Tether thy liver

There are few of us who take our liver seriously. Yet, this big organ plays a central role in our body to regulate metabolism. The obesity pandemic in western countries increases health risks, just as excessive alcohol consumption increases risks of liver dysfunction. Additionally, viruses increase the risk of failure of this organ.
Each of these risks as well as any combination of one of the risks with another one have led to rising public health risks. Several studies since 2020 have highlighted these increased risks for populations in general. The risks, however, have an unequal spread across subgroups of society. A recent comment based on the research of the INSERM U955 team in “The Lancet Regional Health” by Brustia et al. “Liver-related mortality strikes hardest where deprivation is greatest.” Health inequities consist in the lack of income available to buy healthy food or in untreated alcohol addiction, both more common in poor people.
In order to tackle the inequity, the team of medical doctors call for a shift in awareness. Structural reasons like diagnostic delay, remoteness or health literacy are just as important as individual predilections like nutrition or lifestyles. Inequality in access to health and ability to afford a healthy lifestyle have become serious drivers of social inequality in the 21st century.

Olympic Virus

We tend to believe or want to believe that the horrible SARS Covid-19 crisis is completely behind us. However, science signals that we need to stay alert with respect to the mutations of the virus. International events like the Paris 2024 Olympics bring together athletes and spectators from all continents and some of them still seem to carry the virus with or without symptoms. A report in the LANCET Respiratory Health mentioned that dozens of athletes were tested positive for the virus and a largely unaccounted number of spectators had carried the virus FLiRT variants. As tracking is difficult with more or less absent testing strategies the tests rely on waste water analyses and reports from health care institutions. The Olympic Games are over but the virus still lives on and variants keep popping up. Games during the summer months should be much saver than winter games as the time spent outside is much longer. Traveling in crowded transport, however, remains a potential health hazard. Huge crowds at Olympics are inevitable. After all, birds of the same feather flock together.

Kaizen oder Kai’Zen bei Covid-19

Die Buchveröffentlichung zu Kaizen bei Pan Macmillan (Bild unten) hat mich erneut mit persönlichem Gewinn an die altbekannte Managementmethode anknüpfen lassen. Für viele ist Kaizen, ich mag lieber Kai’Zen als Wortspiel und konkretere Vorstellung zu den japanischen Kanji-Zeichen. Laut einem Wikipediaeintrag steht “Kai” für Veränderung und Wandel, “Zen” = zum Besseren, zum Guten. Der daraus resultierende kontinuierliche Verbesserungsprozess wurde in der Privatwirtschaft und dem öffentlichen Dienst geradezu zu einem neuen Mantra. Bei der Wahl der richtigen Indikatoren wie Patienten- oder Kundenzufriedenheit und eben nicht nur Kosten(senkung) kann das Anstoßen von Kai’Zen mittelfristig und langfristig wahre Wunder bewirken. Deswegen ist der Vergleich mit dem auf Schumpeter zurückgehenden Prozess der “kreativen Destruktion” d.h. dem Erfolg von radikalen Veränderungen stets sinnvoll. Viele Start-ups können von dieser Methode lernen, anwendbar bei sich selbst, in Gruppen oder für ganze Gesellschaften. In Zeiten von Covid-19 könnten wir auch sagen “von Viren lernen”. Kai’Zen ist “Bionics” pur. Aber genauso mit dieser Methode werden wir den Virus eindämmen und einen Impfstoff entwickeln. Die Viren bleiben gut in Kai’Zen, wir auch. Bleiben wir dran, wir haben den längeren Atem ;-). Einen der führenden Virologen Peter Piot hätte Covid-19 nun dennoch fast erwischt.