Category Archives: disease

Ode to Rattus rattus

The black rat first evolved in Asia, probably India, sometime before the last Ice Age. At a weight of four to twelve ounces, it is only half the size of its first cousin, the Norwegian brown rat—also an important vector in human plague—but Rattus more than makes up for its unprepossessing physical stature with incredible powers of reproduction. It has been estimated that two black rats breeding continuously for three years could produce 329 million offspring, as long as no offspring died and all were paired (fortunately, all very big ifs).

Rattus also has some other remarkable qualities that make it a formidable disease vector. One is great agility. A black rat can leap almost three feet from a standing position, fall from a height of fifty feet without injury, climb almost anything—including a sheer wall, squeeze through openings as narrow as a quarter of an inch, and penetrate almost any surface. The word “rodent” derives from the Latin verb rodere, which means “to gnaw,” and thanks to a powerful set of jaw muscles and the ability to draw its lips into its mouth (which allows the incisors, or cutting teeth, to work freely), Rattus can gnaw through lead pipe, unhardened concrete, and adobe brick.

A wary nature also makes Rattus a wily vector; the black rat usually travels by night, builds an escape route in its den, and reconnoiters carefully. This last behavior seems, at least in part, learned. During a foraging expedition, one young rat was observed taking a reconnaissance lesson from its mother. It would scamper ahead a few feet, stop until the mother caught up, then wait as she examined the floor ahead. Only after receiving a reassuring maternal nudge would the young rat advance. Rats also have another rather unusual, humanlike trait: they laugh. Young rats have been observed laughing—or purring, the rodent equivalent of laughter—when playing and being tickled. Rattus is, by nature, a very sedentary animal—usually. A city rat may wonder what lies on the other side of the street, but studies show it won’t cross the street to find out. Urban rats live their entire lives in a single city block. The rural rat’s range is a not much larger—a mile or so. However, if Rattus were phobic about long-distance travel, it would still be an obscure Asian oddity, like the Komodo dragon lizard. Rats do travel, and often for reasons that highlight the role of trade and ecological disaster in plague.

For example, on occasion an entire black rat community will abandon a home range and migrate hundreds of kilometers. Research suggests that what makes the rats override their sedentary impulses is a craving for grain germ—and perhaps more particularly, for the vitamin E in the grain germ. Under normal conditions, rat migrations are infrequent, but under conditions of ecological disaster one imagines that they might become quite common.

For distances beyond the multikilometer range, Rattus relies on its long-time companion, man. The stowaway rat is the original undocumented alien. In modern studies, it has been found in planes, in suit-jacket pockets, in the back of long-haul trailers, and in sacks carried by Javanese pack horses. Trade has also been a boon to Rattus in another, more subtle but very significant way. In the wild, when rat populations grow unstably large, nature can prune them back with a prolonged period of bad weather and scarce food. The advent of camel caravans, pack horses, ships—and, later, trains and planes and trucks—has weakened this pruning mechanism. Once commercial man appeared, the highly adaptable rat was able to escape to places where food was abundant.

SOURCE: The Great Mortality: An Intimate History of the Black Death, the Most Devastating Plague of All Time, by John Kelly (Harper Perennial, 2006), pp. 66-67

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Escherichia coli O157:H7

Human stomachs are naturally full of E. coli bacteria. That’s something that gets lost in most news reports about the current outbreak.

A majority of the infections have occurred in Wisconsin, where 29 people so far have contracted the disease. Utah had 11 cases, and New York and Ohio each had seven, Acheson said.

Other states where the infection has occurred are California, Connecticut, Idaho, Indiana, Kentucky, Maine, Michigan, Minnesota, New Mexico, Nevada, Oregon, Pennsylvania, Tennessee, Virginia, Washington and Wyoming, Acheson said.

The outbreak is part of a problem in the U.S. food supply that affects about 100,000 to 150,000 people each year. The bacteria can be spread by insufficiently cooked meat, sprouts, lettuce, unpasteurized milk and juice or contact with sewage-contaminated water. The last outbreak involving spinach was in California in 2003.

The bacteria can cause low-grade fever, vomiting and diarrhea, often with bloody stool, the FDA said. Most healthy adults recover within a week, though some people develop serious kidney damage.

The subspecific strain that is now causing problems is O157:H7, the same one that affected thousands of schoolchildren in Japan ten years ago.

To determine the cause of a July 1996 outbreak of Escherichia coli O157:H7 among factory workers in Kyoto, Japan, we conducted cohort and case-control studies. Eating radish sprout salad during lunch at the factory cafeteria had been linked to illness. The sprouts were traced to four growers in Japan; one had been associated with an outbreak of E. coli O157:H7 among 6,000 schoolchildren in Sakai earlier in July.

UPDATE: See the story behind the killer spinach on Carl Zimmer’s science blog The Loom.

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How AIDS in Africa Was Systematically Overstated

A new study reported in the Washington Post (6 April) drastically redefines the extent of the AIDS epidemic in Africa.

The new data suggest the rate never reached the 30 percent estimated by some early researchers, nor the nearly 13 percent given by the United Nations in 1998.

The study and similar ones in 15 other countries have shed new light on the disease across Africa. Relying on the latest measurement tools, they portray an epidemic that is more female and more urban than previously believed, one that has begun to ebb in much of East Africa and has failed to take off as predicted in most of West Africa.

Yet the disease is devastating southern Africa, according to the data. It is in that region alone — in countries including South Africa, Botswana, Swaziland and Zimbabwe — that an AIDS Belt exists, the researchers say….

Years of HIV overestimates, researchers say, flowed from the long-held assumption that the extent of infection among pregnant women who attended prenatal clinics provided a rough proxy for the rate among all working-age adults in a country. Working age was usually defined as 15 to 49. These rates also were among the only nationwide data available for many years, especially in Africa, where health tracking was generally rudimentary.

The new studies show, however, that these earlier estimates were skewed in favor of young, sexually active women in the urban areas that had prenatal clinics. Researchers now know that the HIV rate among these women tends to be higher than among the general population….

In West Africa, Sierra Leone, just then emerging from a devastating civil war, was found to have a national prevalence rate of less than 1 percent — compared with an estimated U.N. rate of 7 percent.

Such disparities, independent researchers say, skewed years of policy judgments and decisions on where to spend precious health-care dollars.

“From a research point of view, they’ve done a pathetic job,” said Paul Bennell, a British economist whose studies of the impact of AIDS on African school systems have shown mortality far below what UNAIDS had predicted. “They were not predisposed, let’s put it that way, to weigh the counterevidence. They were looking to generate big bucks.”

via Foreign Dispatches

Prevalence of male circumcision correlates with lower rates of AIDS.

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Rosie the Alewife: One Boon o’ the Plague

The Black Death was the trauma that liberated the new.

It can be readily seen that the Black Death accelerated the decline of serfdom and the rise of a prosperous class of peasants, called yeomen, in the fifteenth century. With “grain rotting in the fields” at the summer harvest of 1349, because of labor shortage, the peasants could press for higher wages and further elimination of servile dues and restrictions. The more entrepreneurial landlords were eventually prepared to give in to peasant demands. The improvement in the living standard of many peasant families is demonstrated by the shift from earthenware to metal cooking pots that archeologists have discovered.

The Black Death was good for the surviving women. Among the gentry, dowagers flourished. Among working-class families both in country and town, women in the late fourteenth and fifteenth centuries took a prominent role in productivity, giving them more of an air of independence. The beer- and ale-brewing industry was largely women’s work by 1450. The growth of a domestic wool-weaving industry allowed working-class women to become industrial craftsmen in the textile industry. The graphic picture of farm women churning butter in their kitchens that George Eliot gave us in Adam Bede (set in the 1790s) was certainly occurring by 1400.

SOURCE: In the Wake of the Plague: The Black Death & the World It Made, by Norman F. Cantor (Harper Perennial, 2002), pp. 202-203

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