In this edition, there are several examples of the measurement of high risk or excessive exposures, as well as a reminder of the value of handwashing with soap, surely one of the cheapest of interventions. 2 The philosopher Aristotle (384-322 BCE) recommended 'nothing in excess' as the ideal lifestyle for health. A study of over 170,000 New Zealanders bears this out: low-risk alcohol drinkers reported a positive effect on happiness, while high-risk drinkers reported the reverse. 3 Excessive consumption of alcohol by students is not a new finding, but a study of health-related lifestyles in an English university produced worrying statistics: 42% of alcohol drinkers reported getting drunk at least once a month, 60% reported that they were insufficiently physically active, while 46% had an unbalanced or problematic diet. 4 The authors concluded that these and other examples of poor lifestyle will inevitably lead to chronic diseases, commenting that 'there is questionable value in awarding academic degrees if the health of students is part of the university fee'; in other words, colleges need to do a lot more to promote a more moderate, healthy lifestyle. Encouraging physical activity at the other end of the age scale is also needed, including outdoor spaces with equipment suitable for those with age-related disability. 5 Swings and interactive landscapes for pensioners seem an excellent idea, although the authors acknowledge the need for research on its implementation. The elderly need good vision to take exercise, making cataract removal and other affordable eye care a priority for countries without readily accessible or free healthcare, such as Bangladesh. 6 Smoke-free legislation in the United Kingdom dates from July 2007, but while this is an acknowledged success, the emergence of shisha bars and cafés is challenging attempts to curb smoky atmospheres at these premises, often in an enclosed, poorly ventilated 'outdoor' area. At the beginning of last year, 600 shisha cafés were registered in the United Kingdom, with only 25% acknowledging that the exposure to particulates and carbon monoxide is a problem, according to a survey conducted in Birmingham. 7 E-cigarette use has also risen in recent years, with no legislation prohibiting it in public areas. While many healthcare trusts have banned them on health premises, over half those surveyed at a hospital in North East England were unaware of trust policy and few had challenged those using an E-cigarette device. 8 The Public Health England 5% target for free sugars daily energy intake has been welcomed, although the World Health Organization (WHO) target of 10% has not yet been achieved. A review on this dietary topic concluded that reducing the current intake level is feasible, although not to 5% in the near future. 9 The multiple strategies required include use of alternative sweeteners, smaller portion size and clearer guidance. Pharmacists have a role in promoting less obesogenic diets, as do slimming organisations: Healthy Living Pharmacies (HLPs) in Durham ...