Reconnecting with Food. Essential for our health.

To put it plainly, have we lost our connection with food?

Understanding where food comes from, how it’s produced and where it has been between farm and plate is becoming a rare quality. Almost a novelty. Despite a near-obsession with food-related TV shows – seasonality and slow-food are becoming foreign or niche concepts as supply becomes constant and expected, and fast-food becomes ubiquitous.

Now it’s sad that we don’t know a peanut grows underground, or that a tomato is a summer fruit – but it’s actually much more concerning than a lack of trivia knowledge.

This broad-sweeping inability to use and understand food impacts our hip pockets, but also our hips!

You see, in kitchens across Southern Europe, from Madrid to Milan, something interesting is happening. Something unexpected, and really quite delicious. An uprising of a different variety – the culinary variety – as people are turning to the dough as a means of saving, well, dough!

Spurred by the financial crisis, a wave of home cooking is sweeping across France, Italy and Spain. Nations which have seen their fair-share of junk food and resultant obesity, are now swapping the burgers for homecooked baguettes – in record quantities. In fact, a third of all Italians are now making pizza at home and one in five making their own bread – the highest levels since World War II.

In a time of economic strife, we are seeing a return to home cooking, basic recipes and seasonal produce in many countries, to save money.

But what happens when these recipes are lost? When people no longer know how to make bread? Would this movement back to homecooking be possible in Australia, the UK or the USA?

Australian-Dietary-GuidelinesUnderstanding your food is also essential to a healthy life. Knowing what food is, where it comes from, and what’s in it allows us to make informed decisions about what we put in our mouths. This basic dietary literacy is essential in being able to work out what is healthy and what is not – and in the midst of an obesity epidemic it has never been more important. But with this disconnect to food comes an inability to digest this information and make the best decisions for our health.

So what can be done?

First and foremost, we cannot blame parents, nor should be blame teachers.

In fact, let’s just not blame anyone.

Instead, I say bring back compulsory, funded, comprehensive food and cooking education to primary schools… All primary schools. Because let there be no misunderstanding, the phasing out of early-education on food and food supply to save money, only to spend more on chronic disease resulting from a fundamental misunderstanding of food – is a completely false economy.

Programs like Stephanie Alexander’s Kitchen Garden initiative should be celebrated and replicated in all schools across the board. Let’s wake up and realise that the work of Jamie Oliver and the team at Food Revolution is as much about health, sustainability and economic security – as it is about being able to cook.

An eggplant should be as obvious to a 7 year old as an iPhone. Knowing how to make a loaf of bread should be part of the national curriculum, and an understanding of seasonality and our food supply should be taught from a young age.

Children need to be educated what food is early, to respect it and how to use it wisely.

We might be losing our connection with food, our understanding of the food-supply and our abilities to prepare healthy, fresh meals – but it is not too late.

Food, and cooking, must be seen as educational, economic and health priorities for our societies. Some food for thought and action, on Food Revolution Day.

Anything less, I fear, is a recipe for disaster.

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Today – Friday, May 17 – is Food Revolution Day. Founded by Jamie Oliver and his organisation, this is an opportunity to reconnect with food. Cook something new, make something from scratch and buy in season.

The Conversation

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TEDMEDLive at London’s Imperial College – Part Two

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Following our live posts from TEDMED 2013 in Washington DC, this week we cross the Atlantic and hand the reigns of PLOS TGH over to Alex from the team at TEDMEDLive –  Imperial College. 

 

TEDMEDLive had seen a fantastic start to the day and delegates were looking forward to a further five speakers. During the breaks there was time to get an EEG brain scan from Emotiv Lifesciences, and visit the human parts art display by artist Gina Czarnecki.

Welcome back to TEDMEDLive Imperial College!

Audience

Talks streamed from D.C. included Eli Beer’s story of United Hatzalah – a fast response team of paramedics in Jerusalem; David Solomon’s account of illness and identity; and Zubin Damania (a.k.a. ZDogg MD), who held the London audience in fits of laughter.

 

Innovation

Justyna on stage.

Justyna on stage.

Swedish cancer researcher Justyna Leja gave an inspiring account of her efforts to crowd fund clinical trials of a novel neuroendocrine cancer treatment – an oncolytic virus (genetically modified adenovirus) – developed during her PhD studies.

“I realised I had developed a treatment I could not use. This happened two years ago and it has been in the freezer ever since.” – Justyna Leja

They called the ongoing crowd sourcing campaign iCancer – secretly in the hope that Apple would sue them and give them wider exposure! No such luck. So far the campaign has raised £250,000 for the oncolytic virus fund, but their desired goal is £1 million.

“These days, to develop one drug it takes as long as it did in Ancient Eygpt to build a pyramid!” – Justyna Leja

 

Art

Our surprise guest of the day was Imperial graduate Suman Biswas – anaesthetist, lyricist, vocalist and pianist. Suman delighted the audience with medical parodies of popular songs.

Suman on stage.

Suman on stage.

“Once upon a time I took pride in my job, but now I think it’s time to depart, ‘cause I just sit here everyday and listen to blips of the heart…” – Suman Biswas (The Anaesthetist’s Hymn)

“Total Eclipse Of The Heart” became “Blips Of The Heart” – the musings of a disillusioned anaesthetist – and “Supercalifragilisticexpialidocious” became a pitch for the miracle drug, Paracetamoxyfrusebendroneomycin (“It’s our brand new wonder drug we think you’ll find enticing…”). Suman has become one of the world’s most famous anaesthetists through his comedy musical exploits.

“There’s Lithium, Fluoxetine, and also Amitripyline; Paroxetine, Digoxin, GTN and Azathioprine; Miconazole, Atenolol, and also Chloramphenicol and if you want to overdose there’s always Paracetamol…” – Suman Biswas (The Drugs Song)

 

Universal Health

Plastic, reconstructive and burns surgeon Mohammad Ali Jawad took the stage to dispel the Nip/Tuck stereotype. Mohammad was the surgeon who restored the beautiful face of British model, and acid victim, Katie Piper.

“For me beauty is in restoring human dignity.” – Mohammad Jawad

MAJ

He went on to describe tragedies of acid violence against women in his home country Pakistan – one of the global humanitarian challenges to which he could respond. The Oscar-winning 2012 documentary Saving Face followed his journey as he sought to provide free reconstructive surgery for these acid victims.

“When I heard about this kind of violence in my homeland I knew I must do something.” – Mohammad Jawad

 

Mind

Music psychologist Victoria Williamson gave a fascinating account of the extraordinary power of musical memory, illustrated with the Tale Of Three – the Star, the Survivor and the Miscreant.

“Your memory is more than just a mental store cupboard – it is the glue that holds you in the present moment.” – Victoria Williamson

Vicky on stage.

Vicky on stage.

The Star is Italian conductor Toscanini who held the ability to recall entire symphonies in seconds. The Survivor is British musicologist Clive Wearing who suffers both anterograde and retrograde amnesia following serious illness. Clive still recalls how to play piano and conduct a choir despite having no recollection of his musical education. The Miscreant is an earworm – an involuntary musical memory (a song stuck in your head on repeat), and 90% of people report experiencing this peculiar phenomenon at least once a week. After Suman’s performance, I had Paracetamoxyfrusebendroneomycin earworms for hours! Vicky runs an international survey called the earwormery – where you can tell her all about your own earworms.

Vicky explained that music resides deep within our minds across multiple systems, cleverly maximising its chance of survival, and outlined potential applications for our everyday feats of memory. She did not come dressed as an earworm like she’d promised me in rehearsals, but looked lovely nonetheless.

 

Popular pickpocket, magician and hypnotist James Brown closed the show… by glueing one of our students to the stage.

The audience get "glued".

The audience get stuck.

“You have the optimist who believes the glass is half full and the pessimist who believes the glass is half empty; I’m the opportunist, I simply laugh and drink water.” – James Brown

James sought to demonstrate the power of belief by first asking the audience to imagine their index finger and thumb stuck together with glue. While many attendees proudly wiggled their fingers, claiming, “I’m immune to suggestion!” there were some who genuinely could not escape from their ‘glued’ position.

James and his volunteer.

James and his volunteer.

James invited one of these suggestible individuals to participate in ‘The Magic of Belief’. Pritesh, or ‘grit’ as he’d be nicknamed through an introductory miscommunication, joined James on stage where he experienced the inability to move either of his feet from the floor, or even remember his own name.

James explained that for years the concept of hypnosis and suggestion has been shrouded in an unnecessary air of mystery. The process is actually straightforward (as we saw on stage). He concluded with how these techniques may be employed more effectively (not deceptively) by medical professionals.

 

“45 minutes to remove someone’s fear of spiders is 35 minutes too long.” – James Brown

 

Goodbye from TEDMEDLive Imperial College.

Goodbye from TEDMEDLive Imperial College.

We have come to the end of a fantastic day, featuring inspirational speakers and interactive workshops. The 20 student volunteers (surprisingly, predominantly non-medics) who helped make this day possible were able to enjoy the success of their incredible efforts over the past few months.

TEDMEDLive Imperial is over… until 2014!

 

To experience the first half of #TEDMEDLiveIC, take a look at Part One.

I hope you enjoyed TEDMEDLive Imperial College as much as we did.

Alex.

 

Fringe

Alexandra Abel is a Biomedical Science and Global Health graduate from Imperial College London. She is currently studying for a Masters at the Royal College of Music.

Join her on Twitter via @alexandraabel and #TEDMEDLiveIC 

 

 

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TEDMEDlive at London’s Imperial College – Part One

Following our live posts from TEDMED 2013 in Washington DC, this week we cross the Atlantic and hand the reigns of PLOS TGH over to Alex from the team at TEDMEDlive – Imperial College London.

 

TEDMED activities kicked off last week with talks from D.C. streamed into our lecture theatres. Finally, on Sunday April 21, after months of planning by dedicated committee members (some had only just got back from enjoying TEDMED stateside), compère Professor Armand Marie Leroi took to the stage to welcome an audience of 500 delegates, representing over 15 countries.

Welcome to TEDMEDLive Imperial College!

Queues formed outside the RGS as the stage was being set.

Delegates wait outside the Royal Geographic Society in the South Kensington sun.

The day encompassed several themes – Innovation, Universal Health, the Mind, and Art – inspired by a quote from Persian polymath and philosopher Avicenna: “There are no incurable diseases, only lack of will”. 

 

 

Innovation

The first speaker of the day was Imperial Professor Roger Kneebone. Roger spoke about the three phases of his career: as a surgeon in Southern Africa, as a GP, and as an academic – he currently heads the UK’s only Masters in Surgical Education (MEd).

Roger Kneebone on stage - first speaker of the day.

Roger Kneebone on stage – first speaker of the day.

Roger’s work in simulation for teaching is wide reaching; its applications have even stretched as far as a performance simulator at the Royal College of Music to help musicians overcome stage fright. He drew parallels with his surgical endeavours and the work of his friend, a bespoke tailor in London, noting that neither one could do the other’s job despite similar requirements in dexterity.

Roger believes there is much to be learned from sharing perspectives: he created his inflatable portable operating theatre with this purpose in mind, allowing others to enter the world of surgery.

“It is our patients and their families who are most important… and we want to see things from their perspective.” – Roger Kneebone

Footage from London’s Big Bang Science Fair showed an 8 year old boy operating a neurosurgical cranial perforator and some fellow classmates watching from the sidelines with worried expressions on their faces.

Emergency brain surgery at Roger Kneebone's workshop.

Emergency brain surgery at Roger’s workshop.

TEDMEDLive attendees entered the inflatable operating room themselves to attempt some emergency brain surgery during the workshop.

Roger ended with an apt T. S. Elliot quote: “We shall not cease from exploration, and the end of all our exploring will be to arrive where we started and know the place for the first time”.

 

Alex Seifalian on stage.

Alex Seifalian on stage.

Next up was fellow innovator, Alex Seifalian, Professor of Nanotechnology and Regenerative Medicine at University College London. Alex and his team are aiming to make organ donation a thing of the past, combining nanocomposite materials with stem cell technologies for the growth of replacement organs.

There aren’t many scientists who have grown human cells on the back of a butterfly wing, but Alex is one of them! He related his efforts to build a trachea for a patient in 10 days – it would normally take months.

“Welcome to the body parts shop… would you like to place an order?” – Alex Seifalian

Home-grown organs.

Home-grown organs at Alex’s workshop.

 

TEDMEDLive attendees saw Alex’s home-grown organs for themselves during the tissue engineering workshop.

 

 

 

 

Mind

Henrietta Bowden-Jones gave a personal talk explaining her motivations for setting up the UK’s first and only National Problem Gambling Clinic. She shared her experiences of growing up in Milan, where drug use was so rife that she and her friends would collect blood-filled syringes from local parks as a childhood game. It was here she discovered her urge to uncover the underlying psychological vulnerabilities that lead people to addiction.

“I remember as a 6 year old on my way to school, seeing addicts injecting at the side of the road and thinking, why isn’t anyone trying to help them?” – Henrietta Bowden-Jones

Henrietta

Henrietta on stage.

Henrietta presented some shocking statistics: there are 500,000 pathological gamblers in the UK; 84% have committed illegal acts; the average loss made is £150,844.

People call it the hidden addiction – there are no track marks on the arms of gamblers. She also invited the audience to have a go at the Cambridge Gamble Task – a preliminary measure of predisposition to risk-taking.

 

Universal Health

Lord Robert Winston, Professor of Science and Society, and Emeritus Professor of Fertility Studies at Imperial, gave an expectedly brilliant and eagerly anticipated talk (“How can anybody get pregnant?”) outlining the challenges for IVF and its necessity in the struggle for gender equality in the workplace.

“By tomorrow, Armand Leroi will have produced enough sperm to fertilise every woman in the United Kingdom.” – Robert Winston

Robert Winston on stage.

Lord Winston admirably wore a suit, despite being told by a committee member to come casual. Backstage he advised us not to always go with what people tell you to do if you want to be successful – applicable to facets of life outside of the fashion sphere!

 

 

 

Art

Neil and lord Winston, backstage after the sock symphony.

Neil and Lord Winston, backstage after the sock symphony.

Sonochromatic cyborg artist, Neil Harbisson, gave a unique musical performance… based on socks. Neil helped to design the prosthetic “eyeborg” device that allows him to hear colours – even those beyond the range of human sight.

He brought with him on stage several different coloured socks, which he then used to compose his “colour concert”.

“I hope you enjoy the sounds of my socks.” – Neil Harbisson

 

Check back tomorrow for #TEDMEDLiveIC Part 2.

Until then,

Alex.


FringeAlexandra Abel is a Biomedical Science and Global Health graduate from Imperial College London. She is currently studying for a Masters at the Royal College of Music.

Join her on Twitter via @alexandraabel and #TEDMEDliveIC

 

 

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Inspiration and innovation. #TEDMED 2013 comes to a close.

Jessica-Richman_8Well TEDMED has come to a close for this year, but not before another full and challenging day.

Soon, a smorgasbord of talks and highlights will be up online for all to feast on. Before that happens, though, I thought I would relay some of the stand-out concepts, ideas and innovations which caught my imagination.

Cool ideas from TEDMED 2013, Day 3.

 

Capsules in the Cloud

Chronic disease presents many challenges for patients and clinicians. The need for sustained, regular care – often at the primary care level – requires long-term investment, healthcare infrastructure and human resourcing. Crucially important, because even a small disruption in care for people living with chronic disease can result in long-term or even permanently higher levels of morbidity.

Salvatore-Iaconesi_2One of the challenges is ensuring this population remembers to take their daily medication.

Well a young group from West-Coast US have combined the cloud with the capsules! Connected the mobile to the meds… The standard pill-box has the seven days of the week, and inside each day is the medication one must not forget to take. This group have integrated a cellular-phone sim card into this very device. Genius, no?

The result – it will SMS you if you forget to take your daily pills. Even let your nurse or doctor know if you miss them regularly and arrange an appointment to discuss and resolve the problem. Send data to an app to monitor when and why you forget.

A simple idea, hugely-cost saving and importantly, health-promoting!

 

Andrew-Solomon_2Nudging At Google

During one the of panel sessions, there was a representative from Google. Talking about their (famously impressive) offices, they discussed some simple, yet effective ways they are making health easier for employees. Because after all, healthier employees mean greater happiness and productivity of their company. And no-one can question the productivity of Google!

Just Google it!

Simple nudges, or carefully crafted reminders to encourage health-preferred decision-making. Google did things like put candy into opaque jars with a lid, instead of open glass jars, lit their stair-wells and lined them with plants, decreased serving sizes in their cafes (which are free, so employees can still have seconds if they wish) and removed the clear glass from vending machines filled with less healthy foods.

Sounds simple, but they actually found that these small changes, whilst they did not remove choice for employees, did result in the Google group eating literally millions of less calories! And walking the stairs, more often than not.

A reminder of the power of a healthy nudge.

 

A brush with technology

Many figures stagger me – and they are strong incentives to reflect and think on our lives, lifestyles and legacies. For example, the figure that of all the people in history, who have lived longer than 65 years, two-thirds are alive today. For me, this represents the incredible progresses we have made in public health. Nutrition, hygiene and medical care have all resulted in enormous gains in life-expectancy and quality.

IMG_0021At TEDMED, a talk boldly stated the fact that more people now have wireless internet in the world, than own their own toothbrush. Think upon that for a moment.

More people in India have mobile phones, than toilets.

The message? We need to get better at translating these technologies and the empowerment they bring, to health. In short, technological transition is leaping forward, whilst health and infrastructure lags, slows or worse, stalls.

 

e-PIDEMICs

As an epidemiologist, or someone who studies disease at a population level, I can tell you that when it comes to epidemics – the sooner they are identified, the smaller they tend to be. The earlier we find them, the easier they are to control.

Sounds intuitive? It is.

Some great news, we have have been highly effective in reducing the time taken to detect the major epidemics of the last century. In fact, we have made enormous progress in the last 2 decades. From 170 days to recognise and report an epidemic to the global level in 1996, to just 23 days in 2009. This results in fewer people affected, smaller economic and social impacts and less deaths.

Sekou-Andrews_2How has this been achieved? Technology and the increasing connectedness of the globe. Which is somewhat ironic as it is also the processes of globalisation that have lead to greater risk from epidemics. But gains have also come from greater global governance, organised response processes and mandated resourcing.

Flu Near You is an initiative from the USA which aims to engage the lay public, connected by social media and a unique, sleek surveillance platform, to monitor and identify flu cases.

Putting the (epidemiological) power with the people!

Through their network of 41,000 US-wide, they can monitor flu-like symptoms in real time and generate data almost instantly for public health responses.

Similarly, global organisations through the partnering with social media companies, are able to look for ‘trending’ references in people’s Tweets or Facebook status updates relating to flu or other infectious diseases.

If you feel unwell, you’re likely to Tweet or Facebook about your illness. Then your neighbours or friends feel unwell and do the same. This can be monitored, in real time!

Although in its infancy, this technology represents a major breakthrough. If applied globally, it could reduce that number from 23 days to 23 hours… Or minutes!
 

Well, once again, be sure to follow the TEDMED vodcasts as they’re uploaded and also the live updates from TEDMEDlive at Imperial College London and around the world.

This was a whirlwind tour of just a few innovations – be sure to explore more.

From DC, once again, signing off.

Check out Day 1 & 2 highlights and join me on Twitter via @sandrodemaio for live updates.
 
 

Dr Alessandro Demaio is a medical doctor, originally from Melbourne, Australia, with a Masters in Public Health. In 2010, Sandro began a PhD in Global Health with the University of Copenhagen, focusing on Non-Communicable Diseases (NCDs). His primary research project is based in Mongolia. As a Director for NCD Action, in 2013 Alessandro is a fellow at the Copenhagen School of Global Health and Harvard Medical School.

 

The Conversation

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Day 2 @ TEDMED 2013, Washington D.C. #LiveUpdate.

Deborah-Estrin_5There is a lot of discussion about data here at TEDMED 2013, and this is no great surprise. Big data, small data, open data, crowdsourced data – this is the information backbone of science and the key to breakthroughs and innovation.

Assuming the data is put in the right hands.

Two interesting reflections emerged from the Day 2 sessions regarding data though… And I promise not to make this too nerdy or jargonistic.

 

Open Data & Open Access

The first, was around open data and open access science. Exploring notions of science, money and the free flow of information. The term ‘open’ describes the unrestricted, uncontrolled provision of data or science to anyone, anywhere, anytime. Free from financial barriers.

Traditionally, when data is collected by scientists, it is kept closed, secret and locked away. The raw information is reserved only for those who collected it to analyse and report – a process which can take years. Think about a cancer registry, or a block of data describing cancer trends and occurrence in a population. If this data is closed and accessible only to a select group of people, only a select group of questions will be asked and therefore answered. But imagine if the data (de-identified) was available to anyone to analyse, test and make breakthroughs on. No barriers to innovation – encouraging competition & transparent science.

Similarly, open access is about unrestricted sharing of scientific outcomes and findings.

“Open access to knowledge for students, doctors and citizens cannot be separated by economics, access to science is good for science, business and society” argued TEDMED presenter Deborah Estrin. “The current system is outdated – a subscription or user-pays system is inequitable, ineffective and regressive.” She outlined that open access frontliners PLOS have “shown that open access illuminates artificial constraints on publication and leads to greater science for all.”

Profit is not a dirty word, but we must keep in mind that science is about accumulating knowledge for innovation and universal benefit. The greater the access, the greater the innovation and benefit.

Jay-Walker_2Surprisingly, open data and open access to published data is controversial still to some. To me, it seems not only logical – but also just. Science should be accessible to all, not just those who can pay…

I have written about this before, but will echo Estrin. A day when the only limits on scientific publication and access are the boundaries of our minds, will be a wonderful day indeed.

 

Small Data

There has also been a lot of discussion about BIG data in recent years. Big data describes data sets that are so immense and complex, that they require technological and scientific innovation to unlock the nuggets of science contained…

Small data, is also a fascinating concept. What is small data?

Many of us donate. Money, blood, time or our voice. Imagine if we could donate our data.

Knowledge donation like blood donation. Blood is precious, we give it for the greater good and entrust it with leading organisations and NGOs in our community. Place it with a bloodbank. It is used to maximum benefit for all, regulated and protected. Society bands and donates in mass when it is needed and the blood donation is anonymous.

Could we do the same with health data?

Information donation to a databank. Controlled by us, donated by us for the greater good. Full control with, transparency and feedback for the donor. It could be our height and weight, our age, our ECG or our blood results. But it could also be more. How we feel, what we worry about, how treatments or diagnoses affect us.

JH37856All of this could be donated to science and health. To help others, or to help ourselves. We could support specific causes, say cancer or men’s health, or specific research studies for a once-off donation. We could even donate the information direct from our smart-phones, or via a secure link from our local GP.

A carefully constructed, transparent approach to health datasets combined with some simple, secure, innovative technology – and patients as the starting point.

Where n = me, but combined our collective data furthers and catalyses a range of science domains.

Some food for thought and more to come. From DC again, signing off for now.

Check out Day 1 highlights and join me on Twitter via @sandrodemaio for live updates.

 

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Dr Alessandro Demaio is a medical doctor, originally from Melbourne, Australia, with a Masters in Public Health. In 2010, Sandro began a PhD in Global Health with the University of Copenhagen, focusing on Non-Communicable Diseases (NCDs). His primary research project is based in Mongolia. As a Director for NCD Action, in 2013 Alessandro is a fellow at the Copenhagen School of Global Health and Harvard Medical School.

The Conversation

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Day 1 @ TEDMED 2013, Washington D.C.

Well TEDMED is off and running and what a sensational start! More than a thousand innovators and thinkers from the health space worldwide have descended on the JFK Centre in Washington DC to make incredible things happen.

Building bridges across thinking disciplines, the coming 3 days are sure to be nothing less than incredible – judging on the first few hours.

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TEDMED is a multi-disciplinary community of innovators and leaders who share a common determination to create a better future in health and medicine. Their stage program allows us (the TEDMED community) to recharge our brains, jumpstart new thinking, energize our work… and alter how we imagine new possibilities – forever.

After registration and introductions, Curator Jay Walker took to the stage to open the conference. Calling for radical innovation to solve the biggest global challenges in health, he reminded us all that the most powerful and exciting innovations often come from unexpected connections.

I won’t outline everything from the opening session, because everything from TEDMED will be available online soon – or live via TEDMEDlive.

But here are some bite-sized portions to wet your TEDMED appetites!

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John Maeda – President of the Rhode Island School of Design.

Do we need more design in health and public health? YES!

John called for greater design and design theory as well as flexible design and innovation for health. He argued that healthcare and public health needs better design, better communication and better branding… That we need to be better at selling, packaging and promoting health as a desirable commodity. A welcome call I thought! Not only as selling health to a global community has never been more crucial… But also because we need to be smarter at tackling the industries who profit from obesity or ill-health front on.

Combat the pernicious, purposeful and powerful branding of illness with even more effective health messaging.

Danny Hillis – American inventor, scientist, engineer, entrepreneur, and author.

Pre-emption, not prevention was the key… Moving away from preventative, to pre-emptive health. Looking at the individual patient and using technology to tackle disease through identifying and “tweaking” the biological pathways away from a road to disease.

Controversial, complex but captivating.

America Bracho – Executive Director of Latino Health Access, health advocate and force of nature!

An energetic woman bringing meaningful, inspired and inspiring change to her community, America reminded us not to disregard “the other group of experts – the mothers who must deal with a lack of food or the people living with disease… Rather than just the technocrats making decisions about the disease from behind a desk”. She flagged many crucial concepts and called for action on social determinants, after all, “diabetes is the destiny of the poor, due to a lack of opportunities”.

Finally, when asked the essential element for inspiring meaningful change in communities, Ms Bracho answered “a passion for social justice, is the essential element to health change and changers”.

An emotive and inspiring talk.

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Jay Walker – TEDMED Curator and Chairman.

Finally, back to Jay Walker, who left us with some food for thought and something to chew on for the walk home.

“All facts have a half-life and science is changing the way we understand. We know that our world view is wrong, we just don’t know how wrong”.

What does this mean?

He called for continued reflection and innovation for health.

To cap off, Jay left us with some final advice for the week… In aiming to create 10,000 new and unexpected connections among the TEDMED participants, he urged us all to drop the jargon, talk about and share challenges and failures, and ask LOTS of questions.

Sensational advice not just for us this week, but for us all. Always.

That’s it for now… And this is just the first 2 hours!!! More imagination, innovation and inspiration to come…

Signing off from DC.


Check out TEDMEDlive or join me on Twitter via @sandrodemaio for live updates.

The Conversation

 

Dr Alessandro Demaio is a medical doctor, originally from Melbourne, Australia, with a Masters in Public Health. In 2010, Sandro began a PhD in Global Health with the University of Copenhagen, focusing on Non-Communicable Diseases (NCDs). His primary research project is based in Mongolia. As a Director for NCD Action, in 2013 Alessandro is a fellow at the Copenhagen School of Global Health and Harvard Medical School.

Category: Sandro, TEDMED | 16 Comments

You stand poised at the beginning of an extra ordinary journey. TEDMED 2013.

A warm welcome from TEDMED Curator and Chairman, Jay Walker…

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For the next three and a half days at our home in the John F. Kennedy Center for the Performing Arts, you and your fellow TEDMED Delegates will explore the adventure that is health and medicine. You will hear inspiring stories and learn about infinite new possibilities. Above all, you will experience unexpected connections that can lead to new insights and exciting innovations.

TEDMED is about connections between people. TEDMED brings together doctors, nurses, scientists, researchers, technologists, business leaders, policymakers, rescue workers, educators, armed service personnel, artists, media and athletes all eager to share, learn, listen and grow. The result? A series of creative collisions that spark imaginative new thinking.

TEDMED is about connections between ideas. This year’s stage program offers mind- expanding themes and topics, beginning with “A Broader Lens” that includes the first ever attempt to map the human brain. Our speakers will make the leap “From Data to Wisdom” with fresh connections between personal and social uses of medical data. Along the way, we’ll find surprising ways to connect ability and disability, science and art, and even life and death.

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TEDMED is about connections that inspire innovation. New this year, TEDMED (in association with the StartUp Health Network) proudly presents “The Hive.” Fifty transformative new companies and the passionate entrepreneurs leading them — along with TEDMED’s major partners — will inspire all of us to imagine and realize a better future in health and medicine. Incubators and accelerators, government-run challenges, academic- led programs and independent startups will represent exciting transformations across the innovation landscape of health and medicine. Together with our multidisciplinary community, we’ll form new connections between today’s innovators and the future leaders of tomorrow.

TEDMED is about global connections. Once again TEDMED Live brings a simulcast of our entire stage program to some 2,000 U.S. medical schools, teaching hospitals, non-profits, VA clinics and health-focused government agencies. New this year, TEDMED Live is expanding to the same kinds of institutions worldwide, making it possible for offsite Delegates to engage the power of the TEDMED community in their own cities, states and nations.

TEDMED is about connecting you to your best self. You will have the chance to interact with fellow leaders and innovators from across society. TEDMED Delegates are people with different experiences but with a common goal — to contribute to a better future in health and medicine. Spending time sharing struggles and accomplishments alike with people outside your norm will inspire new possibilities in your own world and prepare you for your best work. Prepare to be informed, inspired, engaged and energized as we embark together on this transforming experience. We are glad that you are a part of it.

 

200px-Jay_WalkerJay Walker is Curator and Chairman of TEDMED 2013. One of America’s best-known business inventors and entrepreneurs, Jay Walker has founded multiple successful startup companies that today serve more than 75 million customers; he holds more than 200 U.S. patents. He is Chairman of Walker Digital, a privately held R&D lab founded in 1994 and based in Stamford, Connecticut. The company specializes in creating innovative applications that work with large-scale digital networks such as the Internet. Jay is best known as the founder of Priceline.com, the “name your own price” service that has brought a new level of value to the travel industry.

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T-Minus four days to TEDMED.

Less than a 7 days to go, next week is TEDMED 2013. The conference and convening synonymous with innovation, inspiration and illumination (light-bulb moments), it’s promising to be a packed program of sensational speakers.

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Growing up in Australia, where I completed med school and worked as a doctor, TEDMED was a pipe-dream and always seemed like a world away. A distant hub of activity and a meeting of the world’s brightest in health thinking and innovation. I would podcast, vodcast and stream as much TEDMED as my download-allowance would allow, developing an insatiable hunger for the outward, onward and upward thinking of the TEDMED narrators.

imgresWell, in 2013, it is no longer a dream. I am delighted to be attending next week – the doc from down-under – to Washington DC as a TEDMED Frontline Scholar.

Best of all, you’ll be attending with me!

Blogging live from the event all week, I will be writing a blog a day, sometimes more. Short, sharp ideas direct from the stage to you, via the PLOS Blogs Network.

Some of the sensational speakers, which need no introduction, include Harvey Fineberg, Ben Lillie, America Bracho, Francis S Collins, Christopher Murray and Richard Payne… Beacons of health-innovation for the global community, they are set to take the stage and share their ideas, ideologies and breakthroughs with their peers worldwide.

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In addition to Translational Global Health, TEDMEDlive will be streaming live and delay-cast to many locations around the globe… An opportunity to join the buzz from afar, I would encourage you to find a local satellite seat and settle in for the ride.

So stay tuned and switch on – it’s [almost] TEDMED time!

 

 

 

Dr Alessandro Demaio is a medical doctor, originally from Melbourne, Australia, with a Masters in Public Health. In 2010, Sandro began a PhD in Global Health with the University of Copenhagen, focusing on Non-Communicable Diseases (NCDs). His primary research project is based in Mongolia. As a Director for NCD Action, in 2013 Alessandro is a fellow at the Copenhagen School of Global Health and Harvard Medical School.

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Shining a light on developing world’s biggest killer: non-communicable diseases

NCDFREE_signatureThis week, we hand the blog over to guest-writer Sunanda Creagh of The Conversation who is introducing you to an initiative co-founded by TGH blogger Dr Alessandro Demaio. Launched this week!

 

They are most often associated with Western excess but diabetes, heart disease, cancers and chronic lung diseases are the leading cause of preventable death in the developing world.

To shed some light on non-communicable diseases (NCDs), a pair of Australian brothers have teamed up with The Young Professionals Chronic Disease Network, Harvard University, the University of Melbourne, Melbourne based brand communications agency Local Peoples and medical conference organisers TedMed to develop a series of short films and symposiums highlighting the work of doctors, survivors and change-makers tackling the problem in developing countries.

Their campaign, titled NCDFREE, highlights the fact that NCDs are the leading cause of death globally and 80% of its victims live in the world’s poorest countries, where health infrastructure is overwhelmed and information on how to prevent NCDs may be limited.

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Dr. Alessandro Demaio, an expert in NCDs based at the University of Copenhagen, and his brother Giuseppe, founder of brand communications firm Local Peoples, hatched their campaign plan over breakfast one day.

“People see NCDs as a disease of the rich, or the fat and lazy. Most people are unaware of the gross inequity associated with these diseases and how they are caused by, and entrench, poverty. We need to create a new narrative on this group of diseases,” said Alessandro, who is also a Global Health Fellow at Harvard Medical School.

To give NCDs a more global face, the pair plan a series of short films profiling “doctors, dietitians, teachers — those making a difference for NCDs through innovative, inspiring thinking,” Alessandro said.

The films will be followed by two symposiums this year: one at Harvard in September and another in Melbourne in October at the Festival of Ideas.

The brothers have launched an Indiegogo campaign to raise funds so the people profiled in their films can attend the symposiums and learn from each others’ work.

The first of a series of short films has already been produced to introduce the campaign.

“We need to communicate what NCDs are, and why they matter to a global audience of young people – the generation who must solve this issue. But not via shocking, frightening and depressing statistics — via uplifting, inspiring change-makers from the ‘frontline’ in developing nations,” said Alessandro.

Alessandro said NCDs kill 36 million people every year and cause 65% of female deaths. Half of the victims of NCDs are under 70 and up to 80% of these deaths are preventable.

ncd3NCDFREE aims to use film to take “the words and the work of inspiring community-level, young change-makers from developing nations, to the desks, living rooms, board rooms and political chambers of the world,” Alessandro said.

Giuseppe said he hoped the films would inspire people in both developed and developing nations to support the work already underway in the fight against NCDs.

“It’s about putting a face to the issue,” he said. “As soon as you understand who is part of the story, it becomes easier for people to get engaged and get motivated.”

“It has to be really genuine. It has to be about celebrating the work these guys are doing in their local communities, showing some of their success stories or an insight into their lives, challenges and successes.”

Kenya case study

Duncan M. Matheka, a Kenya-based doctor who is among the people to be profiled in the short films, said he decided to participate in the NCDFREE project to increase awareness of the problem in his community and internationally.

“NCDs need a multi-sectoral approach to combat them, and the NCDFREE project does that in its own unique way. NCDs are also easily preventable,” he said.

“I will also be able to encourage other young people all over the world to take action in their local settings.”

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Dr Matheka said both infectious diseases and NCDs were on the rise in Kenya, putting a double burden on an already under resourced health system.

“NCDs thus contribute to a very high morbidity and mortality in Kenya – just as in other developing countries. There are some myths around NCDs in Kenya. For instance, some people still associate NCDs with the rich. Yet, the reality is that the poor are among the hard hit by NCDs,” he said.

A lack of access to proper health services, to healthy foods and overcrowding increased the risk of developing a non-communicable disease, Dr Matheka said.

“Kenya allocates less than 6% of its budget on health – instead of the recommended 15%. Much of the cost is on treatment rather than prevention. Kenya also lacks a proper national health
insurance plan; as such, most of the affected patients are not able to access medical services for [many] reasons, including inability to travel to health care facilities or to afford medical fees.”

Dr Matheka said many Kenyans with NCDs do not seek help until they are very unwell.

“However, there is hope – with the NCDFREE project and other programs, a lot will be achieved globally.”

 

To support NCDFREE in their aim address diabetes, heart disease, cancer and lung diseases, visit the Indiegogo fundraiser page.

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This article was originally published at The Conversationoriginal article.

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Is the ‘glass half-empty’ drowning our efforts in Global Health?

In the 18 months since the 2011 UN High Level Meeting (HLM) on Non-Communicable Diseases (NCDs), increasing discussion has surrounded this vast and growing epidemiological burden. Diabetes, heart diseases, cancers and lung diseases, fuelled by the obesity epidemic and alcohol and tobacco consumption (among others), are now the leading cause of death worldwide. A burden expected to double by 2030.

Yet despite increasing discussion and advocacy, progress has been slow and many now fear that progress will stall. One key reason for this is the perceived overwhelming nature of the NCD burden. The current narrative that sees NCDs framed as an impossible epidemic, a coming tsunami of disease or an economic and social threat.

It’s time to flip this around. Time to see the glass half-full and focus on the opportunities – not the doom and gloom.

A unifying burden shared across the globe, the epidemic of NCDs presents humanity with profound and positive opportunities for the coming century. If we choose to rise and meet the challenge.

A platform for social, economic and environmental policy reform, the mitigation of NCDs must be framed in the positive light that they present… Seen as a chance to improve our cities, our lives and our health; rather than an impending global health Armageddon.

An Opportunity for Healthier and Longer Lives

NCDs by virtue of being generally chronic, debilitating diseases, are associated with a high burden of morbidity and suffering. The good news though, is that 80% of heart disease and diabetes and around one-third of all cancers are preventable – with the measures available to societies today.

As Ban Ki-moon says, this is a political problem, not a technical one!

Averting NCDs could add up to five years to the lifespan of current young generations as well as increase the quality of life for many more. As diabetes and cardiovascular disease are now increasingly affecting younger populations, intelligent mitigation investment early presents a profound opportunity and moral obligation to promote healthier but also longer lives for future generations.

Let’s focus on the opportunity for longer lives, not the growing burden.

Towards Stronger Economies

In the midst of a major financial shakeup, now more than ever governments must look to wise, cost-effective economic and social investments. NCDs are expected to cost the global community US$46 trillion in the coming two decades alone. So mitigating this group of diseases through known, cost-effective solutions often requiring modest initial financial contribution, is an opportunity the World Economic Forum urges us not to miss.

In addition though, at the micro level, preventing and mitigating diabetes for example, can be the difference between poverty and financial security for many millions in the world’s poorest communities. With treatment for diabetes, in today’s terms, costing up to 75% of an average income in some developing nations, the links between economic development, equity and NCD prevention become clear.

Finally, longer and healthier lives mean more productive work-forces – reaping communities and nations greater financial capacity from existing and future working populations.

Let’s stress the possibilities for economic and social development through modest but targeted, early investment in NCD prevention! 

Creating Better Cities

During 2012, for the first time in history, more than half the world’s population lived in cities. Yet increasingly, these urban environments are polluted and obesogenic.

Reducing NCDs through a re-think in urban planning, food, waste, water and transport policies provide unprecedented opportunities. Not only for this group of diseases, but for happier, generally-healthier cities and societies.

Safe green spaces, pollution-reduction strategies, bike lanes and side-walks, affordable and effective public transport: just a few examples of strategies to address this leading cause of death.

As a global community and local citizens, let’s use the epidemic of chronic disease as a rationale for redesigning the existing passive, car-centric urban blueprint into something more enjoyable, creative and health-promoting.

Achieving More Sustainable Living

Finally, it cannot be ignored that Climate Change and NCDs share both key determinants, but also mitigation strategies. The modern obesogenic lifestyle of highly processed foods and mechanised transport all work to drive Climate Change and simultaneously fuel the global burden of NCDs. Linking these two and the shared opportunities for mutual benefits from mitigation, is a powerful and often overlooked notion.

Profound opportunities exist for common progress on these two key global challenges.. Let’s focus on and invest in solutions which work to mitigate both!

Glass Half Full?

The global community cannot afford to move slowly or deliberate further on the merits of addressing NCDs.

If current, negative-focused rhetoric continues, the risk of following other global challenges to an outcome of perceived-futility and political stagnation may indeed become real.

Instead, the focus for discussion must be on the immense and positive opportunities this epidemic presents us as a global humanity, should we choose to rise to the challenge. Opportunities for greater public health, economic prosperity, social equity and environmental sustainability.

Framing action as an opportunity, rather than our last chance, is not only more socially inspiring, but also a more politically engaging concept.

Cheers to that!

 

Dr Alessandro Demaio is a medical doctor, originally from Melbourne, Australia, with a Masters in Public Health. In 2010, Sandro began a PhD in Global Health with the University of Copenhagen, focusing on Non-Communicable Diseases (NCDs). His primary research project is based in Mongolia. As a Director for NCD Action, in 2013 Alessandro will be a fellow at the Copenhagen School of Global Health and Harvard Medical School.

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