Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

What’s The Most Dangerous Day Of The Year?

With 365 days a year, one would think the law of averages would win this battle.  And you would be wrong. Because there is a deadliest day of the year?  It’s none other than Christmas.  Who would have thought that?  Why would Christmas be the deadliest day of the year.

Researchers examined 53 million natural deaths between 1973 and 2001.  What they found was cardiac and non-cardiac deaths peaked during Christmas and New Year’s (between 4-5% higher than expected).  They also found that the proportion of holiday deaths was increasing with time. Read more »

*This blog post was originally published at The Happy Hospitalist Blog*

Airports Are Gateways For The Spread Of Infections


A team of Canadian researchers analyzed the air traffic patterns during March and April of this year, looking for correlation between departure/arrival cities of passengers and the spread of H1N1 swine-origin influenza. Turns out that the two are closely correlated and confirm that airports are gateways of pathogens as well as vacationing tourists.

Our analysis showed that in March and April 2008, a total of 2.35 million passengers flew from Mexico to 1018 cities in 164 countries. A total of 80.7% of passengers had flight destinations in the United States or Canada; 8.8% in Central America, South America, or the Caribbean Islands; 8.7% in Western Europe; 1.0% in East Asia; and 0.8% elsewhere. These flight patterns were very similar to those during the same months in 2007 (see Fig. 1 in the Supplementary Appendix). We then compared the international destinations of travelers departing from Mexico with confirmed H1N1 importations associated with travel to Mexico, and we found a remarkably strong degree of correlation. Of the 20 countries worldwide with the highest volumes of international passengers arriving from Mexico, 16 had confirmed importations associated with travel to Mexico as of May 25, 2009. A receiver-operating-characteristic (ROC) curve plotting the relationship between international air-traffic flows and H1N1 importation revealed that countries receiving more than 1400 passengers from Mexico were at a significantly elevated risk for importation. With the use of this passenger threshold, international air-traffic volume alone was more than 92% sensitive and more than 92% specific in predicting importation, with an area under the ROC curve of 0.97.

Letter to NEJM: Spread of a Novel Influenza A (H1N1) Virus via Global Airline Transportation

*This blog post was originally published at Medgadget*

Why Aren’t We Worrying About HIV Anymore?

Last year the Centers for Disease Control and Prevention (CDC) announced that there were 40 percent more new HIV infections each year than was previously believed. And yet, a new (2009) survey by the Kaiser Family Foundation has found that Americans, even those in the high risk groups for HIV, are worrying less about HIV/AIDS. How can this be?

The survey suggests that:

  • Fewer Americans consider HIV an urgent health problem.
  • Only 17 percent of people aged 18-29 (those traditionally the most sexually active) reported that they were personally very concerned about becoming infected with HIV.
  • In spite of HIV rates being seven times higher among African Americans, personal concern about HIV has decreased in this population.
  • More than half of people aged 18-29 have not been tested for HIV, in spite of the fact that the CDC now recommends HIV testing for all adults.

The survey also found that misinformation and stigma about people living with HIV still exist.

  • Although 44 percent of the 2,554 adults surveyed reported that they would be comfortable with a coworker who had HIV, 51 percent would be uncomfortable having their food prepared by someone who was HIV positive.
  • One-third of the people surveyed incorrectly believed that HIV could be transmitted by sharing a glass of water; touching a toilet seat; or swimming in a pool with an HIV positive person.
  • 18 percent believed there was a cure for HIV and 24 percent believed there was a vaccine available to prevent HIV.

This is scary stuff and suggests that families, parents, schools, and medical professionals have their work cut out for them – more HIV education, please!

This post, Why Aren’t We Worrying About HIV Anymore?, was originally published on Healthine.com by Nancy Brown, Ph.D..

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »

Commented - Most Popular Articles