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'Silent Killer' May Be Disease of the Affluent
ScienceNOW ^ | 31 May 2012 | Ann Gibbons

Posted on 06/02/2012 7:05:57 PM PDT by neverdem

Enlarge Image
sn-inflammation.jpg
Early exposure. The Shuar people of the Amazon do not suffer from a chronic inflammatory response.
Credit: Courtesy of the Shuar Health and Life History Project

From an early age, the indigenous Shuar people of the Ecuadorian Amazon are exposed to an army of parasites, viruses, and other microbes. But if children survive to adulthood—no guarantee, given that they're three times more likely to die before the age of 5 than children in the United States and Canada—they seem to end up with more efficient immune systems than people living in industrialized nations. That's the conclusion of a new study, which adds weight to the idea that early exposure to pathogens confers long-term health benefits.

Inflammation is part of a healthy immune response, allowing the body to orchestrate an onslaught of immune cells and chemicals to heal an injury and fight infection. But sometimes the process goes awry, as when obesity, periodontal disease, stress, or a chronic infection such as herpes continuously stimulates the immune system, causing chronic, low-grade inflammation. This can eventually interfere with the body's healthy tissues, increasing the risk of heart attacks, stroke, diabetes, cancer, and autoimmune disease. In the West, chronic inflammation is known as a "silent killer."

Chronic inflammation is widespread in industrialized nations, and researchers have wondered if it's also rampant in nonindustrialized nations, where fewer people are overweight, for example, but where more people are exposed to acute infectious disease.

To find out, biological anthropologists Thomas McDade of Northwestern University in Chicago, Illinois; Josh Snodgrass of the University of Oregon in Eugene; and colleagues measured the levels of C-reactive protein (CRP) in the blood, a marker of a person's inflammatory response. The researchers collected blood samples 4 weeks in a row from 52 adults between the ages of 18 and 49 in Shuar communities near the town of Sucúa in the lowlands of the Amazon in Ecuador. They found that some of the adults had a high level of CRP at a single point in time, indicating an acute inflammatory response to an infection. But not a single Shuar tested above 3 milligrams per liter-the benchmark for a chronic inflammatory response in the United States. This differs from the pattern in industrialized nations, where CRP is chronically elevated in about one-third of adults, the team reports online this week in the American Journal of Human Biology.

In the Shuar, says McDade, "CRP goes up when you need it, but it is almost undetectable when you don't, after the infection resolves." And that suggests that exposure to microbes early in life may fine-tune the immune system so that it can regulate its response to acute and low-grade infections more efficiently—much in the same manner as the so-called "hygiene hypothesis" predicts that children who are exposed to microbes, such as on farms, for example, are less likely to develop allergies later in life. Indeed, the rural Shuar foragers are very lean and healthy, with low rates of cardiovascular disease and diabetes, says Snodgrass.

Others agree with these conclusions. "McDade's general point that the immune system is dysregulated in the absence of pathogen exposure early in life is extremely important—and seems to have downstream consequences on many seemingly unrelated diseases," says biological anthropologist Michael Gurven of the University of California, Santa Barbara.

In the absence of these organisms that co-evolved with us, people living in industrialized nations developed a defect in their immune regulation, says microbiologist Graham Rook of University College London, who proposed in 2003 that with urbanization, humans are not exposed to as many pathogens, such as parasites and bacteria in dirty water and mud. Poorly controlled inflammation, he notes, "occurs not in people living in third-world countries, riddled with infections, but rather in rich, infection-free, urbanized populations." In other words, says McDade, "chronic inflammation may be a disease of affluence."


TOPICS: Culture/Society; News/Current Events; Testing
KEYWORDS: chronicinflammation; crp; hygienehypothesis; immunology
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To: Kennard
So, at a certain age, should we all be exposed to a low-level variety of infectious agents in order to give our immune system a good workout, on a similar principle to the flu shot?

More like, we should have constant exposure to low levels of infectious agents, like the more primitive people do. That, and have a few parasites (lower the blood iron levels). AND, eat less food.. We were designed for a much harsher existence.

21 posted on 06/02/2012 9:59:26 PM PDT by Paradox (I want Obama defeated. Period.)
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To: neverdem

yes, but how long do they actually live?

they don’t die of degenerative diseases but maybe that is because they die of TB, malaria, bronchitis, croup, diarrhea etc. instead.

and, of course, it’s nice for rich outsiders to shrug off the many babies and children who die at a young age.


22 posted on 06/02/2012 11:07:49 PM PDT by LadyDoc
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To: EBH

vaccines save lives.

You are not old enough to remember the “good old days”.

Measles kills half a million kids every year, and I’ve seen many kids die of measles in Africa and treated a child with post measles encephalitis in the US.

German measles caused many babies to be born retarded, blind, or deaf.

Polio cripples many (and in the pre Salk days two of my friend got it and were left with weak legs).

Whooping cough killed a baby when I was practicing medicine in the USA.

Smallpox was wiped out a few years ago by vaccinating the entire world (and used to kill millions).

We would see one or two cases of HFlu or Pneumonia meningitis a year before we got those vaccines, and some of these kids died or ended up brain damage: now these types of meningitis are rare.

When you read studies like these, they see the “good” points (a strong immune system) from being exposed and recovering from the diseases. What they don’t see are the graveyards of the dead kids...


23 posted on 06/02/2012 11:19:19 PM PDT by LadyDoc
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To: LadyDoc

When I was ~5 months pregnant, a friend had a little girl. When she went in for her 1 month post-partum check, she mentioned to the doctor that she could not wake the baby. The doctor told her to bring in the baby immediately. Since we were military stationed in Europe, arrangements were made to medevac the baby up to Germany for advanced care.

The baby died of meningitis before the medevac plane arrived to take her to Germany.

As a result, I was terrified that something would happen to my son. I checked him all the time, scared that he, too, would get meningitis and die.

Too many people just don’t realize the lifesaving properties of vaccines.


24 posted on 06/03/2012 5:02:14 AM PDT by exDemMom (Now that I've finally accepted that I'm living a bad hair life, I'm more at peace with the world.)
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To: neverdem
Consider this:

While autoimmune and inflammatory disease may be more prevalent in the industrial world, compared to the Third world, the Third world's infant mortality rate is, as the article states, 3 times higher.

Perhaps those people who would have died in the Third world are those very people who would get the autoimmune diseases we have in the West.

So one might say the parasites, viruses and germs may strengthen us, but one could ALSO say that those same germs just kill off those with faulty immune systems. We manage to keep them alive in the industrial world, so that as they grow their autoimmune and inflammatory disease can manifest themselves.

25 posted on 06/03/2012 5:13:48 AM PDT by Alas Babylon!
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To: Alas Babylon!
We manage to keep them alive in the industrial world

thereby weakening the genetic stock in our own culture. Consider if we actually have a collapse and things like getting these vaccines becomes an item only for the rich or the regime du jour...a lot of kids will die. Most likely more than in a Third World country because we've had no natural selection going on for decades.

26 posted on 06/03/2012 6:49:01 AM PDT by EBH (Obama took away your American Dreams and replaced them with "Dreams from My (his) Father".)
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To: neverdem

Is there anything that can cure eczema, which will not trigger an OCD episode?


27 posted on 06/06/2012 11:34:25 PM PDT by rmlew ("Mosques are our barracks, minarets our bayonets, domes our helmets, the believers our soldiers.")
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To: neverdem
neverdem wrote: "I was born in 1951. The only vaccination I had was against polio before I joined the Army, IIRC."

Also you were probably given a smallpox vaccination sometime after your birth if you were born in the States.

28 posted on 06/07/2012 12:12:22 AM PDT by bd476
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To: EBH
If civilization collapses and the black plague returns to live among the billions of rats picking over the leavings, you will probably need the Cystic Fibrosis gene to survive.

The infant mortality rate from CF and black plague will take at least half! But the other half will most likely be immune from black plague, cholera, typhus, typoid fever, and several other otherwise horrible diseases.

The other day there was an article about doing gene testing for 3500 different mutations. It was mentioned folks might want to seek out the babies carrying a CF gene and abort them.

Hmm.

Today's advantage ~ avoiding caring for CF kids, turns into a double disaster in a barbaric future.

29 posted on 06/07/2012 8:32:16 AM PDT by muawiyah
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