Sad tale of the Toronto Academy of Medicine

The Toronto Academy of Medicine exists as a "shell" in a storage room at SUNNYBROOK Hospital in North Toronto. There is money deposited from the sale of the 288 Bloor building, the interest is used for a free yearly dinner lecture meeting at the VAUGHAN ESTATE donated to Sunnybrook Hospital. The acting President is Ophthalmologist John FOWLER MD(Tor.1958) FRCSC(1972) of 199 Golfdale road, Toronto M4N 2B7.Te:416- 483-5106.. The Academy has lost its Charitable status. There is no yearly AGM. .Recently Dr.Fowler commissioned Academy ties in Blue & Red. With support from the profession & industry, the Academy could be restored to its former important role in Toronto Medicine.

31 January, 2011

SKIN LEISHMANIASIS: in NORTHERN ITALY

[Leishmaniasis is increasing in the Mediterranean area (Ready PD.
Leishmaniasis emergence in Europe. Euro Surveill. 2010;15:19505), and
the spread in Italy to northern Italy is especially well documented
(Maroli M et al. The northward spread of leishmaniasis in Italy:
evidence from retrospective and ongoing studies on the canine
reservoir and phlebotomine vectors. Trop Med Int Health.
2008;13:256-64. Ferroglio E et al. Distribution of _Phlebotomus
perniciosus_ in North-Italy: a study on 18S rDNA of phlebotomine sand
flies. Vet Parasitol. 2010;170:127-30). - Mod.EP]

20 January, 2011

IN MEMORIAM Professor Harding Le RICHE 1916-2011

Tor.School of Public Health Emeritus Professor of Epidemiology Le Riche died two weeks ago following a stroke. He`was intellectually brilliant to the end of his life.

See Wikipedia for his career and personal life.

19 January, 2011

Ontario Medical Association:District 11 AGM

Feb.16 VAUGHAN ESTATE( Sunnybrook Hosp)
Past Deputy Minister of Health R.SAPSFORD, now OMA Chief of Strategy will speak.
Dist 11 has 10,000 members. Metro Toronto (not Mississauga)

18 January, 2011

TORONTO NUMBER FOUR. VANCOUVER BEST


The Economist Intelligence Unit's livability also uses data from the Mercer consulting group and shows cities in Canada, Australia, Austria, Finland and New Zealand as the ideal destinations thanks to a widespread availability of goods and services, low personal risk and an effective infrastructure. The Economist Intelligence Unit has been criticized by the New York Times for being overly anglocentric, stating that "The Economist clearly equates livability with speaking English."[12]
The report placed VancouverCanada as the most livable city in the world, withVienna taking second place followed by Melbourne. The survey said "In the current global political climate, it is no surprise that the most desirable destinations are those with a lower perceived threat of terrorism."[13]
Three other Australian capital cities (Sydney at 7th and Perth and Adelaide at equal 8th) claimed positions in the top ten. OtherCanadian cities also ranked highly in the survey. In addition to Vancouver, the Canadian cities Toronto and Calgary were also placed within the top 10. In the 2010 results, the Swiss cities Zurich and Geneva slipped out of the top 10, replaced byAdelaide and AucklandNew Zealand.
HarareZimbabwe was rated the worst city in the world to call home. African and South Asian cities were generally the worst performing in the EIU's rankings. Pittsburgh is the highest rated US city.[14]

15 January, 2011

PRIVATE DONATIONS support STATE MEDICINE

Toronto Teaching Hospitals still depend on PRIVATE DONATIONS.for research and new equipment.

In a recent Mt.SINAI HOSPITAL publication the following donations were noted:

Over 17y Mt SINAI GOLF CHAMPIONSHIP has raised over $3-MILLION
57th Mt.SINAI AUXILIARY GALA:(Lionel Richie): $1.8-MILLION
CHEF'S CHALLENGE(Gordon Ramsay) by Mt.Sinai Auxiliary.$1.1-MILLION for breast & ovarian ca,.
5th Da VINCI GALA (Head/Neck diseases) $385,000
2nd YOGA IN MOTION (Breast Cancer) $240,000
BRIDLE PATH FOUNDATION( (Neonatal resuscitation) $100,000.
Mr.Z.GOLDMAN donated a CLARITY BUSINESS SYSTEMS Inc, RetCAN.(paediatric eye screening).








.

12 January, 2011

LONDON FINANCIAL TIMES: Dress Code

(present problem: what should be  Brand Image of STATE MEDICINE?)


White Coat? For men: collar and tie or open shirt ?


By John Kay
Published: January 11 2011 22:08 | Last updated: January 11 2011 22:08
Exactly 15 years ago I wrote an article in this newspaper about the adoption of an extended dress code in a major company. I thought the editor’s insistence that I should make clear that the story was a spoof was unnecessary. But last month’s news that UBS had issued a 43-page dress code to some of its employees confirms that, as always, the editor was right.
So here is an abbreviated version of the earlier article. It is addressed, not just to the dress police at UBS, but to the people across the way in Basel, who are wrestling to elaborate much more important, and even longer, rule books for the employees of banks.
John Kay, columist
After privatisation, a former state-owned company decided it was time to shake off sloppy public sector dress habits. A directive went round telling senior employees to adopt suitable business dress. The directive caused resentment. Those who opposed it demanded greater clarity and certainty. How could they know what would or would not represent suitable business dress? After advice from its legal and regulatory affairs department, the company agreed to promulgate a dress code. Senior male employees were expected to wear smart suits, shirts with collars, and ties.
But soon someone came to the office in a red suit. When criticised, he pointed to the terms of the dress code. The suit was undeniably smart: but it was the smartness of the nightclub rather than the boardroom. So the dress code had to specify colour. Red was out, grey was in. But what of blue? Some blues were clearly acceptable. The chairman’s favourite suit, in fact, was a fetching shade of navy. But bright blues could not be admitted. So how bright was bright?
Careful research came up with the answer. Brightness is determined by how much light a fabric reflects and a machine could measure this objectively. But ties were so varied in character as to pose a more intractable problem. A clearance procedure seemed the best answer. Anyone who bought a new tie could submit it to the dress code department, which had 42 days to rule on whether or not it was suitable business dress.
There was the more general problem of changing fashion. After all, it was not so long since every gentleman had gone to work in a wing collar and frock coat. Not only were other forms of dress now acceptable, but wing collars had probably ceased to be acceptable. Paul Smith agreed to chair a standing working party to advise the company on fashion trends.
By this time, the dress code extended to 50 pages, largely impenetrable. No sensible employee read it, and when given a copy they were told that if they behaved sensibly they would probably be all right. Knowledge of the contents of the code was confined to the dress department, which by this time consisted of 20 people, mostly lawyers, the union representative who negotiated over it, and a few cranks who enjoyed pointing out inconsistencies and anomalies.
In the regulation of business affairs, from dress codes to rules on takeovers, it is always tempting to try to translate general principles – do not expose major financial institutions to excessive risks, treat customers fairly, refrain from anti-competitive behaviour, set reasonable prices – into specific rules. But the world is rarely sufficiently clear and certain for this to be possible, and if it seems so today it will have ceased to be so tomorrow. There will be many people who will stretch the limits of whatever specific rules are implied, and in doing so violate the spirit of the regulation as they adhere to its letter.
The only answer is to establish structures, both within the business and in the environment within which it operates, that frame attitudes and styles of behaviour. While rules can contribute to those objectives, only rules that are easy to understand and monitor will work. For those who subscribe to the objective of a dress code, formal definitions are irrelevant: for those who do not recognise their purpose, such definitions become a licence for abuse.
Post and read comments at www.ft.com/kay

09 January, 2011

VIEWING HISTORY

United States
103
Canada
16
United Kingdom
12
Singapore
11
Malaysia
7
Croatia
2
France
1
Netherlands
1
Russia
1

06 January, 2011

The Scientist ( HARVARD Drs Aaron BERNSTEIN & Samuel S. MYERS)

DIRECT IMPACTS OF CLIMATE CHANGE
Infectious Disease
• Climate change will alter the distribution of malaria, dengue fever, schistosomiasis, and others that are transmitted by an insect vector or those that have animal reservoir hosts.
• The range of these diseases is limited geographically by the range of the insects and/or animal reservoirs that effect their transmission to humans. As temperature and precipitation patterns change, so too will the geography conducive to the survival of these other species.
• Warming temperatures increase the rates of reproduction, development, survival, and biting of blood-feeding vectors as well as shortening the parasite development time inside these vectors.
• Geographic shift from one locale to another may introduce pathogens into novel and nonimmune human populations who may be far more susceptible to infection than those now living in endemic areas.
Heat Stress 
• Increased extreme heat events can exact a heavy human health toll.
• Hyperthermia may cause relatively mild illness such as heat rash, exhaustion, or heat syncope (fainting), but may also precipitate severe sequelae including heat stroke, which is often fatal.
• Survivors of heat stroke experience a marked increase in illness and mortality in years subsequent to the extreme heat event.
• An additional 2.5 billion people will be added to the planet’s population over the next 40 years and nearly all of them will live in cities. Cities tend to be warmer due to the urban heat-island effect.
• The human population is aging, and the elderly are particularly sensitive to heat stress.
Air pollution 
• The formation of ground-level ozone, the major cardiorespiratory toxin in smog, is coupled to temperature particularly as temperatures rise above 90°F (32°C).
• Climate change has brought about an earlier start to spring and later end to fall, and these changes to seasonality, along with higher CO2 concentrations, yield both longer pollen seasons and more pollen production from many allergenic plants.
• Allergic respiratory disease, particularly asthma, is already associated with a quarter of a million deaths annually worldwide.
• The frequency and extent of forest fires is expected to rise, generating large amounts of air pollutants, including potent lung irritants (such as acrolein and other aldehydes), carcinogens (such as formaldehyde and benzene) and fine particulates (PM 2.5) which are known to increase risk of cardiorespiratory disease and death.
Living with uncertainty
There is no doubt that climate change will have important impacts on human health, but we are uncertain about what those impacts will be and where and when they will be most severe. The most consequential health effects of climate change will come about from interactions between biophysical changes to the natural environment, demographic trends, and human adaptations. (See Figure 3) The biophysical changes—such as temperature variability or sea level rise—are difficult to predict with accuracy today, and the capacity for adapting to these changes is largely unknown.

Click for larger image
LUCY READING-IKKANDA; SOURCE: WORLDWATCH REPORT 181, GLOBAL ENVIRONMENTAL CHANGE: THE THREAT TO HUMAN HEALTH
But uncertainty about the exact timing, location, or magnitude of climate change impacts is no excuse for complacency. With evidence that climate change is already imposing a hefty health burden, the future climate, particularly if greenhouse-gas releases into the atmosphere go unabated, portends health crises for hundreds of millions of people. Rather than be used as a rationale for inaction, the uncertainty inherent in climate science should serve as an organizing principle for adaptation to its ill effects. For example, uncertainty about future viable regions and conditions for agriculture requires a variety of new crop strains with traits such as heat and drought resistance. Changes in the timing of seasonal flow from melting snow pack or glaciers call for a dramatic increase in water-storage capacity for people depending on these flows for household use or irrigation. Insurance schemes allowing different countries or populations to pool their risk of crop failure and food insecurity might be enacted to blunt the toll of regional climatic disruption. Surveillance efforts should be designed that allow us to better detect changing distributions of infectious disease, water scarcity, or food insecurity early on so that resources can be efficiently redirected............

Faculty Member Samuel S. Myers is an instructor in medicine, Harvard Medical School; research associate, Harvard University Center for the Environment; and staff physician, Mount Auburn Hospital. Aaron Bernstein is a faculty member at the Center for Health and the Global Environment; instructor in pediatrics, Harvard Medical School; and physician in medicine at Children’s Hospital Boston.
1. Intergovernmental Panel on Climate Change (IPCC), “Climate Change 2007: Impacts, adaptation and vulnerability. Contribution of Working Group 2,” Intergovernmental Panel on Climate Change (IPCC), 2007.
2. F.C. Curriero et al., “The association between extreme precipitation and waterborne disease outbreaks in the United States, 1948-1994,” Am J Public Health, 91:1194-99, 2001.
3. D.S. Battisti, R.L. Naylor, “Historical warnings of future food insecurity with unprecedented seasonal heat,”Science, 323:240-44, 2009. Free F1000 Evaluation
4. D.B. Lobell et al., “Prioritizing climate change adaptation needs for food security in 2030,” Science, 319:607-10, 2008.
5. S. Peng et al., “Rice yields decline with higher night temperature from global warming,” PNAS, 101:9971-75, 2004.
6. L.E. Caulfield, R.E. Black, “Zinc Deficiency,” in Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors, Vol. 1, M. Ezzati, et al., eds, Geneva: World Health Organization, 2004, pp. 257-79.
7. R.J. Stoltzfus, L. Mullany, R.E. Black, “Iron Deficiency Anemia,” in Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors, Vol. 1, M. Ezzati, et al., eds, Geneva: World Health Organization, 2004, pp. 163-209.
8. L.C. Johnstone, “Planning for the inevitable, the humanitarian consequences of climate change,” in “Linking Climate Change Negotiations and Disaster Risk Reduction” Copenhagen, 2008.
9. K. Warner et al., “In search of shelter: mapping the effects of climate change on human migration and displacement,” Cooperative for Assistance and Relief Everywhere (CARE), New York, NY, 2009.
10. M.J. Toole, R.J. Waldman, “Refugees and displaced persons. War, hunger, and public health,” JAMA, 270:600-05, 1993.
11. L.A. McCloskey, K. Southwick, “Psychosocial problems in refugee children exposed to war,” Pediatrics, 97:394-97, 1996.


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Read more: The Coming Health Crisis - The Scientist - Magazine of the Life Sciences http://www.the-scientist.com/article/display/57882/#ixzz1AJXw825D