Supreme Court decision to uphold Obamacare undermines US Citizenship test

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One of my favorite parts of being online abroad is the constant reminder of how lucky I am to have been born in the United States. My browser is subjected to a steady barrage of advertisements targeting individuals who would be happy to take my place:

But I also know that my citizenship is simply an accident of my birth. So when I noticed a US Citizenship test on the Christian Science Monitor website, I thought it would be fun to give it a spin. If I could pass a citizenship test, then I’d know I could have been an American no matter where I was born [Quiet, you. This constitutes unassailable logic.]:

The introduction reads:

Applicants must get 6 answers out of 10 in an oral exam to pass the test. According to US Citizenship and Immigration services, 92 percent of applicants pass this test.

You must get 58 or more of these test questions correct in order to pass.

I expected to cruise through, but ran into some trouble on question 35:

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Maybe the Iranian Vice President was onto something with his ‘anti-Semitic’ speech

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On Tuesday, Iranian Vice President Mohammad-Reza Rahimi delivered a speech to an international antidrug conference in Tehran. According to a report that appeared in The New York Times, the speech was anti-Semitic:

The “Zionists” are in firm control of the illegal drug trade, Mr. Rahimi said, asking foreign dignitaries to research his claims. “Zionists” is Iran’s ideological term for Jews who support the state of Israel.

“The Islamic Republic of Iran will pay for anybody who can research and find one single Zionist who is an addict,” Mr. Rahmini said. “They do not exist. This is the proof of their involvement in drugs trade.”

Iran’s Vice President Makes Anti-Semitic Speech at Forum, The New York Times

After reading the article for the first time, I was inclined to agree with its assessment. My biggest concern was that someone would beat me to the bounty.

But upon further review, I’m not so sure the Times got it right. Check out this headline:

If you don’t like reading quotes, let me summarize: weed pacified a pair of teenage mutant Nazi turtles (who belonged to a band named ‘Prussian Blue’*).

What better proof could there be that Zionists control the drug trade and use it to further their agenda? It does not exist. I will pay for anybody who can research and find one single better example.

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Changing your email address on Facebook isn’t going to help: why you’re screwed anyway

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As you have no doubt heard, Facebook abruptly reset every user’s displayed email address to [something]@facebook.com. In theory, every user’s address was reset to a unique Facebook ID # or, according to the Washington Post:

For those who have established a vanity URL for their Facebook pages, that means the e-mail address mirrors their Web domain name. (For example, someone whose Facebook page had the address facebook.com/jane.doe would be assigned the e-mail address jane.doe@facebook.com).

Some people are understandably concerned about the ease with which Facebook users can now be spammed:

You know that, oh, about 900 million people use Facebook — and almost all use their real names. So, you know that if you put a real name (minus the space) in front of @facebook.com, most likely those users will get that email.

Now, do those users have email rules? No. Do those users have junk filters? No. Do those users have any defense at all, even the ability to turn off getting email. No. No. No. No.

Thanks, Facebook. You just [expletive deleted] us up the [expletive deleted]. [Expletive deleted] you!

Now let’s see just how deep the rabbit-hole goes.

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Putting lipstick on a pig flu

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On Friday, I wrote about the threat to human health posed by the emergence of antibiotic-resistant gonorrhea. In the process of writing that post, I learned – if nothing else – the correct spelling of ‘gonorrhea’.

Bring it, Snigdha Nandipati.

Then, yesterday, medical journal The Lancet published the first scientific estimate of the number of deaths attributable to the outbreak of swine flu in 2009. Turns out, the virus was much more deadly than originally thought:

Beginning in 2009, the virus swept the globe, and the WHO counted 18,500 swine flu deaths that had been confirmed by laboratory tests. But according to new estimates from researchers at the U.S. Centers for Disease Control and Prevention, the virus probably killed between 105,700 and 400,000 people around the world in its first year alone, and an additional 46,000 to 179,000 people likely died of cardiovascular complications from the virus.

H1N1 Swine Flu May Have Killed 15 Times More Than First Said, ABC News

So I thought now might be an opportune time to repost an article I wrote in 2009 for The Summer Pennsylvanian, as relevant today as it was the day it was originally posted [6/4/2009]. Also, since it was in The Summer Pennsylvanian, I imagine nobody actually read it the first time. Please excuse the somewhat out-of-left-field conclusion to the article – I was encouraged to relate my topic in some way to on-campus developments:

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Hands*-down, the worst feature on Facebook

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Today, as you may have surmised from the title of this post, I discovered the worst feature on Facebook.

Obviously, there was no shortage of candidates: automatic email adjustmentsBeacon, Facebook Birthdays, Fake Facebook Birthdays, pokes, spam, and Sponsored Stories - to name the few that come most quickly to mind in alphabetical order.

No, this one is worse than all of those. Behold, Poke Suggestions:

No, I will not get roped into your poking war, JEW.

Yes, Poke Suggestions.

In case you didn’t know that you have friends – and that you can poke them – Facebook helpfully provides a list of five friends at a time you maybe should be interested in poking. I refreshed a few times to get a sense of who Facebook thinks I should poke, and learned that Mark Zuckerberg was simply trying to communicate the helpful advice that the people I should be poking is girls.

Oh.

To be fair, I do often find myself surprised to discover that poking still exists. That said, I think it’s safe to assume that anyone who successfully navigated to the ‘Pokes’ page would not be caught similarly unawares.

Finally, apologies if this is old news. I don’t usually spend time in the Pokes section.

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Barack My Timeline!: A review in brief

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At Barack My Timeline!, supporters of the President can download prefab cover photos to let everyone know who they plan to support in November.

Some of the photos are adorable:

Some offer potential for creativity:

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Gonorrhea: It’s what’s for dinner

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When people discover I don’t eat meat, the follow-up question is standard: ‘Why?’

One of the most common guesses is health, for the typical litany of meat-related health risks: cholesterol, heart disease, obesity, and the like. I imagine my interrogators aren’t thinking of gonorrhea – but that answer might be considerably closer to the truth.

Earlier this month, the World Health Organization came out with a report that gonorrhea is gaining resistance to common antibiotics and may soon become untreatable. According to the AP:

“This organism has basically been developing resistance against every medication we’ve thrown at it,” said Dr. Manjula Lusti-Narasimhan, a scientist in the [WHO]’s department of sexually transmitted diseases. This includes a group of antibiotics called cephalosporins currently considered the last line of treatment.

Once considered a scourge of sailors and soldiers, gonorrhea – known colloquially as the clap – became easily treatable with the discovery of penicillin. Now, it is the second most common sexually transmitted infection after chlamydia. The global health body estimates that gonorrhea is responsible for some 106 million infections annually.

Gonorrhea is hardly the first infectious disease to acquire antibiotic resistance. The mechanism – natural selection – is relatively straightforward: the bacteria that survive antibiotic treatment due to resistance-conferring genetic mutation will pass those genes on to their offspring.

Furthermore, it is not a recent discovery. In a 1945 interview with The New York Times – the year that penicillin became available to the public – Alexander Fleming cautioned that the inappropriate use of antibiotics would lead to the propagation of resistant bacteria. When antibiotics are necessary to treat humans, they place caretakers in something of a Catch-22: sure, you can refrain from using them to protect their effectiveness, but then what’s the point of not using them? Fleming urged a cautionary approach, and suggested that penicillin be used only when necessary, only in sufficient quantity, and only for sufficient duration so as to completely eliminate resistant strains.

But where resistance in some bacteria, like Methicillin-resistant Staphylococcus arueus (MRSA), can be largely ascribed to over-prescription of antibiotics, or the failure of patients to self-administer them correctly, gonorrhea is thought to pick up resistance from bacteria it encounters in the wild - and the source of those ‘wild’ bacteria is no great mystery.

In 1949, Dr. Thomas Jukes, an employee of American Cyanamid, was experimenting with antibiotic use in agriculture. Antibiotics were already used to treat sick animals, but Jukes’ work led to a startling discovery: when he mixed subtherapeutic levels of tetracycline into the feed of healthy animals, they experienced a spectacular increase in growth.

Today, a full 90% of antibiotics used on farms are fed to animals subtherapeutically. Meanwhile, the total amount of antibiotics fed to farm animals has increased exponentially, rising from approximately half a million pounds by weight in the mid-1950s to just over a million in 1960, and reaching an estimated 24.6 million pounds in 2001. To put the amount under discussion in some perspective, the antibiotics used to treat sick humans in 2001 amounted to a measly three million pounds.

The consequences of this practice are predictable. Tetracycline, an antibiotic commonly fed subtherapeutically to livestock, provides an instructive example. The drug is not degraded by resistant bacteria, but simply expelled from the cell, into the bloodstream, and ultimately into the environment. Because of the molecule’s relative stability, it persists for a long time and continues to select for bacterial resistance. Tetracycline has been recovered from soils plowed with animal feces, as well as human municipal water supplies in both the United States and Europe.

When first introduced to the livestock industry, 5-10 parts per million (ppm) of tetracycline was sufficient to stimulate growth in cattle. Today, 50-200 ppm is necessary to achieve the same effect. It is tempting to believe that resistance is only a problem for the farmers who must buy ever-increasing quantities of tetracycline, but antibiotic resistance is hardly confined to the farm: a full 75% of the antibiotics fed to livestock pass into their surroundings.

In other words, antibiotics have become an ambient feature of the environment, where they raise the general level of resistance within the microbial community.

In one 2008 study, researchers tested eleven soil samples from distinct locations and discovered in each strains of bacteria that could survive eating nothing other than the compounds intended to destroy them. The antibiotic-eating bacteria – including Shigella flexneri, which causes diahrrea, and E. coli – hailed from eleven distinct orders of bacteria, and each of the eighteen antibiotic staples tested by the scientists could be digested by at least one species. The bacteria were able to survive in concentrations of antibiotics greater than one gram per liter, which is fifty times above the minimum level that typically defines antibiotic resistance.

And to make matters worse, bacteria would make excellent kindergarteners: they are very good at sharing.

Like any eukaryotic cell, bacteria have chromosomes. However, bacteria are unique in that they can also harbor plasmids, small circles of DNA that exist separately from chromosomal DNA. By traveling through a physical connection called a pilus, these plasmids can move not only between bacteria of the same species but between bacteria of unrelated species. In fact, plasmids are often made up of DNA spliced together from many different species to create a single transferable block of nucleic acid.

The existence of plasmids means there is no barrier between the bacteria harbored inside humans and those that inhabit livestock and the wider world. The gene pools are one and the same. And this fact is likely to play no small part in gonorrhea’s ability to acquire antibiotic resistance. Back to the AP:

Scientists believe … the gonorrhea bacteria’s astonishing ability to adapt means the disease is now close to becoming a super bug. Gonorrhea is particularly quick to adapt because it is good at picking up snippets of DNA from other bacteria.

In an environment awash in antibiotics, those other bacteria are all likely to harbor resistance to at least one antibiotic. Unsurprisingly, the list of drugs to which the ‘gonorrhea superbug’ is already resistant includes penicillin and tetracycline.

And here we run up against the underlying issue, which is that modern husbandry is literally dependent on antibiotics. The increased growth the drugs provide is crucial to maintaining beef producers’ slim profit margins. Meanwhile, Concentrated Animal Feeding Operations (CAFOs) – where today’s cattle are fattened on a diet of unfamiliar foods – are built to contain as many livestock as possible. Where subtherapeutic antibiotics were introduced to stimulate growth rates, they are now indispensable agents of disease control.

The WHO report skirts around this issue: a scan of the report turns up exactly zero instances of the terms ‘farm’, ‘animal’, ‘subtherapeutic’, or other related search terms. Its core recommendations focus almost exclusively on treatment and prevention of the disease, a valuable contribution, but one that does not engage the underlying causes of resistance development:

  • advocacy for increased awareness on correct use of antibiotics among healthcare providers and the consumer, particularly in key populations including men who have sex with men (MSM) and sex workers
  • effective prevention, diagnosis and control of gonococcal infections, using prevention messages, and prevention interventions, and recommended adequate diagnosis and appropriate treatment regimens
  • systematic monitoring of treatment failures by developing a standard case definition of treatment failure, and protocols for verification, reporting and management of treatment failure
  • effective drug regulations and prescription policies
  • strengthened AMR surveillance, especially in countries with a high burden of gonococcal infections, other STIs and HIV
  • capacity building to establish regional networks of laboratories to perform gonococcal culture, with good-quality control mechanisms
  • research into newer molecular methods for monitoring and detecting AMR
  • research into, and identification of, alternative effective treatment regimens for gonococcal infections

So while the WHO Report on antibiotic-resistant gonorrhea skirts the role of livestock, it has at least given me the opportunity to point out the industry’s success in externalizing much – if not most – of the true cost of its harmful practices. Yes, ceasing to administer antibiotics to livestock at subtherapeutic levels would raise the price of meat. It would also bring the price meat better into line with its true cost.

So if you’re ever fortunate enough to experience that burning sensation while ‘going about your business’, please remember: it’s just the cost of doing business.

The Youtube comments I chose to censor

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On Monday, I made the worst possible mistake on the Internet: I provoked the ghost of Godwin.

More specifically, I wrote about the Holocaust, and in doing so invited an army of Poles (who seem to be members of a Yahoo! group devoted to ‘Polish Media Issues’) to descend on Paper Treiger in a valiant effort to defend the honor of their motherland.

I found many of the comments generally reasonable, though understandably motivated by the desire to deflect any blame away from Poland:

Hi,
You write that the German Nazi extermination camp Treblinka was largely run by Poles. Can you provide some sources for your statement?
/Artur Szulc

I checked my original source, realized that I could not substantiate that particular claim, and updated my post to reflect that fact.

But other comments were less helpful, in that they failed to address my main point, or failed to address my main point and were also just sort of offensive:

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