Miscellaneous amused views on topics in the domains of neuropsychiatric epidemiology, defined broadly to encompass the entire envirome and genome, including infective agents; alcohol, tobacco, and other drugs; traumatic events; you name it. Comments welcome. Will be moderated by a volunteer among one of our MSU program's chief fellows or alum.
Friday, May 10, 2019
A layperson essay on injectable naltrexone (Alkermes’ Vivitrol)
Thursday, May 9, 2019
Wednesday, May 8, 2019
Excerpts from the Gonsalves interview posted yesterday
What policy changes would slow the death rate?
We know what to do about opioids. Dayton, Ohio, used to have one of the worst overdose rates the country. They cut it in half. How? They did it by providing naloxone to first responders, which reduced overdose fatalities. They did it by having a clean-needle program, so that drug users stopped sharing needles. They did expanding access to methadone to treat addiction.
By contrast, Scott County in Southern Indiana is a place where the state authorities failed to act decisively. In 2008, public health officials began to discern the first signs of opioid abuse. By 2015, they had 215 cases of H.I.V. in Scott County.
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My colleague Forrest Crawford and I wondered if this could have been prevented. The C.D.C. had data showing when individuals in Scott County were infected and who their contacts were. Using that, we made a computer simulation where one can, essentially, run the epidemic back in time and see what might have been.
https://www.nytimes.com/2019/04/08/health/gonsalves-aids-actup-epidemiology.html