Taste, hunger and Health Span
This document is published under the Creative Commons system which means it can be copied and reproduced without further permission but the source Colin Austin of Gbiota must be acknowledged. Colin Austin 20 Feb 25
This document addresses one of the major health issues – diet, health span and the epidemic of chronic diseases. Comments and suggestions welcome. Email me here.
Zonked
Eighty fifth birthday party
I have just had my eighty fifth birthday, I have a menagerie of grand kids in the young adult stage and two great grand daughters.
One of my grand daughters, Candy came up from Brisbane for my party and to stay for a few days and bring me a birthday cake.
I usually go for a walk around Baldwin Swamp in the morning so I asked her if she wanted to come along but she said I am zonked.
Zonked
I am a native English speaker but young adults like my grand kids seem to talk a different version of the English language but I did learn that Zonked is a pseudo medical term meaning exhausted from the stress on modern living.
So what happens if you are zonked? Obviously go to the doctor.
Haem iron
If you are female, the doctor will look at the blood test, see that your iron level is low, and probably won’t prescribe that you go down to the local scrap yard and munch away on a few cylinder heads but will give you a short lecture on haem iron and prescribe the appropriate pills.
Zinc
If you are male, the doctor will suspect that you have been having to much hanky panky which exhaust you supply of zinc, make some comment about lucky you and prescribe some zinc pills as one good hanky panky can exhaust your supply of zinc.
Nothing wrong with this, the doctors are just doing their job but across the globe, we are suffering from an epidemic of chronic diseases, obesity, diabetes, heart attacks and dementia.
The doctors do their best to treat these illnesses but wouldn’t it be better to find a way of avoiding these illnesses in the first place?
Out numbered
In my family, I am outnumbered. My wife is a medical doctor while my two granddaughters are studying medicine in Brisbane and I am just a humble engineer.
But I think like an engineer which means I like to understand how things really work so when my wife became diabetic and her foot started to turn black and the doctors were talking about amputation I was not at all happy and wanted to understand what is the real cause.
The wrong fat in the wrong place
It turns out that the cause of all chronic diseases, obesity, diabetes, heart attacks and dementia is the wrong fat in the wrong place.
In the case of diabetes, it is fat in the pancreas which can no longer produce enough insulin.
So she went on a diet, largely of fresh home grown vegetables and the good news is she still has both her feet.
Motivated
But is did make me highly motivated, eight million people a year have a limb amputated from diabetes, heart attacks, often related to fat in the arteries, are the most common cause of death while dementia, fat in the brain must be one of the most heart-wrenching diseases.
Chronic diseases are the world’s biggest health crisis well overtaking infectious diseases.
But I am just an engineer what could I do about it? Understand how our bodies work in the way that an engineer understand how a machine works.
Every machine has some sort of control system so I have had to understand how our body’s intelligent control system works.
We have been here before
We have been here before with infectious diseases. It is not that long ago that infectious disease were the big killer, three out of five babies would die before the age of five, another in their teens while most of the adults would never reach their natural life span.
Of course medical science made a great contribution to fighting infectious diseases but the real impact came from prevention.
Engineers built sewage and clean water systems, hygiene was dramatically improved, the humble bed with clean sheets and washing machines removed the source of infections.
Modern day prevention
Now we face the new problem of chronic diseases. Medical science is making great strides but the real solution will come from prevention.
Prevention is more effective and costs far less then trying to resolve the diseases when it has become established.
So how do we prevent chronic disease? By focusing on the underlying cause.
The short, simplistic and wrong answer is to tell tell people to eat the right amount of the right food.
The slogan “eat less, exercise more” has been around for donkeys keys and has not worked because it is not addressing the fundamental cause.
We have an intelligent control system which regulates our bodies, particular our appetite, how much and what we eat. It is called homeostasis and we have known about it for the best part of a couple of hundred years.
Let us take an example of our intelligent control system at work with a young kid riding a bike.
I am an engineer and can explain how a bike stays upright by talking about self balancing gyroscopic couples.
Is that how I taught my kids when they were three years old to ride a bike – no way.
They just got on the bike, fell of a few time but soon got the knack without knowing anything about self balancing gyroscopic couples.
That is because their intelligent control system works in the their subconscious – it is high speed, very powerful and easily overrides our slow and clunky conscious of logical brain.
If we are going to use a strategy of prevention which is the only effective way of combating the epidemic of chronic disease then we must work with our subconscious brain and not just yell at people to eat less and exercise more.
That is a waste of time and energy.
Abstract
We don’t get fat and sick simply because we eat too much.
Our gut and head brains form an intelligent control system which regulates our bodies. If it decides we need to store more fat it will send out hormones which make us feel hungry so then we overeat and get fat and sick.
This happens when we do not feed our gut-brain the right sort of food. Our modern food system is not feeding our gut brain which has led to a global epidemic of chronic or non-infectious disease which is reducing our health span and is modern societiy’s greatest health challenge.
Before our modern food system we ate food that fed our gut-brain with beneficial microbes but we also bred many harmful microbes which led to infectious diseases and much of the population dying before their natural term.
Our modern food system has reduced the harmful microbes but also the beneficial microbes. The great technical challenge is to breed the beneficial microbes without breeding the harmful microbes.
We need to create a new industry of growing gut-brain food, here we show how.
Success requires the successful development of technology, where as a successful innovator I have spent much of my eighty-five years but it also requires a social movement where dedicated community-minded people try it, see if their appetite and food cravings are reduced then tell their friends and contact to create a movement of public awareness.
The essence – Creating the new gut-brain food industry
Chronic disease caused by the wrong fat in the wrong place
Chronic or non-infectious diseases have now far overtaken infectious diseases and are now our major health threat.
Chronic diseases are caused by the wrong fat in the wrong place.
Our bodies have an intelligent control system
Our bodies have an intelligent control system which decides and then regulates by hormones where and how much fat we store.
This intelligent control system is made up of our head and gut brains communicating and working together.
Our gut is an integrated system of trillions of cells consisting of thousands of different species. Each cell can communicate with neighbouring cells to create swarm or group intelligence.
How our gut-brain works depends on the overall integrated system rather than a few specific species.
Our gut-brain dominated by the food we eat
Our gut brain is initially populated by our mum at birth; after that, it is dominated by the food we eat, although contact with other creatures has an effect.
Our gut-brain works in our subconscious brain which is far faster and more effective than our conscious brain in determining what we eat – it is what we want to eat that matters.
Conscious and subconscious brains
It is not effective to tell our conscious brain to eat less and exercise more. We have to manage our subconscious brain so we want to eat the right amount of the right sort of food.
The combination of our gut and head brain has memory and can be trained.
The food we eat contains a spectrum of microbes which come from the soil, particularly the creatures of the soil who have guts like us.
Microbes have a short life – dynamic equilibrium
Microbes have a very short life but breed incredibly fast. Our gut is in a state of dynamic equilibrium with individual cells dying and being replaced by this rapid breeding.
To breed the cells in our gut they must be fed with gut-brain food.
Modern food – high in energy low in gut-brain food
We need to enhance our gut-brain with a steady supply of fresh microbes in our food.
Historically food was grown locally and eaten shortly after harvesting which naturally provided us with gut-brain food.
Our modern food has changed what we eat. It contains an abundance of energy food – sugars and fats – but is deficient in gut-brain food and microbes. It is largely inert and any microbes that may have been in it will have died from the extended time from harvest to eating.
We need to create a new industry of gut-brain food
We need to create a new industry of gut-brain food.
This industry will be based on the underlying principle of controlling the conditions so the beneficial microbes out-breed and out-compete the harmful microbes – the principle of Ecological balance.
Ecological balance
Beneficial microbes need a balanced combination of nutrients, water and air.
Nutrients can be provided from recycling organic waste which has the added advantage of being sustainable.
Circulate Soil Blood
This can be achieved by circulating the soil blood (the mixture of water, dissolved nutrients and microbes) in a regular flood and flush cycle so the soil and plants receive a regular supply of nutrients, water and air without the soil blood ever becoming stagnant.
Skilled growers already exist but they need a market
There are an adequate number of skilled growers who are fully capable of producing gut-brain food but they need a market to create a sustainable business.
Need for major educational program
This requires a major educational program from the relevant organisations, particularly Governments who have responsibility for their community health.
This education is challenged by the level of disinformation on the Internet and the marketing power of the current food industry, which is dominated by mega, multinational organisations that are extremely skilled in manipulative marketing.
Must make the effort
Despite all these obstacles if we are to thrive as a species we must make the effort. In the first instance, this will fall on the shoulders of a few dedicated individuals.
Taste, hunger and healthspan
Preface
Extinction
Is humanity in danger of extinction? Probably not.
Is our modern comfortable lifestyle in danger of extinction? Definitely yes and it is happening right now.
Can we do anything to avoid this? Yes – but it takes a bit of effort to understand the problem and do something about it.
What is the biggest problem? Food – there is plenty of food – that is not the problem – modern food is making us fat and sick. We need food that will lead to a long and healthy life.
Is this a technical problem? No – we know how to grow food that will make us healthy.
So what is the problem? Persuading people to eat healthy food when they are bombarded with manipulative advertising and food that is deliberately made addictive.
Will that happen? It is up to you with the power of the wallet.
Deciding what we eat
Modern science has given us a good understanding of what we should eat to lead a long and healthy life. We understand this at the conscious level.
That is the easy bit.
But our body has an intelligent control system which makes us want to eat too much of the wrong sorts of food – and it almost always wins.
That is the difficult bit.
Intelligent control
Without taste and hunger, we would soon be dead so it seems a pretty good idea to see how they work and how we can use this understanding to increase our health span – how long we are fit and healthy.
It starts with our intelligent control system which regulates our bodies which is formed by cooperation between our gut and head brain.
Our gut contains trillions of cells of thousands of species and we often talk about our gut as having swarm intelligence and compare it to flocks of birds, swarms of ants and bees and not to forget the wonder of slime moulds.
This analogy may not be strictly accurate as these have many identical items with each item communicating with its neighbour so the entire system has a collective intelligence.
However, our gut has thousands of species of microbes which can have very different behaviour so it might be better to talk about group intelligence.
And what animal is spectacularly successful at group intelligence? Well, what about us.
In fact, we are so good at it that we never bother to think about it and study how it works. Let us look at that at work in building a house.
Group intelligence and building a house
Our bodies are complex and difficult to understand so it may be useful to look at an everyday occurrence which we can understand – building a house.
It all seems so simple but no one single person knows everything about building a house.
It starts with a soil engineer who examines the load-bearing capacity of the soil and designs a system of foundations.
Then an earth-moving specialist may come along and drill holes for a concrete specialist to fill.
Then a framework designer will design a structure which a tradesman skilled in wood or steel builds to be later encased by a bricklayer, or other tradesmen.
Along comes further specialists to install the internal, plumbing, electricals, air conditions, internet, phone and satellite connection etc.
A project manager may coordinate all these activities but won’t understand the details of every speciality.
If he sees that the electrical work is falling behind he won’t recruit more bricklayers. Instead, he will try and recruit more electricians – which won’t be easy if the house is being built in Bundaberg. (Believe, me I know).
Combining a multitude of skills comes naturally to us humans that we never even recognise it is happening.
Group intelligence and our bodies
Our intelligent control system faces similar, but much more complex problems.
For a start we need oxygen so we need lungs to suck in air and to transfer oxygen to our blood, then we need a heart to pump it around our arteries and deliver it to our muscles.
The speed has to be controlled to match demand and the air will almost certainly contain some harmful microbes so an immune system is needed to identify and deal with these harmful intruders.
This all works automatically, controlled by our subconscious brain, and we never bother to think about it but I needed to set the scene for the big issue that I want to talk about – “Food”.
The Big Food Control Myth
We like to think that we decide what and how much we want to eat in our conscious brain.
It is true we do have the benefit of some intelligent and conscientious dietitians who will tell us we need so many calories, so many grams of carbohydrates and proteins and so many milligrams or micrograms of a whole range of minerals and vitamins.
Now let me be clear, I am not saying they are wrong they may well be perfectly correct down to the last micro-gram of B12 but it is not the way our intelligent control system (our gut-brain) works now or has worked for the last million years or so.
Our gut-brain works in our subconscious brain deciding whether we have enough of the right sort of food.
Feeling satisfied
Our subconscious gut-brain asks “Do we have the right amount of the right sort of food?”
If yes it will create hormones so we feel satisfied and not want to eat.
If no it will create hormones to make us feel hungry. But it does much more than making us feel hungry and want to eat, it knows what sorts of food we need.
It has been learning from the first suck on mum’s breasts what food makes us feel good and associate that with a particular taste.
So, depending on the learning experience, we may crave a slice of cheesecake, a giant steak or a vegetable curry.
We are not born craving cheesecake or vegetable curry and enjoying the taste, we learn over a period to time and associate the particular taste with feeling good and satisfied.
What tastes good to me could well be revolting to you, taste is learned from what makes us feel good and satisfied.
Conscious v subconscious – the battle
We may learn from our dietitian that eating a specific diet is the most healthy for us and will lead to a long and healthy life but if our subconscious brain is saying no, don’t eat that go stuff yourself with this – then we have a conflict.
Whether our conscious or subconscious brain wins that conflict depends a bit on willpower and it is possible that we will eat the dietitian-created diet for a period, but the odds are that eventually the subconscious brain will win.
Don’t believe me? Go to the local shopping centre and see the number of wobbly bums and tums.
Training our subconscious brain
But we can adopt a different strategy of training our gut-brain so it sends out signals to eat the healthier diet.
There are three steps to this.
Full spectrum of microbes
The first step is to ensure we have the right spectrum of microbes in our gut.
This is more complex than taking pro-biotics containing a few species we need a full spectrum.
Just as in building a house, it is pointless recruiting more concreters if we are short of electricians.
Feed the microbes so they breed
The second step is to feed the microbes so they breed. Microbes breed like crazy, but they need food so we need to eat food that will enable our microbes to breed inside us.
But that is not enough we also need to eat food that contains a fresh supply of microbes with a full spectrum to ensure our gut maintains a full spectrum.
Train the gut-brain
Our subconscious brain has intelligence and is continuously learning from the first such on mum’s breasts.
We have to use our conscious brain to expose it to a variety of foods so it learns.
Feeding our kids ultra-processed food is condemning them to a life of being fat and sick. They need to be exposed to what I call Gbiota food meaning plants, grown in living soil and eaten fresh.
That includes spices and herbs which add a bit of flavour to what could otherwise be a very bland food.
Part 2 Solutions Technology and Social
Technology
This is not a manual, that is separate, this is just an overview.
The aim is to grow food containing a broad spectrum of beneficial microbes.
Before I describe how to do this I need to talk about three essential concepts.
Ecological balance
Breeding microbes is more than easy, it is almost impossible to stop. Just leave anything organic, meat veggies food scraps, prunings, dead logs, grass cutting, whatever and some microbe will come along and use it as food and once fed it will breed like crazy.
The problem is that a lot of these microbes are harmful so how do we breed the beneficial microbes without breeding the harmful ones?
I should add a foot-note – on a scale to feed eight billion people at an economic price.
The answer comes from nature and has existed for billions of years – Ecological balance.
It is why we have polar bears in the Arctic but no Antelopes but no polar bears but plenty of Antelopes in Africa.
It is simply a question of carefully controlling the conditions to preferentially favour the beneficial microbes.
Plants need five things – sunlight and carbon dioxide which they get from the air free of charge.
They also need a balanced ration of nutrients, water and air (technically dissolved oxygen) they get from the soil.
All we have to do is to manage the ratio of nutrients, water and air in the soil to preferentially benefit the good microbes.
The flood and flush system is a practical way of maintaining this air to water ratio.
Goldilocks moisture, not to wet and not to dry – just right.
Soil blood
A second basic concept is soil blood, a term I made up thinking about how our bodies work.
All our organs need oxygen which they get from blood which contains dissolved oxygen via our lungs.
This is how fish and soil life works.
In the Gbiota technology, we are consistently circulating water containing both nutrients and dissolved oxygen.
Dynamic equilibrium
There is another basic concept I must introduce before I describe the mechanics.
Look at the major cities of the world that have existed for thousands of years, but the characteristics of their citizens have remained relatively consistent over generations.
It is the same with microbes in the soil, plants and our gut – given stable conditions they are consistent over a long period of time. But change the conditions and the microbes will change very rapidly.
Microbes may breed like crazy but they also die very quickly, we are talking about a half-life of less than a day. When we harvest a plant we cut off the natural supply of nutrients so the microbes in the plant, which will later form our gut biota will change (from good to bad).
Plants need to be eaten while fresh, and fresh does not mean ‘not gone rotten’.
Gbiota beds
Gbiota beds are the most direct way of growing plants to enhance our gut biota.
They are generally raised beds, preferably not enclosed, to avoid the soil becoming saturated in times of heavy rain.
Ag pipes (slotted drainage pipes) are laid on the base and feed into a sump (by a leaky dam as described in the support articles).
They are filled with a mixture of organic waste, soil with a fine particle size, minerals and initially inoculants and soil creatures.
Beneficial microbes do breed in the soil but they also breed in the gut of the creatures of the soil, worms, beetles, larvae, nematodes etc.
These creatures play a key role in breaking down the organic waste.
We need to grow a spectrum of plants as each species exudes nutrients which attract specific species of microbes.
Plants can be seeded directly into the soil and the bed irrigated using a combination of flood and flush and spraying.
The water or soil blood comes from the sump using a pump.
The drainage pipes are used as subsurface irrigation pipes to flood the base of the bed but when the pump is turned off the soil blood drains slowly (via the leaky dam) back into the sump.
As the soil blood drains it will suck fresh air into the bed.
The same pump can be used to sprinkle irrigate. This has several advantages, the soil blood contains beneficial microbes which will enter the plant via the foliage, the soil blood will absorb oxygen by sprinkling and it also helps germinate seeds.
The limitation of the Gbiota bed is that the plants need to be eaten shortly after harvesting. This is no problem for a home grower but severely limits the market for commercial growers.
This problem is resolved by Gbiota baskets.
Gbiota baskets
Gbiota baskets are any suitable container with holes – supermarket baskets work fine and are light enough to carry.
Food plants are grown in the soil in the baskets and the microbes and the creatures of the soil enter the baskets and the irrigation, both subsurface and spray are spreading the microbes.
When the plants are ready to start harvesting they can be delivered and all the consumer has to do is to water and harvest, preferably by tipping (see documentation).
As the baskets, using tipping, may be productive for a month or more this makes transport more manageable.
The baskets can be placed in a box with a swivel tube so it works similar to a wicking box and allows the use of the flood and flush system to maintain the Goldilocks moisture level.
It also save time with less frequent waterings.
The box can be partially filled with water which will wick up to the plants, but it must not lie there stagnant or the wrong microbes will breed.
It need to be circulated using the flood and flush.
Gbiota boxes
Gbiota boxes are intermediate between beds and baskets.
They use compost tubes for recycling and are fitted with swivel tubes so can operate the flood and flush system as in a Gbiota bed.
They do need the special mix we call Wickimix to set them up and they do need replenishing after a time.
They may have a longer time between swapping but they require more skill and effort to manage than a Gbiota baskets.
Social
The Gbiota system may provide a technical solution to the epidemic of chronic disease but it does require a change in the way our food system works and social changes are never easy, particularly when the main players are multi-national mega companies seemingly beyond the control of National Governments.
So how do we go about creating this social change?
Functions of food
We need food for energy, we are thermodynamic machines so we eat food to power our bodies. Typically that energy comes from sugar and fats and if there is one thing that our current food system is good at is providing us with sugary fatty foods, laced with flavourings which are often addictive and promoted by highly skilled manipulative marketing.
Some 80% of the food we eat is energy food and our current food system is well geared to keep on supplying energy food on a massive scale.
We also need food to replace our body parts as they wear and age.
Modern technology has dramatically increased the production of energy food but the supply of the critical nutrients for replacement food has remained static so there is an issue with trace minerals and vitamins but at this moment it is not at a critical level.
Replacement food needs to be around 15% of our food intake.
The serious issue is that our modern food is deficient in food to feed and replace our gut microbes.
In an effort to get fed our gut microbes, who are at the wheel as our intelligent control system, send out signals for us to eat more in the hope of getting gut-brain food.
This may be only 5% of our needed food intake but this deficiency is at the core of resolving the epidemic of chronic disease.
The big challenge we face is how to educate the public that they need to be eating gut-brain food.
There will be no new gut-brain food industry if there is no demand from the public.
How do we do that?
Farther Christmas
My daughter, when she was about seven accidentally taught me a very valuable lesson.
Like all seven year old’s the world is full of wonder and discovery and those rather stupid, uniformed adults need educating about these discoveries.
She has found out the way of identifying real Farther Christmases from fake ones.
All you had to do was look behind their ears. If there was elastic holding up their beard they were fakes, no elastic and they were real.
After she had explained this major discovery to me I asked in the typical clumsy way of adults if she still believed in Father Christmas.
This was a big problem for her which required a long thought but eventually, she responded with a question “If I say I have stopped believing in Father Christmas, will I still get presents?”
That was a long time ago, she is now a grandmother but in the age of the internet and disinformation and manipulative marketing, people will believe in what is best for them and the truth plays only a minor part.
How to convince the public
I don’t think I am particularly weird in wanting to live a long and healthy life so have experimented on myself with many diets.
I am a natural pig so in my older years have developed a bit of a tum so I tried a strict calorie-restricted diet. I caught sight of myself in a mirror and was horrified to see the emaciated face, like from a feature film about the concentration camps, looking back at me.
That certainly made me question the value of simple calorie restriction and led me to investigate how the body naturally controls weight.
I know that the natural system works because if we had been fat back in our period of evolution we could not have climbed trees and swung from branch to branch to escape the ferocious beast below.
I have stopped worrying about calories, but ensure that I eat food that will feed my gut-brain and also contains the essential minerals and vitamins.
I am eighty-five, fit and healthy go for a long walk or bike ride most mornings so as far as I am concerned it has worked for me.
I don’t spend hours worrying about my diet, if my body tells me I am hungry I eat and if it tells me I am not hungry I don’t eat (or only eat a little).
Statistics and an n of 1
I know enough about statistics to know that an ‘n’ or sample size of 1 is next to useless and that you need a sample size in the many thousands with complex adjustments to correct for a range of factors to be scientifically valid.
But even then the public will be confused by the technical jargon of statistics and will still be unconvinced – unless – yes wait for it
that ‘n’ happens to be you.
Strategy for the Disinformation Age
Step 1 – Keen, health-conscious gardeners
I think we can assume that in this disinformation age that hardly anyone is going to believe what they see on the internet – unless it is from a real person they trust.
It is also unrealistic to go head to head against the might of the modern food industry who are very good at their job – which is making as much money as possible and manipulative promotion plays a key part and is something they are very good at.
But there are people who have that magic combination of being both keen gardeners and concerned about their health. Maybe only a minority of the population but they can play a critical role.
So we start by helping these keen health-conscious gardeners to set up their own Gbiota beds, get them to eat the gut-brain food they grow and see if their appetite is reduced.
They don’t have to do what I have done, wait until they are eighty-five and see if they are still fit and healthy.
If they feel that they are satisfied, stop craving food and naturally eat less then it is virtually certain that they have extended their health span.
Then, and this is the critical bit, persuade them of their community obligation to tell their friends and contacts.
Step 2 Set up a local gut-brain food industry
The epidemic of chronic diseases is global involving billions of people. It will not be resolved by home growers. We need to create a global gut-brain industry. But how?
There are many entrepreneurial growers who are potential gut-brain growers. As professional growers, they already have the technical base, so with a little training they can be effective suppliers.
But professional growers have to earn a living so how can this be turned into a sound and stable business?
Technically gbiota baskets and boxes are good products but there is a transport issue. We are not shipping plants but plants growing in boxes or baskets.
In practice this means they must be local suppliers but today so many people live in cities well away from the conventional farming areas.
However, it does not take a lot of space and most cities are surrounded by growing areas. In some cities areas have already been set aside for food production.
This is a problem where local Governments need to be involved.
Central Governments also need to be involved, particularly for public education. As they bear the brunt of the cost of the epidemic there is every reason for them to be motivated.
The modern internet resolves some of the problems with consumers being able to order and pay online.
But there is still the physical problem of distribution. An ideal solution would be to have some central location where consumers visit as part of their normal routine and baskets or boxes could be delivered in bulk.
Local farmers markets, health food shops and gyms come to mind.
Final note
Despite all these obstacles if we are to thrive as a species we must make the effort. In the first instance, this will fall on the shoulders of a few dedicated individuals.
I cannot create the change myself, I am just one person. But a group of dedicated people, who see the importance of creating a new industry of gut-brain food so we have a healthy community, can make this essential change.
At this moment the most important job it so spread the word to create an active community.
This document is published under the creative commons which means it can be copied and republished without further approval just acknowledgement of source.
So if you appreciate the importance of this project please tell your friends and if you really want to make an impact persuade your Government that they carry the responsibility for community health.
If you are serious contact me here and I can set up a video call, one of the good things of modern technology, and we can have a chat.