"Teenagers," said Dr. Robert Millman, a professor of public health and psychiatry at Cornell University, "have a basic and profound fear of the future. They don't know if they'll make it. The message is you make it if you're tough enough; otherwise, you fail."

When's the last time your doctor checked with your chiropractor about that back injury? Or how about that free screening for colon cancer?

Scientists cast a wide net this week in the search for clues to why a rare disease called tularemia has a foothold on the Vineyard. They drew blood samples from landscapers, dragged for dog ticks and trapped rodents.

Pneumonic tularemia is back. Confirming this year's first case of the pneumonic form of the disease, public health officials said yesterday they are prepared to call in the Centers for Disease Control and Prevention (CDC) to investigate.

A four-year-old boy from Newton is this year's first confirmed case of tularemia on the Vineyard, but state and Island health officials stopped far short of sounding an alarm this week over a new outbreak of the rare bacterial infection.

Hospital leaders gave themselves a checkup this week, and while no crisis was detected, there was a prescription - for more work.