Category Health

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Why antibiotics are like fossil fuels

They helped create the modern world but are dangerously overused. How can we harness them sustainably?

In 1954, just a few years after the widespread introduction of antibiotics, doctors were already aware of the problem of resistance. Natural selection meant that using these new medicines gave an advantage to the microbes that could survive the assault – and a treatment that worked today could become ineffective tomorrow. A British doctor put the challenge in military terms: “We may run clean out of effective ammunition. Then how the bacteria and moulds will lord it.”

More than 70 years later, that concern looks prescient. The UN has called antibiotic resistance “one of the most urgent global health threats”. Researchers estimate that resistance already kills more than a million people a year, with that number forecast to grow. And new antibiotics are not being discovered fast enough; many that are essential today were discovered more than 60 years ago.

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‘I’m carrying survivor’s guilt’: Raymond Antrobus on growing up deaf

The poet reflects on his heritage, his new life as a father in Margate – and why his memoir is a call to arms

When Raymond Antrobus was a child, he writes in his new book, The Quiet Ear, his father would call him “white” when he was drunk, and “black” when he was sober. “White” was meant as an insult, the author explains over tea in his flat in Margate, where a pile of toys indicate the recent presence of his own young son. In his cruellest moments, it was a way for Antrobus’s black father, who died in 2014, to say “I don’t understand you. I don’t love you. You don’t understand my pain.”

Antrobus, 38, is calm and reflective when he talks about this. As a deaf person who relies on hearing aids and lip-reading to communicate, he says he has long had to “make sense of myself for other people”.

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‘How can I find meaning from the ruins of my life?’: the little magazine with a life-changing impact

After struggles with mental health and addiction, Max Wallis launched a poetry magazine – and it has transformed his life

One morning in February last year, I received an urgent call from the journalist Paul Burston, alerting me to alarming recent social media posts by a mutual friend, the poet and former model Max Wallis.

It seemed he had left his London flat in deep distress and was headed to a bridge. Our best guess was the Millennium footbridge by St Paul’s Cathedral. Then we heard that Max might have taken refuge inside the cathedral. While I scanned gaggles of tourists in the nave, he was intercepted and removed by ambulance. I was relieved to get a message later that evening that he was safe.

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Can I tame my 4am terrors? Arifa Akbar on a lifetime of insomnia – and a possible cure

From Van Gogh’s starry skies to the nocturnal workings of Louise Bourgeois and Patricia Highsmith, sleepless nights have long inspired heightened creativity. Could those artistic impulses actually help us to sleep?

I can’t remember when I first stopped sleeping soundly. Maybe as a child, in the bedroom I initially shared with my brother, Tariq. I would wait for his breathing to quieten, then strain to listen beyond our room in the hope of being the last one awake, and feel myself expanding into the liberating space and solitude. By my early 20s, that childhood game of holding on to wakefulness while others slept began playing out against my will. Sound seemed to be the trigger. It was as if the silence I had tuned into as a child was now a requirement for sleep. Any sound was noise: the burr of the TV from next door, the ticking of a clock in another room. When one layer of sound reduced its volume, another rose from beneath it, each intrusive and underscored by my own unending thoughts. Noise blaring from without and within, until I felt too tired to sleep.

The artist Louise Bourgeois suffered a bad bout of insomnia in the 1990s, during which she created a series of drawings. Among them is an image that features musical notes in red ink, zigzagging across a sheet of paper. They look like the jagged score of an ECG graph that has recorded an alarmingly arrhythmic heartbeat. It sums up the torment of my insomnia: there is a raised heartbeat in every sound.

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