The more I read up on a topic, the more complicated it ends up being. As you start trying to unravel the ball of yarn, every thread leads to three more, and each of those lead to three more. The Zika virus has highlighted that in a very tangible way.
In December of 2012, I was asked my thoughts on the Sandy Hook shooting on Twitter, and if I was going to write about it through a public health lens. I said no – I didn’t want to weigh in so soon, and I didn’t really know where to start. Sandy Hook capped off a year where 130,437 people were shot by firearms. Of these, 31,672 people died, with almost 60% listed as suicides. Since that exchange, there have been several more mass shootings (defined as 4 or more fatalities in one instance – not including the shooter), and I kept surfing the internet to explore the arguments on both sides of the gun control debate. As pointed out by Kathleen Bachynski over on The 2×2 Project’s series on gun violence, aptly titled “Fully Loaded“, if “measles or mumps killed 31,672 people a year, we would undoubtedly consider the situation to be a public health emergency.”
The issue is, I’m not inherently against owning firearms. Sure, I don’t understand it, and it makes little to no sense to me how owning a gun makes you feel safer given how every other country in the Western world doesn’t and they seem to be getting along just fine, but that’s not the point. Many gun owners own firearms for self-defence, but use them mainly for fun and recreation – shooting targets and hunting are two of the major uses. More importantly though, Americans don’t want to give up their firearms, and that attitude isn’t going away any time soon: Anyone who thinks advocating for a universal ban on firearms in the US is wasting their time.
“A lie that is half-truth is the darkest of all lies.”
― Alfred Tennyson
Last week, a study published in the Journal of the American Medical Association looked at the prevalence of childhood obesity over the last 10 years. The study, performed by Cynthia Ogden and colleagues at the CDC, aimed to describe the prevalence of obesity in the US and look at changes between 2003 and 2012. The study itself had several interesting findings, not least among them that the prevalence of obesity seems to have stabilized in many segments of the US population. However, they made one observation that caught the media’s attention:
“There was a significant decrease in obesity among 2- to 5-year-old children (from 13.9% to 8.4%; P = .03)”
This is where things get interesting, as the focus was not on the 5.5 percentage points difference. Instead of reporting the absolute difference, i.e. how much something changed, news outlets focused on the relative difference, i.e. how much they changed compared to each other. In that case, it would be (5.5/13.9 =) 40%. Which is much more impressive than the 5.5% change reported in the study. So you can guess what the headlines loudly proclaimed.
As I write this post, I’m sitting here watching the 49ers take on the Seahawks. It’s been a great game so far, although the sheer number of injuries have been terrifying, culminating in an absolutely horrific injury to 49ers linebacker NaVorro Bowman where his leg bent in ways it shouldn’t under any circumstances.
LOUD NOISES pic.twitter.com/6NxnTYv4z9
— SB Nation GIF (@SBNationGIF) January 12, 2014
Like a lot of people, I like sports. In fact, I was one of the 56 million people who tuned into that NFC Championship game mentioned above – more than the entire population of Spain, and the total population of California and Florida together. Getting together with friends, watching football, hockey, UFC, or any other sport is one of my favourite passtimes. The drama that comes along with professional sports in the form of redemption stories, a veteran’s final chance at a title, and the bad blood associated with historic rivalries all lead to a great afternoon/evening/day. In addition, there’s the sheer skill and athletic ability of the competitors and watching years of practice and training pay off. Along with this comes one of the most exciting things for any spectator, especially those who like football or hockey, to witness.
The Bone Crushing Hit.
You know what this is. A player gets the puck/ball and runs towards the goal/endzone, and a defensive player absolutely destroys them. You’re sitting at home, miles away, and you cringe with the sheer impact. It makes every highlight reel, and transcends sports, appearing on highlights reels for the NHL and the NFL. Sometimes this is illegal but more often than not, it’s perfectly legal, and considered “part of the game.” This is where I have trouble.
2013 was a big year for public health. We were thrust to the forefront again with disease outbreaks, and have had to deal with increased skepticism of the nature of what we do from the public. Meanwhile, within the establishment, rifts have been growing between groups, as different professional organizations vie for power and control. Here are my top five public health stories for 2013, presented in no particular order, but I’d love to hear yours in the comments.
1. Polio in Syria
Polio is a crippling disease that has been covered on the blog before. It’s been almost completely eradicated, but is still endemic to certain parts of the word. However, following civil unrest in Syria, polio has started to spread again and has, to date, crippled 17 children. Before the March 2011 uprising, vaccination rates were estimated to be above 90%. However, since then, estimates for vaccination rates hover around 68% – enough to prevent the benefits of herd immunity from kicking in. In order to increase immunization rates, the UN is trying to mobilize a vaccine drive. However, due to political and safety concerns, they are having a hard time ensuring that all children are vaccinated. To quote NPR:
Polio does not stop at borders or military checkpoints. Without a comprehensive response to stop the virus, aid workers fear that the outbreak could become a public health catastrophe.