geoffrey modest medical blogs

  a recent letter-to-the-editor documented a dramatic decrease in cervical cancer deaths in US women younger than 25 years old, over the time period of 1992-2021. This was likely attributable to the advent of the HPV vaccine (see dec cervical cancer mortality in young women JAMA2025  in dropbox, or doi:10.1001/jama.2024.22169)   Details : -- cervical cancer mortality trends were obtained from the National Center for Health Statistics -- main outcome: the changes in cervical cancer mortality from 1992 to 2021, with specific reference to women <25yo   Results : -- 398 cervical cancer deaths were reported from 1992-2021 in women <25yo -- between the 3-year cycle of 1992-94 to 2013-15, there was a largely linear gradual decline in the cervical cancer mortality, at a rate of 3.7%/year (-4.8% to -2.1%) -- the cervical cancer mortality rate then decreased from 2016-2021 at 15.2%/year (-21.9% to -7.8%), and with an overall 62% reduction (see grap...

  Another article very strongly suggested airborne transmission of SARS-CoV-2 virus (see  covid airborne transmission jamaintmed2020 , or doi:10.1001/jamainternmed.2020.5225).  I am bringing this up, again, since Trump just praised a "spectacular" doctor who dismissed the use of face masks..... Details: --128 people riding one of 2 buses to attend a worship event in Eastern China on January 19th. there were no prior cases of Covid-19 in this city   (Ningbo city) , and none were reported until January 20th, when there was a total of 69 cases reported of 8 million people living in the city --12% men, mean age 59 --bus ride was 100-minute round-trip and a 150-minute worship session --there was a 15-30 minute luncheon (10 attendees sitting at roundtable in spacious room), with people randomized to the tables --no toilets on the buses, no people changed seats on the way back --weather was sunny with gentle breeze --bus 1: 60 people  --bus 2: 68 people   ...

This blog is a reprint from   Covid-19 Compendium For Clinicians  , and written by jon pincus.  I would just add that i think Trump might consider 2 actions: drinking lysol, just to show how safe it is (though, i should note that there has been a significant uptick in calls to poison control centers for ingestions of bleach and lysol (see  https://www.nbcnewyork.com/news/local/nyc-poison-control-calls-for-bleach-lysol-double-after-trump-disinfectant-comment/2389593/  ). though that should not deter Trump, since science does not really matter (and his decidedly anti-science proclivities perhaps should encourage him to try it) using his immense power, through the Defense Production Act, to force tanning salons to redesign themselves to have ultraviolet probes to insert in all accessible body cavities (and ?create new ones) geoff Summary: a random perusal of the literature (PubMed search – Lysol, Household Cleaners) shows several reports of harm a...