Harm Reduction

“There is high‐certainty evidence that ECs [electronic cigarettes] with nicotine increase quit rates compared to NRT [nicotine replacement therapy] and moderate‐certainty evidence that they increase quit rates compared to ECs without nicotine.” That is the initial statement by the Cochrane Group in its current report on electronic cigarettes. Care to know more?
In 2012, New York Mayor Michael Bloomberg proposed that to reduce obesity, the city would prohibit the sale of any sugar-containing beverage in containers greater than 16 ounces. A new study looks at a similar approach to improving public health in the U.K., by reducing the size of a glass of wine. It found that size matters – sort of.
Until human fallibility is removed from decision-making, we will continue to make errors. A new JAMA Internal Medicine piece provides an update on, as former New York City Mayor Ed Koch would say, “How am I doing?” Spoiler alert: it depends.
Ambient air quality standards have been established by testing animals and evaluating adverse health effects in populations. To maintain ambient concentrations within those standards, emissions are controlled based on statistical relationships with ambient exposures known as dose-response functions (DRFs).
Every January, we cycle through the usual New Year’s resolutions tied to weight loss, exercise, and drugs, especially nicotine and alcohol. This year is no different; everything old is new again. My resolution is to begin a new January tradition of picking my favorite fad detox, cleanse, or diet and debunking it. This year, we’re tackling Dr. Josh Axe’s Detox Your Liver: A 6-Step Liver Cleanse.
On November 30, 2023, the EPA announced its new rule on lead in drinking water, calling for the complete removal of lead pipes within 10 years. Although the new drinking water rule represents a step forward, childhood lead exposure remains, primarily from lead in existing paint in older houses.
Interest in our evolving understanding of the interstitium has led proponents of alternative medicine to take a victory lap. However, the evidence for these modalities (i.e., chiropractic, osteopathic manipulation, and Rolfing’s structural integration) remains unchanged and still unconvincing.
Inevitably, there will be disruptions on airline flights due to unruly passengers. On rare occasions, passengers will need to assist the flight attendants in subduing a violent passenger. They should be prepared.
In a CBS Eye on the World interview, host John Batchelor and I discussed myriad pressing concerns regarding data security in the healthcare sector.
For about a year, KinderFarms has been marketing a “non-toxic” pain and fever reliever for kids – except it’s really not non-toxic. What supposedly makes this medicine “safe” is the absence of “chemical preservatives.” Too bad. Had KinderFarms co-founder actress Jessica Biel put preservatives in her product, it might have been safer for us – and for her company’s bottom line.
In this radio interview, Lars Larson and I discussed overeating and over-imbibing during the holidays, particularly focusing on the phenomenon known as "Holiday Heart Syndrome."
Even as cigarette manufacturers can no longer escape liability for addiction-inducing practices, social media (SM) companies hide behind the First Amendment and The Communications Decency Act (CDA) to protect themselves. A recent case dents this shield. But the decision still protects some SM activities - even those allegedly engendering addictions in teens. I disagree with the Court’s reasoning. Here’s why.