Medical Examiner

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FREE T AKE-H OME C OPY!

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AUGUSTA

MEDICAL EXAMINER

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DOCTORS HOSPITAL • EISENHOWER ARMY MEDICAL CENTER • EAST CENTRAL REGIONAL • GRACEWOOD • MCGHEALTH • MEDICAL COLLEGE OF GEORGIA • PRIVATE PRACTICE • SELECT SPECIALTY HOSPITAL • TRINITY HOSPITAL • UNIVERSITY HOSPITAL • VA HOSPITALS • WALTON REHABILITATION HOSPITAL

JUNE 6, 2008

NEWS • PEOPLE • EVENTS • TRAINING & EDUCATION • EMPLOYMENT

Why?

Portrait of a serial killer Say the words serial killer and any number of mental images come to mind, all human: Charles Manson, Ted Bundy, John Wayne Gacy, and Jeffery Dahmer are a few of the more infamous names in the category. That rogue’s gallery is headed by John Wayne Gacy’s 33 victims. Including those, the death toll wreaked by just those four men is 92 victims. That’s one horrific total until you consider the following one sentence about mosquitos. According to Wikipedia, the online encyclopedia, mosquitoes are “the most deadly disease vector known to man, killing millions of people over thousands of years and continuing to kill millions per year by the spread of diseases.” Do not adjust your Medical Examiner. Yes, mosquitos kill millions of people per year, and have been doing so for thousands of years. Those figures are not exaggerations. The best guess is that mosquitos infect about 700 million people with disease every year. Malaria alone accounts for more than 5 million deaths each year. According to The New York Times Magazine, mosquitos will eventually be responsible for the deaths of 1 in every 17 people currently alive today. By comparison, even a fiend like Adolf Hitler was a rank amateur. While it may be true that many deaths that are mosquito-related happen in places far away from Augusta and even the United States, we’re far from immune. Lola Russell, a press officer at the Centers for Disease Control in Atlanta, called the attention of the Medical Examiner to the neighborhood stats for West Nile Fever, a mosquito-borne illness that is potentially serious. In 2007, there were West Nile cases in Columbia, Richmond and Aiken Counties. In fact, the total for Georgia in 2007 was 50 cases compared to only 8 during 2006. South Carolina had just five cases last year, but that compares to only one case in 2006. (Statistics are maintained by the US Geological Survey. The Georgia state and county maps and statistics may be found at http://diseasemaps.usgs. gov/2007/wnv_ga_human.html Surprisingly enough, West Nile virus, originally identified in 1937, Please see MOSQUITOS page 4

Her M.O.

Yes, this is that rarest of all criminals, the female serial killer. As most of us know, it’s the female mosquito who does all the damage. Entomologists say mosquitos are ingeniously designed to do their dirty work. For starters, they can identify their prey from afar courtesy of sophisticated heat and chemical sensors. Using these they can identify warm-blooded animals (like us) by their thermal profile as well as by carbon dioxide and lactic acids that are exhaled with every breath. Chemicals released through perspiration also seem to be effective attractants. Once a likely victim has been identified, it’s time for dinner, catered by you and me. You’d think that any bug trying to stick its long, sharp nose into our skin would prompt a definite reaction, but mosquito saliva has been described as a “pharmacological cocktail” that may include a mild anesthetic. The barb that is the mosquito’s proboscis can enter the skin effortlessly and undetected. Skeeter saliva also includes vasodilators, anticoagulants to prevent clotting while she’s draining us of blood, agents to suppress the immune response of the victim, and various sugars, proteins and enzymes. After taking her fill, she flies off to her next stop. By the time the bite site become itchy and a little swollen, she’s long gone. The itch and skin bump are the result of our body’s immune reaction, delayed though it might be, to the saliva left behind in the puncture wound. To treat mosquito bites, wash the site with mild soap and water. Try to avoid scratching the bite area, even though it itches. Some anti-itch medicines such as Calamine lotion or over-the-counter cortisone creams may relieve the itching. +

Inside this issue is a new feature that will be part of each First Friday issue of the Medical Examiner. The Business Examiner is a collaborative effort of Neil “Buzz on Biz” Gordon and The Business Exchange, a local commercial real estate brokerage firm that focuses on businesses and franchises. The Business Examiner is envisioned as a resource for all kinds of information that will help all kinds of people: high-roller investors and entrepreneurs and the Average Joes that make up most of us. You might be wondering how this information fits within the scope of a newspaper like the Medical Examiner. As it says on page two of every issue, the Medical Examiner’s mission includes providing “information on topics of health and wellness of interest to general readers.” At first glance it might seem like we’ve gone off track, but in truth, the distance between physical health and fiscal health is quite short. Poverty and poor health are practically kissing cousins, embracing a whole family of ills like poor diet, having no health insurance, and limited access to healthcare. Family therapists say money is at the very top of the list of the biggest contributors to marital discord and family strife. Everyone knows money isn’t the solution to most problems, and having an abundance of money can cause its own set of headaches. Still, financial health is certainly not a bad thing, and usually has a significant beneficial effect on physical health. Benjamin Franklin, in his Poor Richard’s Almanac, put things in perspective: “When wealth is lost, nothing is lost; when health is lost, something is lost; when character is lost, all is lost.” Well, building character might be beyond the scope of the Medical Examiner, but we’ll do our best elsewhere. Two out of three’s not bad. +

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