John Barnard, MD

@drjohnbarnard.bsky.social

Retired physician executive; ABP-board certified pediatric gastroenterologist; emeritus prof of pediatrics, Ohio State University College of Medicine and Nationwide Children’s Hospital

Measles Could Go “Viral” When America was great and measles was common, the US Public Health Service published a weekly report on infections like cholera, plague, and measles. Here is a photo of a 1938 measles report. This is what will happen if immunization rates fall below herd immunity levels.

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Best to prevent obesity in children. We are not there yet. In the meantime, this placebo controlled trial of a GLP1 receptor agonist is good news. Nice summary below.

NEJM.org@nejm.org · last yr.

#Obesity often develops in childhood. In children with obesity, treatment with liraglutide for 56 weeks + lifestyle interventions induced a greater mean change in BMI than lifestyle interventions alone. Full SCALE Kids phase 3a trial results: nej.md/3MBP1uc #MedSky #PedSky

Liraglutide for Children with Obesity

A Research Summary based on Fox CK et al. | 10.1056/NEJMoa2407379 | Published on September 10, 2024

Indirect (facility and admin) costs are real. For 70 years, the US biomedical research enterprise has been structured on recovery of these institutional expenditures. Reduction of indirect costs recovery to 15% will cripple US biomedical research for decades. www.science.org/content/arti...

NIH slashes overhead payments for research, sparking outrage

Move to cut indirect cost rate to 15% could cost universities billions of dollars

science.org

It is easy to understand the benefit of a new cure for cancer. It feels like a miracle. Vaccines are different. We will never know if one of us, or one of our loved ones, has been saved from death or severe illness by a vaccine. That's prevention. And it is no less a miracle than a cure for cancer.

According to US News, I am still a practicing doc, living in Gainesville FL, practicing in Columbus OH, and holding hospital privileges in nearby West Virginia hospitals. I remain on insurance rolls and appointments are available! Other than living in Gainesville, none of this is true!

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It was the CDC's communications that alerted the medical community to the dramatic national increase in M. pneumonia infections this fall. These alerts appropriately reshaped clinicians' approach to management of children and adults with respiratory symptoms. www.sciencefriday.com/segments/wal...

Walking Pneumonia Is Spiking. Here’s How To Stay Safe

The respiratory illness typically affects school-age kids, but the CDC reports a rise in cases in children aged 2-4.

sciencefriday.com

Whooping cough (pertussis) cases 5x higher this year than last! A combo of factors: * normal cyclical swings in infexns * pandemic changes in behavior (masking, distancing), now w/ rebound in cases - although we’re seeing decreases in RSV this year so I’m skeptical * decreased vaxx rates 🧪🩺🛟

Whooping cough cases reach highest level in a decade

The U.S. has recorded over 32,000 whooping cough cases this year, compared with around 5,100 as of mid-December last year. Infants are most vulnerable to the bacterial infection.

nbcnews.com

I read Oshinsky's Polio a few years ago. It remains one of the best books I have ever read. If you like medicine, history, science, politics, competition, intrigue and triumph, give it a go. You won't be disappointed.

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