A Nobel Discovery

by Gertrud U. Rey On October 2nd, 2023, the Nobel Assembly at Karolinska Institutet announced the award of the 2023 Nobel Prize in Physiology or Medicine to Katalin Karikó and Drew Weissman. The decision was based on a series of fundamental discoveries that led to the development of the COVID-19 messenger RNA (mRNA) vaccines. Katalin …

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Viruses and Bats

by Gertrud U. Rey Remember the series of flashbacks in the ending of the movie “Contagion,” which reveal where the virus originated and how the pandemic started? As a tree is cut down, a colony of bats flies out of the tree to seek new shelter. While in flight over a nearby farm, one of …

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How the Viruses Within Us Protect Us From Other Viruses

by Gertrud U. Rey Did you know that eight percent of the human genome consists of DNA sequences that are derived from retroviruses? These “endogenous retroviruses” (ERVs) represent concrete evidence for retroviral infections that occurred in our ancestors. Although ERVs have no viral activity, an accumulating body of evidence suggests that they are not entirely …

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Why Do Some Viruses Have a Seasonal Cycle?

by Gertrud U. Rey Have you ever wondered why some viruses circulate primarily in the winter and others are more prevalent in the summer? Although we don’t have a clear answer to this question, a combination of factors is likely responsible.   Work done in the field of respiratory viruses suggests that these viruses can …

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Why We Can’t Eradicate Polio

by Gertrud U. Rey In 1988 the World Health Organization, Rotary International, UNICEF, and the U.S. Centers for Disease Control and Prevention passed the initiative to eradicate polio globally by the year 2000. We are now 23 years past this deadline, and it is increasingly clear that this goal will likely never be achieved. Smallpox …

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A Long-Awaited Vaccine

by Gertrud U. Rey Almost sixty years have passed since the initial formalin-inactivated respiratory syncytial virus (RSV) vaccine caused enhanced disease in children when they were subsequently infected with the virus. Since then, RSV has continued to be a substantial public health threat to infants, young children, and older people. Although progress in developing a …

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Trial By Error: Some Things I’ve Read Recently–Aboriginals and Long COVID, Tips for Disability Claims, Profile of Ron Davis

By David Tuller, DrPH Failure to address Long COVID in Australian Aboriginal communities Croakey Health Media is a small but feisty Australian news outlet that covers social and structural inequities in healthcare. Croakey recently published “a call for action to address Long COVID in Aboriginal communities,” which focused in particular on the situation in the …

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Trial By Error: Journalist Simon Spichak on Lack of Focus on Post-Exertional Malaise in Long COVID Exercise Trials

By David Tuller, DrPH According to the headline of a recent article in The Sick Times, “less than 20% of Long COVID trials involving exercise even mention post-exertional malaise.” The news organization analyzed the registration records for Long COVID clinical trials and found that only a small minority assess or take into account post-exertional malaise (PEM), …

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Trial By Error: JAMA Touts Long COVID Exercise Trial with Clinically Insignificant Results; Most LC Exercise Trials Ignore PEM, Per Sick Times

By David Tuller, DrPH In its current “Medical News in Brief” section, JAMA is touting and amplifying the questionable claims of a flawed trial to treat or prevent Long COVID published by one of the journals under its umbrella—JAMANetworkOpen. The JAMA headline: “Resistance Training Improves Long COVID Outcomes.” Technically, the headline is true. In the …

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Trial By Error: Another Exercise Trial with Clinically Insignificant Findings

By David Tuller, DrPH A recent study from JAMA Network Open, called “Resistance Exercise Therapy After COVID-19 Infection: A Randomized Clinical Trial,” demonstrates some of the flaws that so often mar papers in this field of research. The trial’s reported results do not warrant the optimistic conclusion that the intervention “may be a generalizable therapy …

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Trial By Error: A New Cookbook for People with Chronic Illness

By David Tuller, DrPH ADDED. A reader left this comment at the end of the post: “Thank you, David. Even all those details can’t convey how WONDERFUL this book is. I ordered multiple copies via Amazon and am giving them for holiday gifts – and not just to my friends who are limited in diet/energy. …

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Trial By Error: Some Thoughts on Ten Years of Trial By Error

By David Tuller, DrPH Ten years ago this month, I launched Trial By Error with a 15,000-word investigation of the misbegotten and fraudulent PACE trial, which purported to prove that graded exercise therapy (GET) and cognitive behavior therapy (CBT) could cure what they then called chronic fatigue syndrome. And what an amazing ride it’s been …

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