Health

The appalling truth about London’s ambulance service

‘An old lady’s fallen down – quick! She’s bleeding. Come help.’ An elderly woman lay on the entrance steps of the block of mansion flats, food from a Tesco bag spilled around her, blood spreading on the stone. It was clear she’d tripped and banged her forehead, opening a large gash over her right eye. The courier had already tried to call an ambulance, but been put on hold. He had to continue his delivery run, so he’d begun ringing doorbells to summon assistance. The lady was groggy but awake. I asked her name – Daphne. I helped her sit up, slowly, and propped her against the doorway’s cold brickwork.

Is Wes Streeting the Hamlet of the health service?

Is Wes Streeting the Hamlet of the Health Service? Is this undoubtedly talented and thoughtful young Labour prince fatally irresolute when it comes to doing what he knows must be done? Few politicians have articulated so clearly the need for reform of our healthcare system. Streeting’s insistence that the NHS should be a service not a shrine angered all the right people, which is to say the BMA. It marked a welcome departure from the treacly displays of affection which have hitherto characterised ‘debate’ about the health service. More recently, the Health Secretary has frankly admitted that the NHS is letting patients down and acknowledged its manifold inefficiencies. The need

With Tim Spector

27 min listen

Tim Spector is a leading professor of genetic epidemiology at King’s College London and a renowned expert in nutrition, gut health, and the microbiome. He is the founder of the Zoe Project, which focuses on personalised nutrition and how individual responses to food impact health. His new book, The Food for Life Cookbook, is out now. On the podcast, he tells Lara about his time growing up in Australia, how a skiing accident changed his view on nutrition, and why ham-flavoured crisps are his guilty pleasure. Produced by Oscar Edmondson and Joe Bedell-Brill. Click here for tickets to our Americano live event, with Nigel Farage.

What rats can teach us about the dangers of overcrowding

The peculiar career of John Bumpass Calhoun (1917-95), the psychologist, philosopher, economist, mathematician and sociologist who was nominated for the Nobel Peace Prize and was the subject of a glowing article in Good Housekeeping, comes accompanied with more than its fair share of red flags. He studied how rodents adapted to different environments and specifically how the density of a population affects an individual’s behaviour. He collected reams of data but published little, and rarely in the mainstream scientific journals. He courted publicity, inviting journalists to draw from his studies of rats and mice apocalyptic conclusions about the future of urban humanity. Charged with reducing the rat population of Baltimore,

Whatever happened to Lionel Shriver?

For many readers, my absence from these pages may have gone unnoticed. Those few who’ve detected my disappearance might have idly concocted theories: maybe Shriver crossed a line in her opposition to uncontrolled illegal immigration such that she finally got the sack. The explanation is more quotidian. Six years ago, I was diagnosed with the unwieldy sounding spondylolisthesis: a vertebra in my lower spine had moved out of alignment, squeezing the nerves to my right hip and leg. I’d been managing, but the situation was degenerative. By this summer, I could barely complete a 15-minute walk, and – the limit – I could not play tennis. Already in NYC, International

The adult ADHD trap

I was on the bus recently and bored when I decided not to ignore but to answer one of those online questionnaires about adult ADHD. It was on Facebook, I think. Question 1) Am I easily distracted? Well, yes. 2) Am I often late? 3) Do I regularly forget appointments? Yes and yes. By the time I had arrived at work I had signed up to something called Impulse brain training. And in a few days I was quite sure that I’d been bravely suffering with undiagnosed ADHD for decades. I was half-caught in the adult ADHD trap, though I didn’t know it yet. Are you always late? Do you

How much do we spend on workwear?

The first nimby Who coined the term ‘nimby’?  — The expression, from ‘Not In My Backyard’, entered the political sphere in Britain in 1989 when it was used by the then environment secretary Nicholas Ridley to describe people who were in favour of house-building in general, just not near where they lived. He was later ridiculed when it emerged that he had objected to a development next door to his own Gloucestershire home.  — But the term originated around a decade earlier in the United States, when it was applied to people who were opposed to the dumping of nuclear waste near their homes. The first mention has been traced

The anxiety-inducing world of wellness tech

I first came across the Zoe programme when a bright yellow package arrived on my parents’ doorstep last year. My mother, like many, had been wooed by the TV personality Davina McCall into ‘living her best life’ by ordering a Zoe gut-health testing kit (at an upfront cost of £299, or £599 for the Plus plan).  Zoe is the invention of Tim Spector, the professor-turned-health guru who ran the Covid symptom-tracker app throughout the pandemic. It’s a personalised nutrition programme that promises to make you ‘feel’ healthier and improve your gut health, energy levels and even flatulence. With their branded glucose monitors, my mother and her friends have become walking

How would we handle an avian flu pandemic?

Concerns have been raised in recent months after an outbreak of avian flu caused by the virus H5N1 was detected in cattle in the US. To date, 139 affected herds have been identified, and four dairy workers have contracted the virus. The UK Health Security Agency, which previously believed there to be minimal risk of the virus evolving into a form which could spread among humans, now believes there is up to a one-in-three chance of it doing so. A factory in Liverpool has been busy manufacturing stockpiles of a ‘pre-pandemic’ vaccine which will be given to farm workers and others in occupations that bring them into close contact with

Could a 100-bottle limit help me cut down on drinking?

My New Year’s resolution is to cut down on my drinking. I’m not talking about bringing it within the NHS’s recommended limit, obviously. I’ve never met anyone who confines their alcohol intake to 14 units a week, which amounts to a bottle and a half of wine, ideally spread over many days. I’m thinking of something more in the region of two bottles a week. Why not simply stop altogether? Partly because I’ve tried that before and don’t have the willpower. The longest stretch I’ve gone without a drink was in the two years leading up to my marriage in 2001, because I didn’t think Caroline would go through with

In search of a second epiphany

When I go home to America next week for Christmas, I’ll go to church – the one my family and I used to attend every Sunday, a few towns over. I visit intermittently throughout the year when I’m back home, but I always go on Christmas Eve. The routine is the same: I sit quietly in the pews, sing along to the carols, and hope to have a second epiphany.   I had my first epiphany – that God exists – when I was a child. This, I’m sure, is the result of having two religious parents who raised me in the church. When I tell my British friends that I

Rishi’s smoking ban inspired me to light a cigarette

What has Rishi Sunak’s government achieved in its first year? The highlights include a renegotiated Brexit policy and setting more practical net-zero deadlines. But Sunak asked the country to judge him on his ability to deliver his pledges set out at the start of the year. If polls are to be believed, voters are preparing to do just that. Inflation is falling, but that’s largely due to interest rate hikes announced by the Bank of England. The economy is growing, but barely. The NHS waiting list keeps rising – 7.6 million now in England alone. On this last point, no doubt the six-figure salaried consultants who keep striking deserve part

I’ve turned 60 – but all is not lost

By the time you read this I’ll be 60, having passed that milestone on Tuesday. My older friends tell me that turning 60 is like having to give a speech in public – the anticipation is worse than the reality. Once it’s in your rear-view mirror, you quickly forget about it and instead start looking ahead and thinking about the national speed limit. But as I write it’s looming like the horror of the shade, to quote William Ernest Henley. I’m loath to bellyache about this because I can imagine being incredibly irritated when, in 20 years’ time, I read a column by some young whippersnapper complaining about turning 60.

How do I know I’m an adult? I’m given unsolicited feedback

Adulthood was once determined by age, but now we’ve extended childhood far beyond the teenage years. If the government gets its way, the next generation will never grow up: there are reportedly plans to ban cigarette sales to anyone born after 2009. This would mean that, come 2060, 50-year-olds could be begging their elders to pop into the local corner shop to buy them a pack of 20. We need a new metric of adulthood, and I have a proposal. The real mark is not an age or any particular milestone, it’s really when you receive your first piece of unsolicited feedback. It’s a grim but unavoidable rite of passage: having personal

Could I be pregnant?

At the age of 59 I thought it was time to get my body thoroughly examined. So last week I trotted off to a health clinic in west London. Not surprisingly, I got a mixed report. Mostly As and Bs, a couple of Ds, and several must-try-harders. The health check consisted of an hour with a man in green hospital scrubs, who I think was a nurse, followed by an hour with a female doctor. It was all trundling along nicely – my weight and BMI were both within the ‘healthy’ range – when something unexpected happened. After attaching electrodes to my body for the purposes of carrying out an

How many Britons smoke?

Puffed up Just 12.9% of Britons smoke cigarettes, figures out this week showed – the lowest on record. How does the UK compare? – The highest smoking rate is in Nauru (48.5%), the lowest is in Ghana (3.5%). – 24.5% of people in France are daily smokers compared with 11.5% in the US. – In Germany, the overall smoking rate is 34%, an increase from 26.5% in March 2020. For young Germans aged between 14 and 17, this has almost doubled between 2021 and last year, from 8.7% to 15.9%. – Maybe it’s the price of a pack. The average cost of 20 cigarettes in the UK hit £14.47 after

How to train like Taki

Gstaad Here’s a tip for you young whippersnappers: don’t get old, but if you do, you can fool Father Time by training the smart way. By this I don’t mean you should follow all that bull that floats around online. I don’t use social media, but I’m told that a system exists, which reaches millions across multiple platforms, that spreads misinformation about health, and then some. The wellness industry means big moolah, and is as phoney as Hollywood morality. Take it from Taki: all you need in order to feel good and be able to enjoy yourself is a little exercise before breakfast, and some semi-hard training in the afternoon.

Why won’t my British friends see a GP?

Having lived in the United Kingdom for almost my whole adult life, I like to think I’m well assimilated. I stopped trying to make pleasantries with strangers a long time ago. I skip dinner to stand outside the pub in the dark. Apart from my accent (though Americans tell me that’s changed, too) I think I can just about pass as British. But never for long. At some point, someone starts talking about a health worry or new ailment, and I tell them to see the doctor. Suddenly, the jig is up, and I’m an outsider again. I’m now very familiar with the British aversion to seeking medical care. Still,

The rise of vampirism in Silicon Valley

The Immortals, which begins on Radio 4 this week, is not for the faint-hearted. While it professes to be about the human quest for longevity and the elusive ‘cure’ for getting older, it focuses largely upon the transferral of blood plasma from healthy young people to reluctantly ageing people, or, as anyone with good sense might put it, the desperate descent from vanity to vampirism. I was on the verge of switching over to something more anodyne when a 46-year-old tech entrepreneur began talking about being injected with plasma from his 17-year-old son. Bryan Johnson, who sold his company to PayPal for $800 million in 2013, does not even sound

The best alternatives to Diet Coke

British media wouldn’t be British media without endless stories of possible health risks in food and drink. The news cycle turns and we land on whether butter is good or bad, or whether having a glass of red wine in the evening is toxic or therapeutic. Another long-running, oft-studied and frequently-discussed topic of debate is aspartame, the artificial sweetener found in the likes of Diet Coke and Coke Zero. The latter is a favourite drink of mine.  Aspartame has suffered its fair share of derision in the past, but it is now being officially declared a ‘possible’ cancer risk by the International Agency for Research on Cancer, a World Health