Saxon Kings, sanitary queens, striking little match-girls: East London has it all

Abbey Mills pumping station, photographed by Andy Worthington

What does Saxon King Alfred have in common with Mo Farah? It turns out that the waterworks Alfred initiated 1200 years ago to trap the marauding Danes in Essex led in an almost unbroken line to the choice of the 2012 Olympics site, where Sir Mo marauded his way to two gold medals.

I learned this today on a test run of the Cholera Walk that London guide Sophie Campbell will be leading before the Song of Contagion show this Saturday. Mixed in with a fascinating social history of London, ranging from drains to striking match factory girls, you get to wander through the stunning wildflowers of the Olympic Park, and discover how King Alfred’s engineering works made the Victorian obsession with drains both necessary and possible, leading eventually to the beautiful Byzantine architecture of the Abbey Mills pumping station. (Really, in what other culture would machines designed to pump shit out of a city be named after the Queen’s four favourite children?) Sophie takes us on an exploration of culture, community and notions of development, showing how water and sewage have been central to shaping East London from the city’s beginning to its present post-Olympic reinvention.

Two people had to cancel yesterday, so if you’re quick, you might still be able to book a ticket for the walk. We’ll end up close to Wilton’s in time for the last performance of Song of Contagion for those who haven’t had a chance to see it yet. Tickets for that here.

“Infectious diseases shouldn’t be this much fun!”

Grand Union Orchestra playing Song of Contagion at Wilton's
“Infectious diseases shouldn’t be this much fun!”

That’s the verdict of one of the guests at the opening night of Song of Contagion. Having kept us wondering until the last minute, composer Tony Haynes unveiled a rocking good show last night (Tuesday June 13). I’m not musical enough to blow our own trumpet, so I’ll share some of the comments from the audience.

“Ridiculous amount of talent among musicians”
“You should tour Europe. It was awesome and inspiring”
“A tonic for our times. Brilliant, moving and very groovy”
“I really enjoyed the musical diversity, the different moods it brought us to and (cherry on the cake) the fantastic venue”
“What a great spirit we have in London. This is multiculturalism at its best”
“Made me feel enlivened, privileged, lucky and blind to injustice.”

There’s a lot more, but perhaps you should get along to the show between now and Saturday June 17th, and see for yourself!

Contagion on the airwaves: Samba, strings and the story of HIV

Click to listen to More or Less programme

Last weekend, the BBC World Service’s resident numbers nerd Tim Harford dedicated a whole episode of the wonderful “More or Less” programme to Song of Contagion. On air, I heard a few bars of the show’s music for the first time, and got a bit overexcited.

You can also listen to the programme, and to a few bars of the HIV song, here:

Going viral in The Lancet

Thanks to Wellcome Images.

Updated with pdf of essay.

It’s less than a fortnight until Song of Contagion hits the stage. The show we will meet for the first time on June 12th is perhaps less the product of a gestation than an upbringing, delivering an energetic but volatile teenager: unpredictable, yes, but (almost certainly) loveable too.

In this essay in The Lancet, I think back to the teenager’s conception, and muse on why we sometimes make such very bad decisions in global health. If the link doesn’t work for you, download the pdf version here.

For those who want a little of the music, too, there’s this podcast.

Youth versus beauty: the science of violins

BBC Radio 4’s Inside Science ran an interesting story this week about the audio-science of violins. Many people take it as given that a squillion-pound Stradivarius that has weathered the centuries has a richer sound than a newer instrument. That was put to the test in a “blind listening” — even the musicians playing the instruments were blindfolded.

And the winner was…

Well, listen and judge for yourself (mp3).

White noise from the coloured river

Brian House, via Verge

We’re not alone in using “sonification” to nudge people into thinking about the things that make our world go round (sometimes less smoothly than we’d like). US artist Brian House is translating pollution data from water quality sensors in the Animus River in Colorado into music. The data is run through amps linked to sheets of four different metals, all of them metals that have exceeded safety levels in the river. The artist describes it like this:

“Changes in the clarity of the water, invisible indicators of the dissolved metals within it, and the dynamics of its daily and seasonal flows all become sound in the gallery, producing timbral “color” from the river’s continually changing composition.”

It’s a really interesting concept, but a quick listen (below) reinforced for me something that composer Tony Haynes noted at the very outset of the Song of Contagion collaboration: music driven exclusively by data are more conceptually than emotionally compelling. The more I hear of pure sonifications, the happier I am to have a real, live, passionately inspired composer at the helm of our show.

HT The Verge, via Mark Zip.

The company we keep: the BBC proms follow Grand Union to Wilton’s

Interior of Wliton's Music Hall

Some fans of the BBC’s proms were befuddled last year, when David Pickard, the festival’s new director, exploded out of the Royal Albert Hall and “put music in the right setting for that music”, including in a multi-storey car park in Peckham. This year, they’ll be going to Wilton’s Music Hall. As he told BBC Front Row’s Kirsty Lang last night, the Proms will be going to “the amazing Wilton’s Music Hall” with Peter Maxwell Davies’ Eight Songs for a Mad King. “It will be very special, I think, to see that piece in that setting,” he said. Listen to the interview:

We’re ahead of you, David. Grand Union chose Wilton’s as the venue for Song of Contagion precisely because it resonates so completely with much of our material. It’s close to the site of the 1866 cholera outbreak, described in our opening song, and celebrated in a walk before the show on Saturday June 17th. It’s close to the great sugar warehouses of Tate & Lyle and the other colonial giants that began to dribble ill-health into our diets in earnest in the late 18th century. “A little of what you fancy does you good” — a classic Victorian music hall song that surely once graced the stage at Wilton’s, will feature in our song about corporate lobbying and coronary heart disease.

Wilton’s Music Hall is indeed amazing; rattle it just a bit and you’ll shake out much that is core to the history of Britain and it’s colonies. We’ll certainly be rattling it in June (book here to join us.) But we’ll leave some ghosts for Prom goers to discover, too.

Stalking King Cholera: a walk that revisits London’s sordid past

It’s almost exactly 150 years since the last great cholera outbreak in East London. The city was saved by Sir Jospeh Bazalgette’s astonishing sewage system, much of which is still in operation today. That system over-rode the perfidious behaviour of corporations — the eight water companies that supplied often unfiltered water to Londoners. Though cholera hasn’t returned, the perfidious behaviour of corporations flows on. Just last week, Thames Water was fined £20.3 million for dumping raw sewage into the Thames.

If you’re interested in the history of East London, of epidemiology, of great works of sanitation or if you just want to discover some of the ghoulish hidden treasures of the East End, join guide Sophie Campbell as she takes us through the slums through which London’s last cholera epidemic raged, the cemeteries it filled, and the pumping stations that put an end to it.

The walk will end up close to Wilton’s Music Hall, in time for the evening performance of Song of Contagion on Saturday June 17th. If you fancy coming to that after the walk, book here.

Book your place on the walk now. Sophie can only take 25 guests, but we may be able to add other dates. If it’s sold out, you’re interested in the walk but can’t make the date, or if you have any trouble booking through eventbrite, please email us on walk@songofcontagion.com

Blood, sweat and music: truly visceral

Tony often describes his music as “visceral” — and it’s certainly hard to sit through a Grand Union Orchestra performance without feeling it in the gut. But we may have been outdone on the visceral front by Russian artist Dmitry Morozov, who has literally turned his blood into a musical instrument. In the video above, you can watch him storing up 4.5 litres of his own blood; he then turns it into a battery that drives the composition Before I Die. It’s not for the faint-hearted. Quite apart from all the hypodermics, Morozov gets broodingly philosophical about life, decay and death. Very interesting, but an entirely different brand of “visceral” to the Grand Union’s signature style, which you can find more of here.

Read more about Morozov’s bio-musical artwork here.

An aside for those who tried to book tickets to Song of Contagion when we first posted dates, but didn’t find them: they’re now on sale at Wilton’s: book your tickets here.

Sending bad drugs up in musical flames

The three tubed Fire Organ dancing to a single Concert C. All photo credit: Ryan Johnson

What do third-rate ecstasy, flames and superbugs have in common? An organ. This became apparent a a party given by the genius crew at Guerilla Science at which I encountered the Fire Organ, created by maverick engineers Burohappold. Acoustics  consultant Natalia Szcepanczyk and others on the engineering team will doubtless correct me, but essentially, the fire organ reproduces the shape of sound in flame. The minute I saw it, I thought of something else entirely: drugs. More precisely, bad street drugs. In fact it looked a lot like this:

Ecstasy spectrogram

It’s an image regular readers of Contagion may recognise: MDMA put through a mass spectrometer, showing all the particles in the Ecstasy pill (including a lot of shit that shouldn’t be in any pill that a human is likely to swallow). The reason I’ve got it hanging around is that I was looking for mass spec images or real and fake antimalarial drugs. The real ones save lives. The fake ones don’t. Worse, because they often expose bugs to small doses of medicine, they prompt resistant bugs to build up their strength and spread. In other words, they help breed superbugs.

Since mass spec images also look a lot like the output of electronic composition and editing programmes, I turned the Bad Drug graphs over to our music tech partners at CM Sounds, to see if they could reverse-engineer the sound of it.  When I saw the fire organ (and as one beer led to another) it seemed too perfect not to close the circle by then trying to play that music back into the fire organ, to recreate the graph in flames. If it works, you’ll be able to see AND hear the difference between good smack and bad, and between medicines that will cure you and those that might kill you. It would bring David McCandless-type beautiful information together with some of the sound nerdiness collected by the folks at the Programming Historian. Wouldn’t that be trippy?

Photo-ops, scientific racism and the spread of zika

One of the three pin-head baby photos in today's New York Times

Sneak preview of one the songs that musicians and lyricists are busy working on for the Song of Contagion show, which will run June 13-17, 2017 at the fabulous Wilton’s Music Hall: the Dengue Merengue. We’re using the contrast between dengue and zika to demonstrate how important media coverage can be in determining how much attention and funding a disease gets.

The New York Times this week ran a long story titled How the Response to Zika Failed Millions. Though scientists get a mixed-to-bad scorecard, the press was highly praised.

“In Brazil, the press was the first to sense that something was going on,” said Dr. Karin Nielsen, a pediatrician at the David Geffen Medical School at the University of California, Los Angeles, who also works in Rio. “It was pushing it even before the medical specialists were.”

Certainly the press is excited about Zika. In the last year,the New York Times alone has written 1,062 stories mentioning Zika. So here’s my question: why does the press not get excited about dengue? The NYT ran just 173 stories mentioning dengue in the last year, and if you sort them by highest relevance, 14 out of the top 20 have headlines that are about Zika, not dengue. And yet both pathogens are spread by the the same mosquito in largely the same areas. Dengue has been around for ever and is getting worse, debilitating around 96 million people every year and sending about half million of them to hospital. Around 13,000 of those will die. Zika has also been around a while, and it doesn’t seem to kill anyone much, and was thought to do little harm. Recently, though, infection in pregnancy has been associated with some 2,311 cases of microcephaly. That’s pin-head babies, and they make for great newspaper fodder. I’ve no doubt that sounds callous, but it’s an indication of the extent to which photo-ops lead news coverage in today’s screen-obsessed world. The Time’s Zika scorecard story managed to include THREE baby-and-parent photos (and one pic of a mosquito-fogger).

It’s also a perfect illustration of two of the other parameters that affect the importance we give to different diseases. One is what in Song of Contagion we’ve been calling the “cuddly-to-icky” spectrum. Deformed babies and their parents quite rightly excite sympathy in people worldwide; that makes it easier to put them on the front page (and to fund) than less endearing “victims”. Dengue affects people of all ages, including kids, but there’s nothing particularly eye-catching about a patient with dengue shock syndrome.

The other parameter Zika illustrates is the “near-to-far” spectrum. Because Zika came to notice in Brazil, in the Americas and just before the Olympics, it seemed much “nearer” to decision-makers in the United States (and journalists at the New York Times) than many other neglected tropical diseases. And with the Olympics planned, people from lots of other countries would draw near to the virus, too. Of course that’s also true of dengue, but without the shock visuals and the hook of an “emerging” epidemic that Zika provides, physical proximity counted for less. Some parameters trump others, in health as in music.

Another aspect of the Times story reflects something I’ve found recently in my research on scientific collaborations. Investigators in low and middle income countries get really cross when researchers from rich countries treat them as second class citizens.

Dr. Ernesto T. A. Marques Jr., an infectious disease specialist at the University of Pittsburgh and at the Oswaldo Cruz Foundation in Brazil, said Brazilian scientists felt let down when they looked for outside help — at first from European donors and health agencies.
“The local researchers’ role was mainly to collect samples,” Dr. Marques said bitterly.
The C.D.C.’s initial reluctance to accept Brazilian scientists’ work also slowed the international response, said Dr. Peter J. Hotez, the dean of the National School of Tropical Medicine at Baylor College of Medicine.
Even when the Brazilians found Zika virus in two women’s amniotic fluid and in the brain of a microcephalic fetus, “The C.D.C. would not accept it until they had done it themselves,” he said.

While racism is not the exactly right word for this sort of inequity, it has the right flavour. In journalism we’d call it “big-footing.” Local journalists toil away for years telling the story of some forgotten place, and then come the revolution, the tsunami or the World Cup, they get “big-footed” by crusty correspondents — usually white men based somewhere much more comfortable — who don’t speak the language or have any useful contacts but who come in to report the big story, snatching all the glory. One day we’ll learn in science as we are gradually learning in reporting that people with deep knowledge of local cultures, politics and ways of communicating are central to great research. I guess this is what Tony, in his musical discipline, calls “authenticity”. It seems creative work in both art and science depends on it.

Superbugs: “Not like Ebola” — but soon will be

Not any longer...
Not any longer…

Last week, nearly every country in the world got together at the United Nations General Assembly to commit to doing something about the spread of superbugs: bacteria, viruses and other pathogens that are evolving their way around the medicines that treat them. It’s an important step, and one the UK has taken credit for, not without reason. At a bunch of side meetings ahead of the big political discussions in New York last week, speaker after speaker said that the threat of antimicrobial resistance (or AMR, for those who want to avoid the mouthful) had been neglected because it was “not urgent, like Ebola”, “not visible, like zika”, “there are no activist groups shouting about it, like HIV.” It could have been an introductory talk for the concept behind Song of Contagion.

What eventually put AMR on the global agenda was essentially the dedication and clever strategising of a single “champion” — Dame Sally Davies, the UK’s Chief Medical Officer. She looked at the evidence: we’re overusing antibiotics in both medicine and farming, they’re developing resistance fast, and there are no new ones in the pipeline because it’s more profitable to develop drugs that people have to take every day. She decided it was important, and rallied the UK Prime Minister to the cause. Then, very cleverly, Dame Sally outsourced a lot of the lobbying to an economist, Jim O’Neill. Bestower of BRICS, Goldman Sachs superhero and (briefly) UK Treasury minister, Jim is listened to by many in the corporate world (and in the all-important Chinese and Indian governments) who wouldn’t take much notice of even the most energetic health official. Lord O’Neill was the public face of a hard-working team that put together a lot of scary info-graphics based on a lot of solid evidence (and some less solid but certainly scary “blue sky” estimates) that captured the front pages of newspapers as influential as The Economist.

We didn’t actually specify “Champions” on the list of parameters that we think influence decision-making about health priorities.

parameters

But thinking more about the “human influencers”, well, they very rarely act as an undifferentiated group. Sally Davies is a technocrat, certainly. But many technocrats before her recognised the threat of AMR without getting 193 nations to sign up to work together to do something about it. She is a technocrat who is also a visionary, a strategist, and a bit of a terrier. She just doesn’t give up until she gets what she wants. So it was with the early AIDS activists. Which raises a question for the musicians engaged with Song of Contagion: what do “champions” sound like?

PROJECT UPDATE:

After a summer researching various options, we’ve come up with a shortlist of disease stories (.docx) that we think provide good illustrations of some of the key factors affecting which diseases are considered “important”. (There’s a one-page summary sheet here(.docx).) AMR is not currently on the list — somewhat ironically, because it is the issue Song of Contagion epidemiologist Elizabeth Pisani is working on right now. So that might change…

We expect to gather anyone who’s interested together to start writing lyrics the first week in November — please contact Sheelah (sheelah@btinternet.com) if you’d like to join in. Soon after that, it’s over to the musicians — we welcome all-comers with open arms. There will be a few music workshops and rehearsals over the winter, ahead of a performance in spring 2017.

The HIV band plays on… and on….

My personal Groundhog Day is the biennial AIDS conference, bustling with passionate activits, hopeful researchers, singing orphans. This year’s conference (held in Durban in July) had a greater sense of deja vu than most. After a brief blip of “End of AIDS” optimism at the 2014 conference, even Bill Gates was brought back down to earth: biomedical solutions alone won’t work.

Actually, with 17 million people on effective treatment, we’re much closer to the end of AIDS than we imagined when the AIDS circus last came to Durban 16 years ago. We’re just not any nearer to the end of HIV. As deaths drop off, the number of people living with the virus rises. If you take a squint at the graphs that the musicians are “playing” in the video below, you can see the shape of AIDS deaths (dramatic peak, steep decline — the data are for the US) but also the steep and continuing rise in cost of treatment. Not shown, but even more dramatic, is the rise in the number people who have HIV and are sexually active. So despite the fact that effective treatment reduces the chance of passing on the virus, the number of new HIV infections added to the global pool each year is not falling: around 2.1 million new infections in 2015.

The video comes from Song of Contagion’s very first music workshop; we’ve moved on a bit since then but it does look like HIV will be one of the disease stories we’ll be taking on. (By “we”, I mean the talented musicians shown in this introduction to the incomparable Grand Union Orchestra.)

You can see from their final performances how much work composer Tony Haynes puts in to each piece. Here, with a cast that includes public health nerds and some fine HIV researchers, you can see the very first seeds of what I hope will eventually turn in to one of those classic Grand Union performances:

A single dose of drains would be enough to stop cholera

Image of poor sanitation in London, 1850s
Image: Wellcome Library

The image above comes from a book with the sort of snappy title the Victorians were good at: “Sanatory progress:- being the fifth report of the National Philanthropic Association for the promotion of social and salutiferous improvements, street cleanliness; and the employment of the poor : so that able-bodied men may be prevented from burthening the parish rates, and preserved independent of workhouse alms and degradation.

Basically, it’s about drains. Good plumbing is a one-off investment that saves lives across all age, income and ethnic groups. You need maintenance of course, but basically, decent sanitation is switch we could flick to end cholera and other water-borne killers in much of the world. Which is why I’m still a bit surprised to find studies like this one, published a couple of weeks ago in the New England Journal of Medicine, trying out a single-dose cholera vaccine.

If you’re a adult in Bangladesh, it turns out, a single dose vaccine reduces your chance of getting cholera any time in the next six months by around half. Researchers don’t know how long the effect of a single dose of the vaccine might last; earlier research on a two-dose vaccine suggested that it reduced the risk of getting cholera by half for somewhere between two and 5 years, but the results only included the people who took all of their vaccines at the full dose. In the real world, getting people to come back for a second dose of vaccine after two weeks is a pain. That’s why they’re trying a one-dose regime. But the new study suggests that if you’re a kid under 5 — the group most likely to get cholera in the first place, the single dose vaccine had no measurable effect. And of course the cholera vaccine has no effect on all the other causes of diarrhoea and other infections that are water-borne.

Dreaming up new vaccines, developing and testing them, then delivering them to millions of people — potentially every few years — is a noble (if expensive) enterprise, heavily underwritten right now by the Grand Masters of 21st century philanthropy, the Bill and Melinda Gates Foundation. But we know from the history of cities such as London that investments in “salutiferous improvements” by an earlier generation of philanthropists achieved broader and longer-lasting benefits than a single- disease-specific vaccine, and in a relatively short time. So why the obsession with drugs not drains?

How would PJ Harvey sound out Contagion?

PJ Harvey at Field Day
Photo credit: REX via The Telegraph

Yesterday, I had the great pleasure of seeing PJ Harvey perform. Her most haunting song was probably “Dollar dollar”, a song about a boy begging at traffic lights in Kabul. It wells up out of an experience that clearly moved this thoughtful singer deeply when she was collaborating with photographer Seamus Murphy. But for me, standing under London sky pregnant with thunder, it was a song about Nairobi. I could feel my low grade irritation with matatu drivers rising; I could feel my foot hovering over the brake of my tiny (tinny) Jimny jeep; I knew that I hated being confronted with hungry kids with no prospects in life and with a pot of glue hanging from their top lip; and I knew that I hated myself for hating it.

It reminded me that music can prompt emotions (and express injustices) that are at once so universal and so deeply personal. The very emotions that swept me when I first saw the Grand Union Orchestra performing Undream’d Shores, and that led to the Song of Contagion collaboration.

Think we should invite PJ Harvey to contribute some disease music to Song of Contagion?

(Originally published by Elizabeth Pisani on June 13, 2016)

What do diseases sound like? First soundings

Horn and table - Grand Union Orchestra

The first exploratory music workshop took place on Saturday 7th May at St Margaret’s House, Bethnal Green. It was run by GUO composer/director Tony Haynes with three Grand Union Orchestra musicians: Claude Deppa, South African trumpeter and percussionist; Yousuf Ali Khan, tabla player and singer from Bangladesh; and Carlos Fuentes from Chile, exponent both of Andean and Brazilian folk instruments and Latin-American music. This group of musicians was specially chosen to reflect the intended global span of Song of Contagion

As well as musicians, many students and global health professionals who participated in the launch workshop on April 23rd returned, and – whether they regarded themselves and musical or not! – joined in all the activities with grace and enthusiasm.

Carlos berimbau Grand-Union Orchestra Song of Contagion

Elizabeth began the day by profiling various diseases and isolating the parameters by which they can be defined (and the relative importance we attach to treating and funding them). Tony then identified ‘musical parameters’ in a similar way; and with the aid of the musicians, demonstrated how variations of a piece of music can be achieved, while the separate elements of which it is comprised – melody, harmony, rhythm and so on – still remain recognisable.

AIDS_story_graphic

To kick off the practical exploration, joining the disease parameters to the musical ones, Elizabeth produced some very vivid graphs, turning statistical data effectively into pictures, which the group proceeded interpret through music, turning them into some very dramatic and colourful musical pieces. or ‘vignettes’. As a result, we now have some emergent ‘repertoire’, but more importantly a number of creative strategies for generating further musical material.

(First posted by Tony Haynes, May 2016)

Enough PowerPoints, already!

solar_system

I’ve just emerged from three days buried in a bunker at the Geneva Health Forum, which focuses on health in lower income countries. There was a great cartoonist, but otherwise it was all quite po-faced: power-point presentations,* incomprehensible posters and much thanking of sponsors. LOTS of rather earnest, mostly white people suffered from the Public Health Fallacy: the idea that if only they had the (technical) evidence, all governments would do the best thing for their poorest and most neglected. Despite all of the (historical, political, social) evidence that the poorest and most neglected mostly get, well, neglected by those that govern them.

I propose adding this to the evidence base: po-faced conferences with power point presentations to an audience that has seen them all before do not generate new ideas about inequality in health. And I propose trying something different: let’s put the technical evidence up against the historical, political and social evidence in a piece of music, and see what gets drowned out.

Does that sound crazy? Maybe? Will it change the world? Of course not. Will it allow us to think a bit more creatively than another powerpoint presentation in a bunker conference? Probably. Will it be a lot of fun? Certainly!

Come along tomorrow, Saturday April 23, and add your voice to the project, which we’re calling Song of Contagion. (It’s supported by the Wellcome Trust, and most of what they support turns out pretty well.) We’re meeting in Hackney, East London, to begin to decide which diseases to songify, and what, besides the technical evidence, we should be adding to the musical mix. The fact that the Minister of Health’s wife owns a Pharma company, maybe? We didn’t hear THAT at the Geneva Health Forum…

*The illustration for this post came from one of my PowerPoint presentations, questioning whether data sharing presentations are creating an asteroid field of repositories where really we need a solar system. Pretty abstruse, eh?

(Originally published by Elizabeth Pisani on April 22, 2016)

Song of Contagion is born!

Health charts and muscians atSong of Contagion workshop

The Song of Contagion project launched on April 23rd 2016 in the wonderful Graeae Theatre studios in Hackney. We had a great mix of participants who contributed their ideas around the politics of decision-making in public health. Among the answers to the question: “Why are some diseases more important than others?” my favourite was: it depends where the disease sits on the Cuddly-to-Yucky and the Benign-to-Scary spectra. It’s a concept that’s endlessly rich (and is further developed in this later post)

The jackpot in terms of getting funding and attention is a disease which is really ‘scary’ but in a ‘cuddly’ population: for example HIV in innocent children. The worst case seems to be a disease which is relatively benign, affecting ‘yucky’ populations — by yucky, we really meant populations that aren’t good for photo opportunities or pulling on heartstrings. Chronic conditions in the grossly overweight are hard to get people excited about, for example. Unless, of course, you’re an executive in a Pharma company. Then, you LOVE chronic conditions because they mean people gave to take drugs every day of their lives.

The discussions were rich, varied and lively, and that’s before Tony, Tony and Carlos got the instruments out and set us off on demonstration of the musical parameters.

This part of the journey will continue in later workshops discussing and exploring these parameters through practical, hands-on, creative music-making – in which everyone can play a part, regardless of musical skill or experience.

Much more in a while, but for now, thanks very much to everyone who participated for giving up your Saturday to fill our heads and hearts with endless exciting possibilities.

We look forward to the rest of the journey. It promises to be great fun, even for those of us who would put statistics at the benign and music at the scary end of the spectrum. Please join in at any stage.

(Originally published by Elizabeth Pisani on April 24, 2016)