Category: public health

CoVID is no longer just a health concern. As clinicians we now understand the disease a little better, are comforted that most cases are mild and self-limiting, and relieved that the intensive care resources are becoming equipped to manage the increase in patient numbers. Even the danger to health care workers of too much exposure […]

What will happen to our healthcare services once the acute phase of CoVID-19 has passed is anyone’s guess. The backlog of non-urgent surgery and medical treatment grows daily as physicians not involved in acute life-threatening care are furloughed and patients are reticent to see clinicians for fear of catching CoVID-19, if their offices are even […]

In times of overwhelming disaster and limited resources, ingenuity and repurposing can save lives.  For example, the use of stapling wounds on the suture-poor battle fields more than a century ago was game changer. It worked because the purpose of a suture and a staple were similar – to hold two opposing surfaces together. Wrap […]

CoVID-19 is all about lungs and breathing. As the infection increases in seriousness so the need for breathing assistance becomes greater. Critical and intensive care units (ICUs) provide the optimal support for these life-threatening breathing problems. But are they ready for the expected surge in cases? There will never be enough ICU beds. Overall, critical […]

Global travel no doubt contributes to polluting our planet, but is it really responsible for the spontaneous outbreaks of CoVID-19 (coronavirus) occurring around the world? The recent outbreak in Italy, which has not been linked to any human carrier, makes me wonder. It is time to look into transmission beyond human-to-human. Granted we humans are […]

Every year around this time lettuce gets bad press. Since 1995 there have been 35 outbreaks of E coli infections related to leafy greens. Last year it was cos lettuce. This year it’s romaine. The problem isn’t with the humble leaf, after all, it is nearly all water,  It’s the water that’s the problem. The […]

Drugs are here to stay but the way they should be used is changing. It started with antibiotics – too many are unnecessary. Now many drugs are prescribed for courses that are too long. No ‘one-size-fits-all’ – neither for the choice of drug nor the duration of use. More than two thirds of antibiotic courses for acute […]