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The Magazine

March 14, 2004




MOSAIC: Deadly environmental damage


IN Six Modern Plagues and How We Are Causing Them, journalist and veterinarian Mark Jerome Walters contends that disease outbreaks are often triggered by the damage we’ve done to the environment.

To build his case, Walters looks at the origins of mad cow disease, HIV/Aids, an antibiotic-resistant strain of salmonella, Lyme disease, hantavirus, and West Nile virus. In each case, he finds evidence that human manipulation of the environment is at least partly responsible for recent outbreaks. The modern epidemic of mad cow disease, for instance, was most likely sparked by the widespread and longstanding practice of “rendering,” or using animal parts in cattle feed. The brisk bush-meat trade in some African markets may have been responsible for passing the HIV virus from apes to humans — and could someday send new, similarly deadly viruses our way as well.

There’s also evidence that modern-day outbreaks of hantavirus pulmonary syndrome, an often-fatal respiratory disease carried by rodents in the US Southwest, are linked to global climate change.

Walters also shows how easily and rapidly such drug-resistant bacteria can spread. In the 1970s, a series of salmonella outbreaks around the world was eventually traced to Peruvian fishmeal. Infected seabirds had defecated on the fish, which had been drying on boat decks; the fishmeal was fed to poultry, the poultry was fed to people, and the people became sick with salmonella.

Six Modern Plagues makes an important and potentially life-saving point — one that’s becoming more and more difficult to ignore. “Preservation of natural ecosystems, along with greater social equity, research, good surveillance, and benefits of modern medicine, can improve the health of not only people but many species,” Walter writes. “Human health does not belong to us alone. Nor, unfortunately, do the plagues we are all now experiencing.”

Walters exposes the root environmental causes of disease outbreaks like salmonella. He chronicles how the livestock and drug industries, despite multiple examples of resistant bacteria, have continued to push for the regular use of antibiotics in large livestock operations. The practice not only allows animals to be raised in close quarters and unsanitary conditions, but also dramatically increases the chances that new, multiple-drug-resistant strains of bacteria will continue to emerge and spread.

In 1995, the US Food and Drug Administration even approved the use of fluoroquinolones in poultry. Just two years later, salmonella bacteria in the United States were showing resistance to the drugs. — Samina Iqbal

 

A deadly menace


THE incidence of chickenpox has declined with the widespread use of live-attenuated varicella vaccine in infants, states a recent issue of the Journal of the American Medical Association.

To assess the effectiveness of the vaccine, 339 children of age range, 13 months to 16 years, in the state of Connecticut, were monitored. They had been diagnosed as chickenpox and tested positive for varicella-zoster virus. These cases were compared with 669 children, without symptomatic chickenpox. Chickenpox vaccine had been received by 36 per cent of the former group and 70 per cent of the latter group. The vaccine’s overall effectiveness was found to be 87 per cent.

However, effectiveness declined significantly with the passage of time: It was 97 per cent effective during the first year after vaccination. This declined to 81 per cent after seven to eight years. Within the first year after vaccination, effectiveness was significantly lower if the vaccine had been administered before the age of 15 months (73 per cent). It increased to 99 per cent if it was given at or after 15 months age. Chickenpox was significantly more severe in unvaccinated children than in vaccinated children.

Varicella vaccine currently is recommended for children at the age 12 to 18 months. It has been found to be more effective if administered later or towards 18 months rather than earlier. Protection declines with time with the varicella vaccine just as with other vaccines. As yet a second dose has not been recommended, but eventually it may be advised by experts. — Dr Fatema Jawad

 

Red-hot Magma


HAIR CARE and colour has always been important for both the sexes, in all age groups and throughout the ages. From ancient times to modern, Queen Cleopatra to the booming beauty industry of today, the mane remains the focal point of beauty. It’s no wonder, therefore, that hair care, today, is a multi-billion dollar industry and expanding at a magnanimous scale.

‘New and improved’ products advertising formulas to rejuvenate hair and give it natural colour line supermarket shelves everyday. However, extreme caution needs to observed due to the risk factor involved in trying out new products. But with popular brands, such concerns remain minimal.

Foreign experts Sonya and Chris Dove recently demonstrated the use of one-step hair-colouring agent that promises vibrant hair colour and highlights in a fraction of the time. The duo was part of the event staged by Wella to launch their latest product called Magma.

Gone are the days when experimenting with colour was considered taboo and raised curious eyebrows. Nowadays, hues from brown to blond and red to black are quite common with fashion-conscious men and women who know how to have fun with hair colour. — Faisal Quraishi



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