emerging infectious disease

anonymous asked:

You said in your last anon response that you think in a few years, how medicine is practiced will change quite a bit. How do you think it will change? Thank you!

Ohhh a great question! Watch, I’ll look back on this and I’m gonna laugh at myself. BUT these are the things I think will change:

-personalized medicine is going to really take off

-the fight for universal healthcare is not going to stop; I predict it will get more intense. We will be tinkering with and working on universal healthcare in all countries. I think universal healthcare in even 10 years is going to look very different from what it looks like right now. How? I’m not sure

-resource rationing in the face of universal healthcare is going to increase and doing this to with our aging population, people out-living their diagnoses, children with congenital diseases living into adulthood will require creativity and serious discussion. It’s going to be bumpy.

-the ethics of dying. We have amazing technology to prolong life. I believe that the discussion of what is a good life, what is a good death, do people have a right to choose their death, and all the topics around death and dying will have a lot of public attention. We will, as humans, all need to really to begin talking about this. If you folks haven’t watched Extremis on Netflix…that’s what I’m kind of talking about.

-emergence/re-emergence of infectious diseases. I know I’m biased because I love ID. But I really do think so. Global warming is already causing mosquito and animal behavior changes, which brings them closer to us, which brings zoonotic diseases and diseases we thought long gone or controlled back into our lives. Also: antibiotic resistance and the end of the antibiotic era if we don’t pour more money into public health, epidemiology, disease control, antibiotic development. I think the next decade is going to be really special for ID specialists, and I’m excited for it

-the clash vs union of technology and medicine. And to that effect, the medical-industrial complex and the absorption of physicians into the complex. 

-In response to the aforementioned prediction, the reclamation of medicine from business people back to physicians but in the form of physicians with MD/MBAs, QI fellowships (quality improvement), and the industrialization of the way we practice medicine

-public health. Like just public health overall. It’s going to take on new responsibilities, new roles. 

-mass casualty medicine as a discipline is going to really gain traction outside of the military as part of public health 

-an emergent deficit of primary care physicians, if we continue to pay them inadequately and deny them the respect they deserve

-privatizing medicine like concierge medicine but for the middle/middle-upper class


What other predictions do people have?

My art is rooted in a single reflection: why am I not as others are? My art gives meaning to my life.

Edvard Munch, quoted in Edvard Munch: Psyche, Symbol and Expression (2001) by Jeffery Howe

My afflictions belong to me and my art - they have become one with me. Without illness and anxiety, I would have been a rudderless ship.. My art is really a voluntary confession and an attempt to explain to myself my relationship with life - it is, therefore, actually a sort of egoism, but I am constantly hoping that through this I can help others achieve clarity.

Edvard Munch, quoted in Emerging Infectious Diseases - Edvard Munch (2011) by Potter P.

What is art really? The outcome of dissatisfaction with life, the point of impact for the creative force, the continual movement of life… in my art I attempt to explain life and its meaning to myself.

Edvard Munch, quoted in Edvard Much – behind the scream (2007) by Sue Prideaux

Oh boy I subscribed to the CDC’s publication on emerging infectious diseases and wooo do not recommend if you are in any way a hypochondriac/have anxiety about epidemics.

SARS-Like Virus Found In Jordan, Hunt Is On For Other Cases

This is the same new Coronavirus that caused the fatality in Jedda, Saudi Arabia earlier this year. The new cases the article refers to a recently oncovered eleven person cluster at the onset of the epidemic.

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The Common Cold and SARS are other coronaviruses

The high proportion of health care workers among the victims suggest possible person to person transmission. Genetic testing implicates a bats as a possible origin species. For those keeping score at home bats have been a reoccurring theme in the origin stories of several modern emerging infectious diseases such as Hendra and Ebola.

The original article is here.

Does Your Pet Sleep In Bed With You? Here's A Good Reason Why Fido Might Be Curling Up Alone Tonight.

Our pets warm their ways into our hearts and some even become like children to us, so it only makes sense to let them cozy up in our beds too, right? Not according to some experts …

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Apparently, cuddling with Fido could leave you with the creepy crawlies. According to a report published in the February issue of Emerging Infectious Diseases, the public health journal of the Centers of Disease Control, “pets can bring a wide range of zoonotic pathogens into our environment.” Zoonotic pathogens being a biological agent that causes disease or illness passed between animals and humans. Yuck.

So, here’s one instance of getting the creepy crawlies from your pet in a nutshell … a man with a recent hip replacement slept with his dog under the covers. The dog licked his wound and he got meningitis. {Whoa.}

While experts say EXTREME cases (like the one above) are rare, it’s still good to be aware of the risks, especially to those with compromised immune systems or a newborn baby.

Do you let your pet sleep in bed with you? Does this information make you think twice before sharing the covers with your pet? Do you know people that had something like this happen to them?

Another scenario with nightmare potential…kissing bugs…yuk!

Dogs Carry Kissing Bug Disease In Texas And Latin America (NPR)

From shelter mutts to purebred show dogs, canines across the state of Texas are becoming infected with a parasite that causes a potentially deadly disease in people, scientists Wednesday in the journal Emerging Infectious Diseases.

Although the dogs aren’t spreading the parasite directly to people, they are helping to make the disease more prevalent in the southern U.S. (Not to mention the parasite can make dogs sick and even kill them.)

The disease is called Chagas . And it’s transmitted by an insect known as the kissing bug.

Don’t let the name fool you. This isn’t a friendly bug. The insect bites the faces and lips of sleeping people, then passes on the Chagas parasite through its fecal matter. (The parasite is a protist called Trypanosoma cruzi.)

Don’t let the name fool you. The kissing bug, or Rhodnius prolixus, isn’t your friend. The insect transmits the Chagas parasite when it bites someone’s face.

First Day of Vacation: Productive but Existentially Exhausting

Walked the dog I’m dogsitting

Went to the bank

Bought groceries (aka a lot of kombucha, a pie, breakfast supplies)

Made coffee

Got sad out of nowhere just feeling very lonely and trying to combat the very sure voice in my head saying “Listen you’re going to be forever alone. You don’t have to like it but you have to come to terms with it.” 

Dealt with the voice by buying a cute crop top and flannel shirt 

Hatched a 2K pokemon egg on the second walk of the day with the dog

Cleaned the kitchen and watched Stranger Things

Tried to work to avoid the realization that I am afraid of and ashamed of the fact that I don’t know how to date and that the entire ordeal of dating and romantic relationships exhausts and scares me but the prospect of being always alone makes me equally sad and scared. 

Read an article on emerging infectious diseases

 These are ebola virus particles attacking a cell. They were grown in a cell culture from a patient’s blood that was taken in Mali in November 2014.

The image was presented as part of a study by the National Institutes of Health to find how long the virus remains infectious after a patient dies. Their work, published in the journal Emerging Infectious Diseases, concluded ebola can remain viable up to seven days after death.

According to the World Health Organization, total new cases of infections climbed for the second week in a row last week. Guinea reported a sharp increase in new cases while transmission remains widespread in Sierra Leone. Dozens of unsafe burials were reported in both countries, meaning a major source of new infections continues. Around 23,000 people have been infected by the virus so far in West Africa during this outbreak. More than 9,000 people have lost their lives.

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would-i-be-good  asked:

Why has this disease only recently become an issue of global importance even though it has existed for over 50 years?

The disease is spreading very rapidly through South and Central America, the Caribbean, and the Pacific Islands.  In the Americas, we first saw cases in Brazil in May 2015 and today it is in 36 countries and territories.  While there have been small outbreaks in the past, what happened - starting last year - is different.  This is why the President has been such an advocate for the Global Health Security Agenda, which invests in health systems around the world, ultimately making us all more secure from emerging infectious diseases.  https://www.whitehouse.gov/the-press-office/2014/09/26/fact-sheet-global-health-security-agenda-getting-ahead-curve-epidemic-th

- Amy

LEDs & Nanotech Device Diagnoses Ebola In One Hour

This unassuming box could be a new tool in the battle against ebola and other viral hemmorhagic fevers. The shoebox-sized Single Particle Interferometric Reflectance Imaging Sensor (SP-IRIS) can rapidly and cheaply diagnose the virus in a person’s blood, its creators say. It also requires a minimum of sample preparation by healthcare workers, lessening their exposure to pathogens in patients’ body fluids.

Speed and simplicity of use are necessary to stem infections before they turn into epidemics. This particular invention, which won’t be ready for five years even if current testing is successful, will offer little comfort to the more than 10,000 people who have already caught ebola in eight countries as of Oct. 25, according to the World Health OrganizationA Columbia University epidemiology forecast expects there to be almost 24,000 cases in Sierra Leone, Guinea and Liberia by Nov. 30.

Still, future outbreaks might be minimized with a system like SP-IRIS. It works by placing a patient’s blood, serum or other fluids onto a sensor whose surface has been coated with virus-specific antibodies. The instrument then shines multicolored light from LEDs onto the sensor. The sensor can detect the size and shape of viral nanoparticles attached to the antibodies by the way they interfere with the light that passes through.

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