Holistic public health

Based on case study in Queensland Australia, Boocock et al. (2026) propose the wider application of holistic public health laws. Due to effects of global warming the local burden of disease may rise due to larger scale floods and subsequent growth of for example mosquito populations that transmit infectious diseases. It will be necessary for societies to understand the processes behind the growth of mosquito populations and what can be done to prevent and protect oneself from the consequences. This is not only an environmental issue, but also an issue of continuous learning across all strata of society. Neighborhoods tend to suffer the same impact of chemicals used or the spreading of diseases like Dengue or malaria. The case study makes a convincing argument about the intrinsic relationship between the social and environmental processes at work. 

Time to prevent

If we take a medical life course perspective, we shall become aware that for each event there shall be a time to prevent it. From a scientific and socio-economic point of view, this is the crucial time to prevent failure of an organ, duration of an illness, death or an otherwise disruptive event. Taking our lung or liver as examples we intuitively know that there is a long time spell during which we have a chance to work on prevention. The monitoring of the early onset of disease is (Ge et al. 2026), potentially, a very cost-saving way as well in addition to avoid humans suffering later on in multiple ways. From a theoretical point of view it will be interesting to “think intervention as prevention” already, rather than the predominant way of intervention “post-hoc”, which means after the onset of disease. This implies a rather complete overhaul of medical research just as much as social research to guide policy makers interested in the “survival” of our social security systems as we know them currently in Europe. (Image is illustration in book on fairy tales: Beckmann in exhibition at Kunstbibliothek Berlin, 2026)

Illness duration

The focus in medical analyses is primarily put on the diagnosis of illness. This is the best strategy, if the onset of an illness has a precise beginning and ending. In all processes, where either the beginning and/or the ending is less well-defined as precise point in time, the progression, as phase in or phase out of illness, is also of substantive interest. A duration analysis can inform about the potential presence of a co-morbidity in case, for example, an infection continues beyond the normally expected duration.
Financial pressures in the medical systems makes it necessary to release patients in a timely fashion. Therefore, has become more important to monitor patients even after release from hospital. Digital devices can support such a monitoring.
The study by Josi Levi and co-authors (2026) shows that smartphones or just the monitoring of the number of steps of patient offers a rather reliable indicator on the health status towards the end. The information that a patient has recovered to the normal level of activities as before the onset of the illness works quite well as indicator of recovery. A more precise measure of the duration of an illness is important for patients, care persons, the health system overall. The duration is one of the cost-intensive factors of any illness and it is surprising how little we know about the issue of time and duration in many health processes.

Metabolic harm

At the beginning of the 21st century the lack of physical activity for large parts of society has become a major risk of and cause of metabolic harm. We have become used to a sedentary lifestyle and the digital access to distractions and information have encouraged further immobility. Alex Broom et al. (2025) stress the importance to include social and governmental interventions into the many existing medical, pharmacological and technological interventions. The authors advocate a rather holistic approach to really make a difference. The obesity trends cause metabolic harm of an  unprecedented size. We have to rethink mobility patterns and other behavioral changes into our daily routines to bring back more stimulation to our metabolic system.

Alzheimer Research

Alzheimer disease has reached unprecedented levels in line with population aging. The study by Martino-Adami et al. 2024 has raised the hope that more people can receive an early diagnosis of Alzheimer and potentially start treatments. The study used plasma biomarkers rather than much more expensive and rare MRI scans for diagnosis. The rather exceptional results allow even to test for severity of Alzheimer according to established evaluation measures. Additionally, the probability of an Alzheimer trajectory on a time scale is feasible. The authors suggest that the data and statistical methods applied allow to identify Alzheimer before the outbreak of impairments. The data sample stems from “patients of advanced age visiting primary care”. This remains a limitation for generalizations, but the hope that other studies test the same approach with samples from younger populations will spur additional investments into such research. The list of institutions and foundations that contributed to make this study possible is really long. Thanks go to all involved, researchers, donors as well as the reviewers and editors of the journal. (Image Paris Metro Help Column 2024)