Sleepless sleep

The reasons why we pass an almost sleepless night or sleep are manifold. Too much to drink, eat or partying are just among the more social ones. The neighbour’s cat or cock may be another one. A recent comment by Pixin Gong (2026) outlined a whole research agenda on heat and sleep deficits. What is the threshold of bad sleep? Do we accumulate over days and how do we recover from it? Which measures and metrics are important? How to determine the social gradient of sleep deficits? The research base is largely missing due to neglecting the link of temperature as crucial impact on sleep in addition to melatonin levels. The implications of expected results can be far reaching like re-organization of homes, urban planning and architecture. (Image on the right: Rooster 1924 and Sleeping Muse 1910 by Brancusi, Centre Pompidou Paris in Berlin Exhibition Neue Nationalgalerie 2026-5)

Countryside warming

During summer inner cities heat up more than the rest of the country. This is largely due to the well-known urban heat island effect. However, on top of this effect scientific evidence based on high resolution climate data show that the nowadays countrysides are heating up faster than cities. Catching up with negative climate evolutions is a worrisome recent development. The usual “wealthy person’s climate refugee strategy” to leave the inner cities in summer and move to the cooler countryside becomes more elitist. The global space of cooler refugee regions is shrinking just as biodiversity is reducing at a fast pace.

flower in countryside France iridaceae iris 2026

Urban heat island

Heat in the city, is a real problem. Of course, some like it hot and that’s why they move to inner cities and specific quarters in a city. However, this is not the scientific definition of the “urban heat island effect”. The former issue is more a socio-legal-moral concern, whereas the latter has physics or geophysical effects at its origin.
More concrete and asphalt instead of leafy islands in inner cities create hot micro-climates as sunlight and warmth get stored during the day and feeds back into homes during nights. If the cooling effect of wind and humidity become trapped outside of building blocks an urban heat island can reach very uncomfortable levels. Add underground car parking, tunnels for traffic and public transport to the scenario and the unhealthy limits of heat over the summer are exceeded for months rather than weeks. Geophysical factors like altitude, mountains, river or seaside proximity are additional factors to consider, but the narrow urban heat island effect is a rather robust finding across the world even if the precise measurement and potential remedies of it are under scientific debate.

Outdoor Pleasures

Summertime surely is time for outdoor activities and pleasures. Besides the broad spectrum of more or less strenuous activities, summer is perfect for socializing in parks, restaurants, cafes or beer gardens. We might think of this as more recent inventions, but in historical depictions by Bruegel or Jan Steen (1661 in Gemäldegalerie Berlin, extract below) we find evidence that socializing in a restaurant or beer garden has been around for more than 460  years. Monks were brewing beer and the consumption was reserved to a more elitist group of people. The concept is quite old. Fortunately, we have managed to democratize the joyful and socializing part of being together.  Places where people from different social classes come together have always been rare and this, additionally, varies across regions, countries and often social strata.

Jan Steen 1661 Gemäldegalerie Berlin beer garden

Heat Mortality

Heat waves can be deadly for humans, animals and vegetation. According to the cumulative estimates by the RKI (Robert Koch Institute) in Germany up until 2026-7-26 there were 11.900 deaths within the confidence interval between 10.700 to 13.100 of the estimates. About 6.000 of the people who died due to the heat waves were aged 85+. 1.140 were attributed to persons younger than 65. Chronological age appears to be a significant factor as frequently chronic diseases accumulate in older individuals as well as poly-pharmacy. Hydration levels and deficiencies are associated with the increased mortality, but we have few or no precise measures of hydration readily available for people before it becomes an emergency (cognitive impairments). We know a lot about precision medicine. However, precision hydration for people remains rather arbitrary. 

On graveyard inscriptions

Fountain of youth

The fountain of youth is such an old dream of humans that we are no longer surprised to witness perpetual reincarnations of the same theme again and again. The painting by Cranach the elder (1646) “Fountain of youth” (image below, Gemäldegalerie Berlin) sets the scene for what has become a billion dollar business nowadays. Whereas the old dream was about rejuvenation and cure from disabling diseases, we have become a bit more moderate in ambition to be happy about a halt to aging. Promises are reiterated and made in building on an army of influencers who push many remedies that lack rigorous scientific tests. Two studies published open access in “The Lancet Healthy Longevity” (Witham, McDonald 2026 and Duremdes Nava et al. 2026) provide evidence that in case of obesity and diabetes there are no easy or quick fixes available yet. Healthy longevity still relies mainly on lifestyle (changes), more exercise and careful nutrition rather than additional medication. Medium and long-term consequences of inactivity and unhealthy diets are to easily disregarded or their value discounted. How much are you willing to pay for an additional year of healthy living at age 30 or 70? Simple economics, but quite a successful business model as well.

Medication adherence

In the broad range of medico-pharmaceutical science the topic of medication adherence is an uncomfortable issue. In the ideal scenario people would adhere 100% to the prescription. In the real world of not-optimal behavior and circumstances, people deviate substantially from what is best for or even good for them. Even in the tax-based health system of Denmark with relatively easy access to medication, a long-term study revealed the difficulties encountered to adhere to essential medications for persons with Type 2 diabetes. Nielsen et al. (2026) analyzed a cohort of 80.000 persons who newly acquired Type 2 diabetes of which about 25% showed a low adherence to medication plans with hazard rate of 1,27 to suffer a cardiovascular event. High adherence persons did not suffer such an event in the following 220 days over the 10 years of observation. A sedentary lifestyle or obesity increase the risk of type 2 diabetes and beyond medical treatments additional behavioral challenges like medication adherence make it clear, we do not live in the best scenario to fight type 2 diabetes.

Stinging issues

Sometimes a topic can make it into the headlines only if it is a stinging issue. The fact that certain mosquitoes travel and survive further north due to global warming is indeed such a stinging issue. As the living conditions for mosquitoes depend on warm weather conditions particularly during (tropical) nights as well as water availability for breeding purposes, the spread of mosquitoes can already be observed studying the spread of dengue fever, malaria and chikungunya in some southern European and American countries. Climate change, especially the warming parts of it,  shall bring home a number of stinging issues and consequences to people who didn’t seem to know or care about the spread of spread of infectious diseases.  

Green land in summer between Priesterweg and Südkreuz Berlin 2026

Social learning

The process and mechanisms that drive social learning are still not well understood. Beyond social psychology and sociological theory and evidence, neuroscience has made progress worth taking note of. The paper by Maciej Winiarski et al. (2025) offers a key insight into the neuro-biology of learning about social structures and the behavioral consequences. In their study of mice in the EcoHAB supervised group housing, information sharing through scent was the driver of learning about the social structure and the ensuing social behavior. The various experimental settings show that 1-2 mice became the most relevant informants about social structure and rewards. The “exploratory activities” are an interesting underlying parameter as well. The mus musculus model does not tell us much about humans yet, but we get a gist of important factors to consider for social learning in groups or organizations. Information seeking, informants, reward structures and “housing” have to be considered based on such research from neuroscience.

Berlin bears as statues decorated to demonstrate freedom and diversity in 2023

Road injuries

Road injuries are a serious matter. The lives lost and people suffering from lasting injuries continue to be a major health hazard on a global scale despite significant reductions over the last 3 decades, mainly in wealthier countries . The Global Burden of Disease study (Ng et al. 2026) shows that between the ages of 10-39 fatal road injuries are the main cause of death for young men. The study has no data to speak to causal effects, but the basic statistics show a clear pattern according to gender. Several factors need further exploration:
1. Men are known to have a much larger share of the total amount of road traffic in most countries, which leads to a higher risk exposure.
2. Men seem to take higher risks when driving, which puts them at higher overall risks as well.
3. Responsibilities for road incidents are not investigated, which leaves other causes or contributions to road injuries (like alcohol or drug abuse) unaccounted. (Source: Ng et al 2026. Global, regional, and national burden of road injuries 1990–2023, p.7)