Posts about human health

Cats Protect Newborns From Developing Asthma

Everyone should appreciate the value of cats (as we do, honoring cats in our blog’s name); yet some people seem oblivious to the greatness of cats. In another demonstration of what we gain by associating with cats, research has shown living with cats as newborns helps protect those with a specific gene variation from developing asthma.

Cats protect newborns against asthma

The results reveal that cats remove the increased risk of developing asthma among children with a particular variation of the gene 17q21, called TT, which has the strongest impact on whether or not a child could develop asthma.

Almost one in three children in the study carried the TT gene variant, regardless of whether or not their mother had asthma.

“it looks like the effect is linked to a particular gene-variant, which goes to show just how complex the development of asthma and allergies are. It’s not only about genes and the environment, but how the two interact, and there’s so much that we still don’t know,”

The research indicates that cats reduce the risk of childhood asthma, pneumonia, and bronchiolitis in genetically susceptible subjects.

And no, dogs do not provide this protection. As with most research the scientists have new paths of inquiry to follow based on these results. Lead author Jakob Stokholm suspects that the reasons cats have this effect but dogs do not, “could be related to the bacteria that cats carry and perhaps fungi or viruses that they bring into the home”. Those questions can be the topic of further research.

Related: Cat Allergy Vaccine Created (2011)Awesome Cat CamThe History of Domestic CatsParasites in the Gut Help Develop a Healthy Immune SystemHypoallergenic Cats (2006)The Amazing Reality of Genes and The History of Scientific Inquiry

Stanford Research Scientists Discover 99% of the Microbes Inside Us are Unknown to Science

Readers of this blog know I am fascinated by the human microbiome. It is amazing how much of our biology is determined by entities within us that are not us (at least not our DNA) (bacteria, viruses etc.). This whole area of study is very new and we have quite a bit to learn. There are scientists across the globe studying this area and learning a great deal.

Stanford study indicates that more than 99% of the microbes inside us are unknown to science

Of all the non-human DNA fragments the team gathered, 99 percent of them failed to match anything in existing genetic databases the researchers examined.

The “vast majority” of it belonged to a phylum called proteobacteria, which includes, among many other species, pathogens such as E. coli and Salmonella. Previously unidentified viruses in the torque teno family, generally not associated with disease but often found in immunocompromised patients, made up the largest group of viruses.

“We’ve doubled the number of known viruses in that family through this work,” Quake said. Perhaps more important, they’ve found an entirely new group of torque teno viruses. Among the known torque teno viruses, one group infects humans and another infects animals, but many of the ones the researchers found didn’t fit in either group. “We’ve now found a whole new class of human-infecting ones that are closer to the animal class than to the previously known human ones, so quite divergent on the evolutionary scale,” he said.

Related: We are Not Us Without The Microbes Within UsWebcasts on the Human MicrobiomePeople are Superorganisms With Microbiomes of Thousands of Species (2013)We Have Thousands of Viruses In Us All the Time (2015)Tracking the Ecosystem Within Us (2007)

Drone Deliveries to Hospitals in Rwanda

Partnering with the Government of Rwanda, Zipline serves 21 hospitals nation-wide. They provide instant deliveries of lifesaving blood products for 8 million Rwandans.

Their drones are tiny airplanes (instead of the more common tiny helicopter model). Supplies are delivered using parachute drops from the drone. Landings are similar to landings on aircraft carriers (they grab a line to help slow down the drone) and, in a difference from aircraft carrier landings, the drone line drops them onto a large air cushion.

Zipline Muhanga Distribution Center launched in October 2016 making Rwanda the first country to integrate drones into their airspace and to begin daily operations of autonomous delivery.

As of May 2017, Zipline had completed over 350 delivery flights to real hospitals and their pace is accelerating. Zipline can cut delivery time from 4 hours to 15 minutes (which is extremely important in time critical health care emergencies).

I wrote in 2014 about the huge potential for drone delivery of medical supplies. It is wonderful to see Zipline improving people’s lives with their effort.

Related: Inspirational Engineer, William Kamkwamba from Malawi (2008)Using Rats to Sniff Out TBUS Fish and Wildlife Service Plans to Use Drones to Drop Vaccine Treats to Save FerretsWater Wheel

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We are Not Us Without The Microbes Within Us

I Contain Multitudes is a wonderful book by Ed Young on the microbes within us.

Time and again, bacteria and other microbes have allowed animals to transcend their basic animalness and wheedle their way into ecological nooks and crannies that would be otherwise inaccessible; to settle into lifestyles that would be otherwise intolerable; to eat what they could not otherwise stomach; to succeed against their fundamental nature. And the most extreme examples of this mutual assured success can be found in the deep oceans, where some microbes supplement their hosts to such a degree that the animals can eat the most impoverished diets of all – nothing.

This is another book exploring the wonders of biology and the complexity of the interaction between animals and microbes.

For hundreds of years, doctors have used dioxin to treat people whose hearts are failing. The drug – a modified version of a chemical from foxglove plants – makes the heart beat more strongly, slowly, and regularly. Or, at least, that’s what it usually does. In one patient out of every ten, digoxin doesnt’ work. Its downfall is a gut bacterium called Eggerthella lenta, which converts the drug to an inactive and medically useless form. Only some strains of E. lenta do this.

The complex interactions within us are constantly at work helping us and occasionally causing problems. This obviously creates enormous challenges in health care and research on human health. See related posts: Introduction to Fractional Factorial Designed Experiments, “Grapefruit Juice Bugs” – A New Term for a Surprisingly Common Type of Surprising Bugs and 200,000 People Die Every Year in Europe from Adverse Drug Effects – How Can We Improve?.

Every person aerosolized around 37 million bacteria per hour. This means that our microbiome isn’t confined to our bodies. It perpetually reaches out into our environment.

Avoiding bacteria is not feasible. Our bodies have evolved with this constant interaction with bacteria for millions of years. When we are healthy bacteria have footholds that make it difficult for other bacteria to gain a foothold (as does our immune system fighting off those bacteria it doesn’t recognize or that it recognized as something to fight).

A few pages later he discusses the problem of hospital rooms that were constantly cleaned to kill bacteria and largely sealed to reduce airflow. What happened is those bacteria the sick people had in them were the bacteria that were flourishing (the number of other bacteria to compete for space was small). Opening the windows to welcome the outside air resulted in better results.

Outdoors, the air was full of harmless microbes from plants and soils. Indoors, it contained a disproportionate number of potential pathogens, which are normally rare or absent in the outside world

Human health is a fascinating topic. It is true antibiotics have provided us great tools in the service of human health. But we have resorted to that “hammer” far too often. And the consequences of doing so is not understood. We need those scientists exploring the complex interactions we contain to continue their great work.

Related: People are Superorganisms With Microbiomes of Thousands of Species (2013)Bacteria are Always Living in Our Bodies (2014)Gut Bacteria Explored as Medical Treatment – even for Cancer

Unexpected Risks Found In Editing Genes To Prevent Inherited Disorders

Mitochondrial replacement seeks to remove genes known to cause genetic defects from embryos in order to allow for a baby to avoid inheriting the defect.

Mitochondrial Replacement Techniques: Ethical, Social, and Policy Considerations from the USA National Academy of Sciences

Accordingly, the committee recommends that any initial MRT clinical investigations focus on minimizing the future child’s exposure to risk while ascertaining the safety and efficacy of the techniques. The recommended restrictions and conditions for initial clinical investigations include

  • limiting clinical investigations to women who are otherwise at risk of transmitting a serious mtDNA disease, where the mutation’s pathogenicity is undisputed, and the clinical presentation of the disease is predicted to be severe, as characterized by early mortality or substantial impairment of basic function; and
  • transferring only male embryos for gestation to avoid introducing heritable genetic modification during initial clinical investigations.

Following successful initial investigations of MRT in males, the committee recommends that FDA could consider extending MRT research to include the transfer of female embryos if clear evidence of safety and efficacy from male cohorts, using identical MRT procedures, were available, regardless of how long it took to collect this evidence; preclinical research in animals had shown evidence of intergenerational safety and efficacy; and FDA’s decisions were consistent with the outcomes of public and scientific deliberations to establish a shared framework concerning the acceptability of and moral limits on heritable genetic modification.

The research in this area is interesting and our ability to help achieve healthy lives continues to grow. The path to a bright future though is not without risk. It requires careful action to pursue breakthrough improvements while minimizing the risks we take to achieve better lives for us all.

Unexpected Risks Found In Editing Genes To Prevent Inherited Disorders

Earlier this month, a study published in Nature by Shoukhrat Mitalipov, head of the Center for Embryonic Cell and Gene Therapy at the Oregon Health and Science University in Portland, suggested that in roughly 15 percent of cases, the mitochondrial replacement could fail and allow fatal defects to return, or even increase a child’s vulnerability to new ailments.

The findings confirmed the suspicions of many researchers, and the conclusions drawn by Mitalipov and his team were unequivocal: The potential for conflicts between transplanted and original mitochondrial genomes is real, and more sophisticated matching of donor and recipient eggs — pairing mothers whose mitochondria share genetic similarities, for example — is needed to avoid potential tragedies.

“This study shows the potential as well as the risks of gene therapy in the germline,” Mitalipov says. This is especially true of mitochondria, because its genomes are so different than the genomes in the nucleus of cells. Slight variations between mitochondrial genomes, he adds, “turn out to matter a great deal.”

Related: Gene Duplication and EvolutionThe Challenge of Protecting Us from Evolving Bacterial ThreatsOne Species’ Genome Discovered Inside Another’s (2007)Looking Inside Living Cells

Engineering Mosquitos to Prevent the Transmission of Diseases

Mosquitos are responsible for huge amount of suffering and death. In 2015 200,000,000 people were infected with malaria and 500,000 died.

It is amazing what knowledge science has provided about the causes of human disease. It is great to have videos like this available that let us learn a bit about it from a short and understandable video.

Using our scientific knowledge to design and implement solutions offers great possibilities. But we also have to worry about the risks of such attempts. Making decisions about what risks to take requires well informed people that are able to understand the opportunities and risks and make intelligent decisions.

Related: Video showing malaria breaking into cellScientists Building a Safer Mosquito (2006)Engineering Mosquitoes to be Flying Vaccinators (2010)

Eating Nuts May Reduce the Risk of Heart Disease, Cancer and Other Diseases

A large analysis of current research shows that people who eat at least 20g of nuts a day have a lower risk of heart disease, cancer and other diseases. The analysis of all current studies on nut consumption and disease risk has revealed that 20g a day – equivalent to a handful – can cut people’s risk of coronary heart disease by nearly 30%, their risk of cancer by 15%, and their risk of premature death by 22%.

While this is reassuring news to those of us (like me) that frequently eat nuts I am not sold on their evidence. Heath research is prone to overstating the benefits. Still there is little reason to avoid making nuts part of a healthy diet. That is a big part of the reason I have. They offer benefits and maybe even great ones (as indicated in this research) without much risk.

An average of at least 20g of nut consumption was also associated with a reduced risk of dying from respiratory disease by about a half, and diabetes by nearly 40 percent, although the researchers note that there is less data about these diseases in relation to nut consumption.

The study, led by researchers from Imperial College London and the Norwegian University of Science and Technology, is published in the journal BMC Medicine, Nut consumption and risk of cardiovascular disease, total cancer, all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective studies (open access paper).

The research team analysed 29 published studies from around the world that involved up to 819,000 participants, including more than 12,000 cases of coronary heart disease, 9,000 cases of stroke, 18,000 cases of cardiovascular disease and cancer, and more than 85,000 deaths.

While there was some variation between the populations that were studied, such as between men and women, people living in different regions, or people with different risk factors, the researchers found that nut consumption was associated with a reduction in disease risk across most of them.

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The Challenge of Protecting Us from Evolving Bacterial Threats

I have long been concerned about the practices we continue to use increasing the risks of “superbugs.” I have written about this many times, including: The Overuse of Antibiotics Carries Large Long Term Risks (2005)Are you ready for a world without antibiotics? (2010), Antibiotics Breed Superbugs Faster Than Expected (2010), Entirely New Antibiotic (platensimycin) Developed (2006), Our Poor Antibiotic Practices Have Sped the Evolution of Resistance to Our Last-Resort Antibiotic (2015).

I do also believe the wonderful breakthroughs we make when we invest in science and engineering have made our lives much better and have the potential to continue to do so in many ways, including in dealing with the risks of superbugs. But this is something that requires great effort by many smart people and a great deal of money. It will only happen if we put in the effort.

Winning war against ‘superbugs’

hey won this particular battle, or at least gained some critical intelligence, not by designing a new antibiotic, but by interfering with the metabolism of the bacterial “bugs” — E. coli in this case — and rendering them weaker in the face of existing antibiotics

ROS, or “reactive oxygen species,” include molecules like superoxide and hydrogen peroxide that are natural byproducts of normal metabolic activity. Bacteria usually cope just fine with them, but too many can cause serious damage or even kill the cell. In fact, Collins’ team revealed a few years ago the true antibiotic modus operandi: they kill bacteria in part by ramping up ROS production.

We need to continue to pursue many paths to protecting us from rapidly evolving bacterial risks. Many promising research results will fail to produce usable solutions. We need to try many promising ideas to find useful tools and strategies to protect human health.

Using Rats to Sniff Out TB

Apopo’s African giant pouched rats are being used to sniff out mines and TB

In the face of what the World Health Organisation is calling a global TB epidemic, an innovative tech startup named Apopo is attempting to reverse the harrowing statistics, using rodents to sniff out TB in cough and spit samples.

No ordinary lab rats, Apopo’s African giant pouched rats – affectionately named HeroRats – are extremely sensitive to smell, with more genetic material allocated to olfaction than any other mammal species. They are also highly social animals, and can be trained to communicate with humans.

I have written about these wonderful rats previously, Appropriate Technology: Rats Helping Humans by Sniffing Out Land Mines. As I have stated many time I especially enjoy engineering solutions that use affordable and effective methods to help everyone.

Photo of Hero-rat detecting TB in Mozambique with Apopo staff person

Hero-rat detecting TB in Mozambique

A DNA-screening device that takes up to two hours to analyse each individual sample with 95pc accuracy costs $17,000 and thousands more in upkeep. By contrast, a HeroRat costs $6,500 to train, can probe through hundreds of samples every hour [70-85% accuracy rate], and requires only food, water and cages for shelter.

Keep these innovations coming. The USA needs them also given the massively costly healthcare system in the USA.

The TB sniffing rat program was developed through Apopo in Tanzania.

Related: Rats Show Empathy-driven BehaviorBeehive Fence Protects Farms from ElephantsTuberculosis Risk (2007)Dangerous Drug-Resistant Strains of TB are a Growing Threat (2012)

Healthy Living Greatly Reduces Likelihood of Dying from Cancer

Lifestyle choices can greatly reduce the incidence and death rates from cancer. 4 factors can reduce the incidence of cancer by up to 40% and death rate by 50%: don’t smoke, don’t drink alcohol in excess, maintain a BMI between 18.5 and 27.5, and exercising at a moderate intensity for at least 150 minutes or at a vigorous intensity for at least 75 minutes every week.

Preventable Incidence and Mortality of Carcinoma Associated With Lifestyle Factors Among White Adults in the United States

A substantial cancer burden may be prevented through lifestyle modification. Primary prevention should remain a priority for cancer control.

Cancer is the second leading cause of death in the United States, with 1.6 million new cancer cases and 0.6 million cancer deaths projected to occur in 2016.1 The cancer mortality rate, age-standardized to the 2000 US standard population, decreased from 199 to 163 per 100”¯000 between 1969 and 2013.2 However, this decline (17.9%) has been modest compared with the dramatic decrease in heart disease mortality (67.5%) during the same period, highlighting the need for further efforts in cancer prevention and treatment.

The study reviewed previous studies and the makeup of the previous studies and available statistics. As they state in the paper: “Because our cohorts’ participants were predominantly whites, to avoid any influence of different racial distributions on the comparison with the general population, we only included whites in the analysis.” They also excluded about 10% of cancers that are believed to have strong environmental factors.

Table Showing a Comparison of Lifestyle Factors in the Low- and High-Risk Groups

In the 2 cohort studies of US white individuals, we found that overall, 20% to 40% of carcinoma cases and about half of carcinoma deaths can be potentially prevented through lifestyle modification. Not surprisingly, these figures increased to 40% to 70% when assessed with regard to the broader US population of whites, which has a much worse lifestyle pattern than our cohorts.

Notably, approximately 80% to 90% of lung cancer deaths could be avoided if Americans adopted the lifestyle of the low-risk group, mainly by quitting smoking. For other cancers, from 10% to 70% of deaths could be prevented. These results provide strong support for the importance of environmental factors in cancer risk and reinforce the enormous potential of primary prevention for cancer control.

Related: A Healthy Lifestyle is More About Health Care than the Sickness Management That We Call Health Care IsBetter Health Through: Exercise, Not Smoking, Low Weight, Healthy Diet and Low Alcohol Intake (2013)Exercise Is Really Really Good for YouPhysical Activity for Adults: Inactivity Leads to 5.3 Million Early Deaths a Year (2012)

USA Health Care Crisis: Opioid Abuse

In 2014 about 34,000 deaths in the USA died in car crashes and about the same number of deaths resulted from gun violence, but more than 47,000 people died from drug overdoses.

Opioid abuse has greatly increased these deaths in the last decade. Chronic pain is a real problem we need to manage. But the current practices are leading to troubling results as are our methods for dealing with drug abuse (including illegal drugs such as heroin). Abusing prescription drugs such as addictive opioids and illegal drugs such as heroin are both leading to an increasing number of deaths in the last decade.

Worldwide somewhere between 26 and 34 million people are abusing opioids. More than 2 million of them are Americans abusing prescription opioids.

Heroin is an example of a non-prescription opioid.

Admissions for the treatment of abuses of prescription opioids constituted about 1% of [USA emergency room] admissions in 1997, and they made up 5% of admissions a decade later.

Related: President Obama Proposes $1.1 Billion in New Funding to Address the Prescription Opioid Abuse and Heroin Use Epidemic200,000 People Die Every Year in Europe from Adverse Drug Effects – How Can We Improve?The War on Drugs has been a Huge Failure with Massive Unintended Consequences (we need to use health care strategies to manage the problem not war strategies)Over-reliance on Prescription Drugs to Aid Children’s Sleep? (2007)

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