100 Facts
Medicine and Health, From Ancient Times to Modern Innovations
Oncology and Rare Diseases:
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1. The rare disease Progeria, which causes premature aging, affects about 1 in 8 million children worldwide.
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2. The most common childhood cancer is leukemia, accounting for about 28% of all childhood cancers.
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3. The World Health Organization estimates that there are over 300,000 new cases of childhood cancer globally each year.
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4. The first successful bone marrow transplant was performed in 1956 to treat leukemia.
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5. The most common adult cancer is breast cancer, with over 2 million new cases diagnosed globally each year.
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6. The rare genetic disorder Hutchinson-Gilford Progeria Syndrome (HGPS) has an incidence rate of about 1 in 4-8 million newborns.
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7. The rare neurological disorder Amyotrophic Lateral Sclerosis (ALS) affects about 2 in 100,000 people worldwide.
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8. The rare genetic disorder Xeroderma Pigmentosum (XP) affects about 1 in 1 million people and causes extreme sensitivity to UV light.
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9. The World Health Organization estimates that about 400,000 children develop cancer each year, with the majority (80%) living in low- and middle-income countries.
Drug Cost and Prescription:
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10. The US spends more per capita on prescription drugs than any other country in the world, despite having a lower life expectancy than many other high-income nations.
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11. The U.S. spent over $535 billion on prescription drugs in 2023, accounting for nearly 12% of total healthcare expenditure.
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12. Developing a new prescription drug can take 10-15 years and cost over $2.6 billion on average.
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13. The US is the largest market for prescription drugs, accounting for over 40% of global pharmaceutical sales.
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14. According to the National Health and Nutrition Examination Survey, in 2016, 18% of children aged 0-11 years old reportedly used prescription drugs in the past 30 days
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15. The average American spends about $1,200 per year on prescription drugs.
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16. Nearly 70% of Americans take at least one prescription drug, and more than 50% take two or more.
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17. The US Department of Veterans Affairs (VA) is the largest single purchaser of prescription drugs in the country.
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18. The most expensive prescription drug in the US is Lenmeldy, costing $4.25 million for a single treatment (as of April 2024).
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19. The US is one of only two countries that allow direct-to-consumer advertising of prescription drugs.
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20. Pfizer and BioNTech jointly made $59.1 billion in sales of the COVID-19 vaccine in 2022
FDA Approvals and Innovations:
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21. The first drug approved by the FDA was Sulfanilamide in 1939, used to treat streptococcal infections.
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22. The average time for a new drug to be developed and approved by the FDA is about 12 years.
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23. The FDA approved the first 3D-printed drug, Spritam (levetiracetam), in 2015 for the treatment of seizures.
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24. The FDA approved the first digital pill, Abilify MyCite (aripiprazole with an ingestible sensor), in 2017 to track medication adherence.
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25. The FDA's Orphan Drug Designation program provides incentives for the development of drugs for rare diseases affecting fewer than 200,000 Americans.
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26. Organ-on-a-chip technology allows researchers to test drugs on miniaturized human organs grown on microchips, reducing the need for animal testing.
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27. 3D bioprinting can create personalized drug dosage forms, such as pills tailored to an individual's specific absorption and metabolism rates.
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28. The FDA approved the first microbiome-based therapy, Rebyota (fecal microbiota), in 2022 for the prevention of recurrent Clostridioides difficile infection.
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29. The FDA's Patient-Focused Drug Development (PFDD) program aims to incorporate patient perspectives into the drug development and approval process.
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30. The FDA approved the first RNA interference (RNAi) drug, Givlaari (givosiran), in 2019 for the treatment of acute hepatic porphyria.
Disease Incidence and Prevalence:
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31. West Virginia has the highest prevalence of diabetes, with over 15% of the adult population affected.
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32. The flu is the most common infectious disease in the US, with millions of cases each year.
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33. The US has the highest incidence of Crohn's disease in the world, affecting about 780,000 Americans.
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34. Alzheimer's disease is the most common neurodegenerative disorder in the US, affecting over 5.8 million Americans.
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35. Cystic Fibrosis is the most common genetic disorder in the US, affecting about 30,000 Americans.
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36. Anxiety is the most common mental health disorder in the US, affecting about 40 million adults.
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37. Oregon has the highest prevalence of depression, with about 25% of the population experiencing depression.
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38. Oklahoma has the highest incidence of heart disease, with 233 cases per 100,000 people.
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39. Mississippi has the highest prevalence of obesity, with over 40% of the adult population being obese.
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40. Atopic dermatitis (eczema) is the most common skin condition in the US, affecting about 16.5 million Americans.
Health Insurance:
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41. Medicare Part D, enacted in 2003, is the largest expansion of Medicare since its creation in 1965.
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42. The first employer-sponsored health insurance plan was offered by the Teachers Insurance and Annuity Association (TIAA) in 1910.
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43. As of December 2022, approximately 90.9 million people are enrolled in Medicaid and the Children's Health Insurance Program.
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44. In 2020, New York had the highest average annual premium for employer-sponsored health insurance at $8,177 for single coverage, while Utah had the lowest at $6,112.
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45. In 2021, Texas had the highest percentage of uninsured residents at 18%, while Massachusetts had the lowest at 2.5%.
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46. In 2020, over 11 million people were enrolled in health insurance plans through the ACA Marketplaces.
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47. More than 60 million Americans are enrolled in Medicare as of 2021.
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48. In 2020, about 157 million Americans had employer-sponsored health insurance.
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49. California was the first state to implement Medicaid expansion under the ACA in 2010. As of 2021, 38 states and the District of Columbia have expanded Medicaid.
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50. Approximately 91.7% of the U.S. population had health insurance coverage for at least part of 2021.
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51. 43% of adults aged 19-64 were underinsured in 2022.
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52. In 2021, approximately 54.3% of the population had private health insurance coverage.
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53. As of December 2022, over 65.2 million people were enrolled in Medicare.
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54. As of December 2022, approximately 90.9 million individuals were enrolled in Medicaid and the Children's Health Insurance Program (CHIP).
AI and Medicine:
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55. Artificial intelligence (AI) and machine learning are being used to accelerate drug discovery by predicting potential drug candidates and optimizing drug design.
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56. AI can analyze medical images, such as X-rays and CT scans, to detect abnormalities and assist in diagnosis, sometimes with greater accuracy than human radiologists.
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57. Machine learning algorithms can predict the likelihood of a patient developing certain diseases based on their medical history and lifestyle factors.
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58. Robotic surgery systems, such as the da Vinci Surgical System, use AI to assist surgeons in performing minimally invasive procedures with greater precision and control.
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59. Machine learning can help personalize cancer treatment by analyzing a patient's genetic profile.
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60. Envision glasses use advanced technology to help visually impaired people navigate their surroundings, read text, and identify objects, all through auditory feedback.
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61. 3D printing has enabled the creation of customized prosthetics, implants, and surgical guides, improving patient outcomes and reducing costs.
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62. Robotic exoskeletons can help patients with spinal cord injuries or neurological disorders regain mobility.
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63. Minimally invasive surgical techniques, such as laparoscopy and endoscopy, have reduced patient recovery times and complications compared to traditional open surgeries.
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64. Gene editing technologies, like CRISPR-Cas9, have the potential to cure genetic diseases by precisely modifying DNA sequences.
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65. Wireless brain-computer interfaces can allow patients with paralysis or neurological disorders to control prosthetic limbs or communicate using brain signals.
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66. The Embrace smartwatch is designed to detect seizures and alert caregivers, providing peace of mind for people with epilepsy.
Pharmaceutical Industry and Legislation:
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67. The therapeutic areas with the highest spending in the U.S. are antidiabetics, oncologics, autoimmune, and respiratory diseases.
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68. The U.S. consumed about 30% of the world's supply of opioids in 2015.
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69. Congress passed the ALS Registry Act in 2001, granting immediate Medicare coverage to individuals diagnosed with ALS.
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70. In 1972, Congress extended Medicare coverage to people with End-Stage Renal Disease (ESRD), irrespective of their age.
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71. The U.S. constitutes only 5% of the world's population but consumes approximately 75% of the world's prescription drugs.
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72. The U.S. gov. launched a drug take-back program in 2023, collecting over 5M pounds of unused meds in the 1st year to prevent misuse and environmental contamination.
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73. The U.S. pharmaceutical industry invests over $100 billion annually in research and development.
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74. In 2023, a record-breaking $8.5 billion was spent on lobbying efforts by the pharmaceutical and health products industry in the United States.
Historical Facts:
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75. The first recorded case of cancer dates back to ancient Egypt, around 3000 BC, in the Edwin Smith Papyrus.
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76. The first chemotherapy drug, mustard gas, was discovered during World War II.
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77. The CIA secretly dosed unsuspecting Americans with LSD as part of Project MKUltra in the 1950s and 60s.
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78. The world's oldest pharmacy still in operation is the Taleghani Pharmacy in Iran, which has been open since 1796.
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79. In the early 1900s, pharmacies sold radioactive water as a "health tonic."
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80. The world's largest medical prescription was written in 1952 and was over 15 feet long.
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81. In the early 1900s, pharmacies sold "Dr. Rose's French Arsenic Complexion Wafers," which promised to improve skin by poisoning the body with arsenic.
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82. The first recorded use of insulin to treat diabetes was in 1922, extracted from the pancreases of dogs. Before that, the disease was often fatal.
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83. The first recorded use of aspirin as a pain reliever and anti-inflammatory was in 1899, derived from willow bark extract.
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84. Some ancient Chinese prescriptions included unusual ingredients like arsenic, mercury, and even horse urine.
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85. In the 1940s and 1950s, "Hadacol" was marketed as a vitamin supplement but contained high levels of alcohol.
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86. In the 1800s, some pharmacies sold "Godfrey's Cordial," a concoction of opium, treacle, and spices used to quiet crying babies. It led to numerous infant deaths.
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87. The first modern antibiotic, penicillin, was discovered accidentally in 1928 when a mold contaminated a petri dish in Alexander Fleming's lab.
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88. The first recorded use of general anesthesia during childbirth was in 1847, using chloroform. Before that, women had to endure labor pain without relief.
Miscellaneous Facts:
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89. In 2020, over 4.4 billion prescriptions were filled in the United States, averaging about 12.7 prescriptions per person.
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90. In some states, there are more opioid prescriptions than there are people. For example, in 2017, Alabama had 107.2 opioid prescriptions per 100 persons.
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91. A 2023 study found that the use of prescription virtual reality therapy can be effective in treating chronic pain, reducing the need for opioid medications.
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92. A 2024 study discovered that over 30% of American adults who take prescription medications regularly have skipped doses, cut pills in half, or delayed refills due to cost concerns.
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93. The most common autoimmune disorder in the US is Graves' disease, affecting about 1 in 200 people.
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94. A 2024 study found that the use of prescription meditation apps can be as effective as medication in treating mild to moderate anxiety and depression.
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95. The U.S. has seen a significant increase in prescription drug use among young adults aged 18-44, with usage rates rising by 30% between 2000 and 2016.
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96. A 2024 breakthrough in gene therapy led to the development of a one-time treatment for sickle cell anemia.
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97. The world's most counterfeited drug is Viagra, with over 80% of online sales estimated to be fake.
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98. The world's largest pharmacy is the US Defense Department's Tricare Mail Order Pharmacy, which fills over 100,000 prescriptions daily.
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99. In 2023, a pharmaceutical company was fined $300 million for creating a fake disease in order to sell more drugs.
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100. A 2024 study found that nearly 40% of antibiotics prescribed in the U.S. are unnecessary.