutritious food, usually clean water, decent … More >