Much a do about Nothing

I was listening to talk radio yesterday on the way home and they were talking about a recent news flash regarding a Dutch research report published on the PLoS Journal entitled Lifetime Medical Costs of Obesity: Prevention No Cure for Increasing Health Expenditure. The story was also featured on WIRED. I had to have a laugh at it. The conclusion was :

Although effective obesity prevention leads to a decrease in costs of obesity-related diseases, this decrease is offset by cost increases due to diseases unrelated to obesity in life-years gained. Obesity prevention may be an important and cost-effective way of improving public health, but it is not a cure for increasing health expenditures.

Which inspired me to do a little research where I found this diddy, published in the New England Journal in 1997:

The Health Care Costs of Smoking

Jan J. Barendregt, M.A., Luc Bonneux, M.D., and Paul J. van der Maas, Ph.D.

ABSTRACT

Background Although smoking cessation is desirable from a public health perspective, its consequences with respect to health care costs are still debated. Smokers have more disease than nonsmokers, but nonsmokers live longer and can incur more health costs at advanced ages. We analyzed health care costs for smokers and nonsmokers and estimated the economic consequences of smoking cessation.

Methods We used three life tables to examine the effect of smoking on health care costs — one for a mixed population of smokers and nonsmokers, one for a population of smokers, and one for a population of nonsmokers. We also used a dynamic method to estimate the effects of smoking cessation on health care costs over time.

Results Health care costs for smokers at a given age are as much as 40 percent higher than those for nonsmokers, but in a population in which no one smoked the costs would be 7 percent higher among men and 4 percent higher among women than the costs in the current mixed population of smokers and nonsmokers. If all smokers quit, health care costs would be lower at first, but after 15 years they would become higher than at present. In the long term, complete smoking cessation would produce a net increase in health care costs, but it could still be seen as economically favorable under reasonable assumptions of discount rate and evaluation period.

Conclusions If people stopped smoking, there would be a savings in health care costs, but only in the short term. Eventually, smoking cessation would lead to increased health care costs.

The whole thing makes me laugh, really. I just thought some of you might find it amusing, too.

UPDATE 2/15:  Title changed from “Adieu” to “a do”. My wife says I am a bonehead….

More Tales About Cats and Virus

I picked up another story from the same group at NCI/SAIC-Frederick from GenomeWeb Daily News feed.

It would appear that if you have any questions about the feline genome, then Dr SJ O’Brien would be the person to speak with. I have always found it interesting, and quite different than myself, that people can get so deep and specific about a topic such as the cat genome. And this morning I have festered away quite a few hours on the topic myself. I find it fascinating that the authors are able to draw analogies between African Lion FIV and modes of transmission of HIV in humans.

The most recent article is actually available on from an “Open Access”, peer-reviewed journal, BMC Genomics. So, here’s the skinny on this publication (or should I say, just scratching the surface):

Conclusions

This study demonstrates the necessity of whole-genome analysis to complement population/gene-based studies, which are of limited utility in uncovering complex events such as recombination that may lead to functional differences in virulence and pathogenicity. These full-length lion lentiviruses are integral to the advancement of comparative genomics of human pathogens, as well as emerging disease in wild populations of endangered species.

Interestingly, in another featured article in the same publication, yet another “Frederick Connection”. One of the authors of the paper “A large-scale proteomic analysis of human embryonic stem cells“, Mahendra S Rao, was working closely with SuperArray on their Stem Cell platforms and then left to go to work across the street at Invitrogen.  I think that’s pretty cool!