HEALTH & WELLNESS

A man was reinfected with coronavirus after recovery – what does this mean for immunity?
HEALTH & WELLNESS

A man was reinfected with coronavirus after recovery – what does this mean for immunity?

A 33-year old man was found to have a second SARS-CoV-2 infection some four-and-a-half months after he was diagnosed with his first, from which he recovered. The man, who showed no symptoms, was diagnosed when he returned to Hong Kong after a trip to Spain. I am a virologist with expertise in coronaviruses and enteroviruses, and I’ve been curious about reinfections since the beginning of the pandemic. Because people infected with SARS-CoV-2 can often test positive for the virus for weeks to months, likely due to the sensitivity of the test and leftover RNA fragments, the only way to really answer the question of reinfection is by sequencing the viral genome at the time of each infection and looking for differences in the genetic code. There is no published peer-review report on this man ...
While the US is reeling from COVID-19, the Trump administration is trying to take away health care
HEALTH & WELLNESS

While the US is reeling from COVID-19, the Trump administration is trying to take away health care

The death toll from COVID-19 keeps rising, creating grief, fear, loss and confusion. Unfortunately for us all, the pain only begins there. Other important health policy news that would ordinarily make headlines is buried under the crushing weight of the coronavirus. Many have not had time to notice or understand the Trump administration’s efforts to wreck health care coverage. We are both professors at Boston University School of Public Health who study health insurance, one using economics and statistics and the other focusing on law and policy. We have researched the big picture of COVID-19’s impact on the safety net and the details of how our federalist system, with states having considerable control over policy, has made a coordinated response to the pandemic more difficult. Here, w...
Forced sterilization policies in the US targeted minorities and those with disabilities – and lasted into the 21st century
HEALTH & WELLNESS

Forced sterilization policies in the US targeted minorities and those with disabilities – and lasted into the 21st century

In August 1964, the North Carolina Eugenics Board met to decide if a 20-year-old Black woman should be sterilized. Because her name was redacted from the records, we call her Bertha. She was a single mother with one child who lived at the segregated O'Berry Center for African American adults with intellectual disabilities in Goldsboro. According to the North Carolina Eugenics Board, Bertha had an IQ of 62 and exhibited “aggressive behavior and sexual promiscuity.” She had been orphaned as a child and had a limited education. Likely because of her “low IQ score,” the board determined she was not capable of rehabilitation. Instead the board recommended the “protection of sterilization” for Bertha, because she was “feebleminded” and deemed unable to “assume responsibility for herself” or her...
In the time of the COVID-19 pandemic, what should you say to someone who refuses to wear a mask? A philosopher weighs in
COVID-19, HEALTH & WELLNESS

In the time of the COVID-19 pandemic, what should you say to someone who refuses to wear a mask? A philosopher weighs in

Multiple studies have shown that masks reduce the transmission of virus-loaded droplets from people with COVID-19. However, according to a Gallup poll, almost a third of Americans say they rarely or never wear a mask in public. This raises a question: Can the anti-maskers be persuaded to wear masks? To some, it might appear that such a question has no ethical dimension. Wearing masks saves lives, so everyone should do it. Some even believe anti-maskers are simply selfish. But as a philosopher who studies ethics and persuasion, I argue that things are more complicated than that. Kant on love and respect To start, consider one of the most influential ethical frameworks in Western thought: that of the German philosopher Immanuel Kant. According to Kant, morality is ultimately about respec...
Economic hardship from COVID-19 will hit minority seniors the most
HEALTH & WELLNESS

Economic hardship from COVID-19 will hit minority seniors the most

For Americans 60 and older, COVID-19 is widespread and deadly. Its economic impact could also be devastating. With a recession fast developing, much of the attention on the downturn focuses on working-age adults, but many older Americans – with less time to make up for financial losses – will suffer the most. I am a clinical professor of gerontology. My co-author is a research fellow in gerontology. We believe that recent history, specifically the Great Recession of 2008-09, will demonstrate what’s at stake. In a series of research briefs using data from the Health and Retirement Study, we analyzed the financial status of Americans 60 and older before and after that recession. We reviewed the data from a wide variety of demographic groups: non-Hispanic whites, non-Hispanic Blacks, and H...
How dangerous heat waves can kill
HEALTH & WELLNESS

How dangerous heat waves can kill

Heat waves are the leading cause of weather-related deaths in the United States, not the more photogenic windstorms and floods. Hotter summers from climate change are causing concerns over new dangers to people. As a medical school professor, I’ve focused on physiology, neuroscience, the evolution of the big brain and, more recently, climate science and civilization’s vulnerability to abrupt shocks from climate change. Today I’m wearing my physiologist’s hat and asking: How do heat waves kill? We can take the heat – usually Thanks to our meat-eating ancestors, who could run down prey in long midday chases on the African savanna, we humans are able to keep our body temperature in the range where we function best in a wide range of conditions, even those combining extreme heat with extreme...
Racism linked to cognitive decline in African American women
HEALTH & WELLNESS, Journalism

Racism linked to cognitive decline in African American women

African Americans have higher rates of dementia and Alzheimer’s disease than white Americans. Chronic stress, associated with cognitive impairment and reduced volume in the brain’s memory area, could be a culprit. But racism may be one of the ultimate causes. And for African American women, the problem may be particularly pernicious. We are epidemiologists at Boston University. Our work is focused on the Black Women’s Health Study (BWHS), a landmark investigation that has followed 59,000 African American women since 1995. Previous data from our study showed that racism experiences are associated with increased risks of premature birth, obesity, Type 2 diabetes, uterine fibroids, adult-onset asthma and insomnia. More recently, we wanted to see how racism might impact cognition in African...
Deciding how and whether to reopen schools is complex – here’s how rocket scientists would develop a plan
HEALTH & WELLNESS

Deciding how and whether to reopen schools is complex – here’s how rocket scientists would develop a plan

Dealing with the social and economic upheaval from the coronavirus pandemic will require the skills and talents of many types of professions – medical personnel, public health experts, parents, students, educators, legislators, enforcement authorities and many others. Until now, though, the U.S. has struggled to mount a coordinated national response to effectively stamp out COVID-19, even as other countries in Europe and East Asia have shown that the disease can be controlled. In the past, the United States has successfully mobilized to address deeply complex challenges and I believe one of those – sending astronauts to the Moon – can be instructive today, even though a pandemic is a very different challenge. Twelve years after the famed Project Apollo to land men on the Moon in 1969, Ge...
Enslaved people’s health was ignored from the country’s beginning, laying the groundwork for today’s health disparities
HEALTH & WELLNESS

Enslaved people’s health was ignored from the country’s beginning, laying the groundwork for today’s health disparities

Some critics of Black Lives Matter say the movement itself is racist. Their frequent counterargument: All lives matter. Lost in that view, however, is a historical perspective. Look back to the late 18th century, to the very beginnings of the U.S., and you will see Black lives in this country did not seem to matter at all. Foremost among the unrelenting cruelties heaped upon enslaved people was the lack of health care for them. Infants and children fared especially poorly. After childbirth, mothers were forced to return to the fields as soon as possible, often having to leave their infants without care or food. The infant mortality rate was estimated at one time to be as high as 50%. Adult people who were enslaved who showed signs of exhaustion or depression were often beaten. As a profe...
African American teens face mental health crisis but are less likely than whites to get treatment
HEALTH & WELLNESS

African American teens face mental health crisis but are less likely than whites to get treatment

Black youth in the U.S. experience more illness, poverty, and discrimination than their white counterparts. These issues put them at higher risk for depression and other mental health problems. Yet Black youth are less likely to seek treatment. About 9% of them reported an episode of major depression in the past year, but less than half of those – about 40% – received treatment. By comparison, about 46% of white youth who reported an episode were treated for depressive symptoms. Instead, some turn to suicide, now the second leading cause of death among Black children ages 10 to 19. That rate is rising faster for them than any other racial or ethnic group. Data from the Centers for Disease Control and Prevention show the rate of suicide attempts for Black adolescents rose 73% from 1991 to ...