Monday, November 28, 2016

INFECTIOUS DISEASES AND MORTALITY

Infectious Diseases mortality trends



Crude Mortality Rates (per 100 000 Population) in the United States Over TimeThe x-axis and y-axis scale is different for each panel. In panel D, vaccine-preventable diseases for which vaccines are routinely provided in the United States include measles, mumps, rubella, varicella, diphtheria, tetanus, pertussis, polio, Streptococcus pneumoniae infection, hepatitis A, hepatitis B, and meningococcal infection.

' Action without reflection is mere experimentation'. This timeline encompasses the time when we entered medical school- 1996.  HIV mortality was at its peak and witnessing this peak period of so called medical helplessness had influenced me profoundly with respect to what I wanted to specialize in eventually. Much has come to pass since, and now we learn about an ab and an ib every week in the ever increasing advert pages of once venerated journals. HCV is the NKOTB but for those who have seen the pestilence of AIDS and associated OIs, Kochs included, the munificence of payors for Harvonizepatierepclusa seems too generous, considering that companies make a 1000% profit on these. The lumping of all infections is an oversimplified agnosia and does little justice to individual conditions, just like 'cancer' is not one condition and terms like cancer moonshot and 'beat 'cancer' a la CTCA seem as spurious as they are naive. However snapshots like these give opportunity to reflect - they are like a K Park's PSM perspective to a reading of  Harrisons. One without the other is going to leave you either a myopic or an out of context Frequentist

Ref
Hansen V, Oren E, Dennis LK, Brown HE. Infectious Disease Mortality Trends in the United States, 1980-2014. JAMA. 2016;316(20):2149-2151. doi:10.1001/jama.2016.12423

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