public-health

Despite 4,000 years of proven usefulness, quarantines seem to be to modern international public health experts as garlic is to a vampire.

With drug use related harms, explanatory models are often presented as predictive tools, even though they __re [rarely if ever] predictive of consequent behavior_ or outcomes. Hence, we feel confident in asserting at outset, that prohibition based approaches in drug policy lack a sound basis in empirical research (despite sounding logical, i.e. remove drugs or the means of their production and less drugs will be available to users, thus minimising or eliminating harm), and are not animated by well-defined goals, goals that are not only consistent with the ethical and humanitarian aims of public health policy in general, but also with the fundamental principles of democracy) such as empowering or enabling those best placed to act, but by beliefs, assumptions, hypotheses and expectations.

Everyone is so locked into the current way of doing things, they never see the larger picture or other, more responsible and efficient possibilities. A REAL economy is always wanting to limit consumption/manufacturing as much as possible by assuring the strategically "best" and "adaptable" productions at all times, while keeping balance with human needs and public health.It is a total shift in intent than what we have today.

I think more people would stay active in church, if they didn't get so offended by the actions of members. Sometimes, you have to view places of worship as free mental health clinics, in order to deal with the piety or hypocrisy. Parishioners are a wounded souls in various stages of healing, who are being treated by angels, with credentials from the University of Hard Knocks. Some take their therapy seriously and try to practice what they learned. Yet, others down the sacrament like a healing dose of Prozac, with no other effort required. When you keep this in mind, you won't feel so annoyed by the personalities you encounter.

Fortunately for the cause of science and of humanity, we had as Governor-General of Cuba at that time General Leonard Wood, of the United States Army. General Wood had been educated as a physician, and had a very proper idea of the great advantages which would accrue to the world if we could establish the fact that yellow fever was conveyed by the mosquito, and his medical training made him a very competent judge as to the steps necessary to establish such fact. General Wood during the whole course of the investigations took the greatest interest in the experiments, and assisted the Board in every way he could.

I am sorry for you tonight, Mr. President. You are facing one of the greatest decisions of your career. Upon what you decide depends on whether or not you are going to get your canal. If you fall back upon the old methods of sanitation you will fail, just as the French failed. If you back up Dr. Gorgas and his ideas, and you let him make his campaign against mosquitoes, then you get your canal. I can only give you my advice; you must decide for yourself. There is only one way of controlling yellow fever and malaria, and that is the eradication of the mosquitoes. But it is your canal; you must do the choosing and you must choose tonight whether you are going to build that canal.

Over a century now after Dr. William Gorgas wiped Yellow Fever out of Havana and Panama, and by that out of an entire continent, and more than half a century after Fred Lowe Soper led the eradication of Anopheles gambiae out of Northeast Brazil, their names are unknown, their carefully-detailed, boots-on-the-ground methods that they described in detail to leave expressly for generations to study and learn from to apply to malaria - and specifically they both had the desire for the destruction of malaria in Africa on their minds - is unread. The mistakes they warned about, the assumptions that they discovered to be useless and ineffectual in the field against disease-bearing mosquitoes are repeated today, while what Gorgas and Soper found to be effective and efficient in real-life conditions are routinely ignored or unknown, avoidable errors blithely doomed to be repeated thanks to modern ignorance of their incredibly important and transformative historical successes in public health. In the battles against malaria, to be ignorant of Gorgas_ and Soper's work in eradicating the mosquito that carries it is to be hobbled by the lack of hard-earned field knowledge, practical and effective discoveries that remain completely relevant and critical to success in eradicating malaria today.

Eradication represents a complete change of philosophy and a recognition of the equal rights of all citizens to protection from infection, no matter where they live. Eradication, by its very nature, is public health with a conscience. The public health control officer can sleep tranquilly, salving his conscience with the thought that most of his responsibility has been discharged _ that he did not have enough money to do any more. The eradicator knows that his success is not measured by what has been accomplished but, rather, is the extent of his failure indicated by what remains to be done. He must stamp out the last embers of infection in his jurisdiction. His slogan must be: ANY IS TOO MANY.

It is much easier to evaluate perfect rather than partial results.

My dear Gorgas,Instead of being simply satisfied to make friends and draw your pay, it is worth doing your duty, to the best of your ability, for duty__ sake; and in doing this, while the indolent sleep, you may accomplish something that will be of real value to humanity. Your good friend, ReedDr. Walter Reed encouraging Dr. William Gorgas who went on to make history eradicating Yellow Fever in Havana, 1902 and Panama, 1906, liberating the entire North American continent from centuries of Yellow Fever epidemics.

Preferring steady progress, slow and imperfect, is a good philosophy for the defeated.

Many __xperts_ don__ possess the imagination or vision or any of the logistical expertise required to achieve malaria eradication. Their opinions shouldn__ be allowed to hold back men and women who do possess these qualities from achieving the __mpossible.

Transparency is critical in public health and epidemics laypeople become either effective force-multipliers or stubborn walls.

Raising awareness versus raising alarmthe public can't be better informed if the information isn't better.

The entire world has benefited and prospered since the decisive defeat of Yellow Fever, an unconventional and far-reaching military victory derived from the field medical discoveries of U.S. Army Major Dr. Walter Reed, designed and carried out by U.S. Army Major Dr. William Gorgas with the overall support under the command of U.S. Army General Leonard Wood.

Malaria prevention and eradication should be inspired by General George Patton__ advice: __ good plan executed violently today is better than a perfect plan in a week._ In this war of attrition, millions of people will be lost while waiting on researchers to finally emerge triumphant from their labs with the perfect malaria cure; yet meanwhile, there are plenty of time-proven, practical actions that individuals, families and communities can do today with what is already in hand that can decisively defeat malaria transmission if applied with vigor and disciplined consistency.

The case which I reported on September 26, 1901, was really the last which occurred in Havana. Of course we did not know it at the time, but this case marked the first conquest of yellow fever in an endemic center; the first application of the mosquito theory to practical sanitary work in any disease.

It__ not that easy living with malaria. The reality of the high annual death toll should make that very obvious.