Be Safe!

Last week on April 28th, we marked World Day for Safety and Health at Work. This day has been observed since 2003, when the International Labour Organization (ILO) declared it an occasion to stress the prevention of accidents and diseases at work. It is an opportunity to raise awareness of how to make work safe and healthy, and of the need to raise the political profile of occupational safety and health.

India especially needs all the focus it can give on this. We have seen horrific accidents in tunnels, mines and building sites. Last year saw 240 significant workplace accidents being reported in manufacturing, chemical, pharma, mining and energy sector operations. And these are only the reported accidents—it would be safe to say that many  go unreported. These accidents resulted in over 400 lives being lost and about 850 serious injuries.

We in India deal in large numbers and hence these may not look very serious. The gravity of the situation hits a bit harder when we see from ILO statistics that per 1,00,000 workers, India sees about 117 fatalities, compared to  China’s figure of 7, Brazil’s 7.4, Malaysia’s  14.6, Canada’s  5, etc.

In our everyday lives, we see indifference to safety all around us.  Metro rail construction, overbridge construction, electrical and mobile tower repairs—we never see proper safety measures , or the use of harnesses or personal protective equipment. When an electrician or TV dish installer comes home, their daredevil feats raise the blood pressure.

What to talk of others, we ourselves are not 100% perfect when it comes to donning helmets on two wheelers or seat belts in cars. (I must plead guilty here myself). There seems to be a feeling that ‘it can never happen to me.’ In fact, I recall a colleague conducting surveys about safety measures with those handling hospital waste. The general response was ‘Oh, we have been doing this for years without gloves and masks. Nothing has happened to us. Nothing will. All this just interferes with our work and slows us down. So we don’t really want to wear these things.’

We cannot afford this level of indifference. At one level, is tough laws are needed.  Of workplace safety laws, we have aplenty. We have the Factories Act, 1948, Mines Act, 1952, Dock Workers (Safety, Health and Welfare) Act, 1986, and the Building and Other Construction Workers (Regulation of Employment and Conditions of Service) Act, 1996.

However, the new Occupational Safety, Health and Working Conditions Code, 2019 brought in a few years ago is controversial in that some feel it dilutes safety provisions. “The new occupational safety and health law has severely weakened the inspectorate system, prioritizing ease of doing business over labour rights and worker safety. Inspectors can no longer conduct unannounced inspections, take immediate legal action against violators, or verify compliance effectively due to self-certification and private audits,” to quote Sanjay Vadhavkar, executive committee member of IndustriAll.

While India is good at making laws, their implementation is definitely not as strict as needed. Factory inspectors and traffic cops are equally easy to get by with a little gratification. Never mind that we are talking lives here.

The answer probably lies in education. Children educated about the hazards of fireworks are transforming how Diwali is celebrated. Maybe an equally serious focus on risk, hazard and safety can make a difference. If we catch them young and teach them young, maybe our factories, mines and roads will be safer.

–Meena

Musa Sapientum: The Fruit of Wise Men

On 10 April 1633, the window display of the shop in London attracted huge crowds. It displayed a hitherto unknown, and unnamed item. The displayer Thomas Johnson, a herbalist, botanist and merchant described it thus: The fruit which I received was not ripe, but greene. This stalke with the fruit thereon I hanged up in my shop, were it became ripe about the beginning of May, and lasted until June. Each of them (the fruit) was the bignesse of a large beane some five inches long and an inch and a half in breadth. The stalk is short and like one’s little finger. They hang with their heads down, but if you turn them up, they look like a boat. The husk is easily removed. The pulp is white, soft and tender and ate somewhat like a musk melon.

What was this fruit that he so described? Hard to believe, but this was the banana! How, and from where a bunch of this mysterious fruit reached the shop remains a mystery in itself, but it is believed that most people in England had not seen a banana even by the end of the 19th century when regular imports started from the Canary Islands.

And yet, it is believed that bananas were among the oldest cultivated fruit. They probably originated in the jungles of Malaysia, Indonesia or the Philippines and some parts of India where they grew in the wild. Modern edible varieties of the banana have evolved from the two species–Musa acuminata and Musa balbisiana and their natural hybrids, originally found in the rain forests of S.E. Asia.

During the seventh century AD their cultivation spread to Egypt and Africa. The fruit may have got its name from the Africans, as the word is derived from ‘banan’ the Arab word for ‘finger’.  A cluster of bananas is called a ‘hand’.

Bananas were first introduced to the Western world when Alexander the Great discovered them during his conquest of India in 327 B.C. The fruit spread through Africa and was eventually carried to the New World by explorers and missionaries. Bananas started to be traded internationally by the end of the fourteenth century.

However it was not until the late mid-1800s that bananas became widespread on the North American continent. The first enterprise to import bananas into the US was the Boston Fruit Company.

Carl Linnaeus, the 18th century Swedish botanist whose work led to the creation of modern-day biological nomenclature for classifying organisms was the first person to successfully grow a fully flowered banana tree in the Netherlands.

The development of railroads and technological advances in refrigerated maritime transport subsequently enable bananas to become the most traded fruit in the world.

Today bananas are grown in more than 150 countries, and it is widely believed there are more than 1,000 types of bananas produced and consumed in the world. The most common and commercialized type is the Cavendish banana which makes up around 47 of global banana production. This is a high-yielding variety which is also less damage-prone and more resilient in case of natural disasters.

Although we generally describe it as a banana ‘tree’, technically this is not a tree. Bananas, botanically, are considered to be big herbs, because they do not have a woody stem or trunk which is one of the characteristics of a tree. Instead they have a succulent stalk or pseudostem which begins as a small shoot from an underground rhizome and grows upwards as a single stalk with a tight spiral of leaves wrapped around it. Banana leaves are extensions of the sheaths.

To add to the confusion, the banana ‘fruit’ as we call it, is botanically a berry! While we associate berries with small, squishy fruit that is picked off plants, the botanical definition refers to any fruit that develops from a flower containing a single ovary, has a soft skin and a fleshy middle, and contains several seeds. Bananas tick off all these boxes and are thus technically berries!

The botanical kin of bananas include tomatoes, grapes, kiwis, avocados, peppers, eggplants and guavas. Botanically all berries!

Bananas have long been high on the list of ‘super foods’, endorsed from all schools of health from Ayurveda to the newest ‘wellness’ trends. Its versatility was noted even by Linnaeus who envisaged its numerous medicinal values. The banana is literally ‘wholesome’ from A to Z! It is the panacea for all ills from acidity and anaemia, through cramps, depression, mood elevation, PMS, stress relief, and more, all the way to bringing in some zing to tired bodies and minds! Even the banana peel with its blend of acids, oils and enzymes has multiple uses from healing wounds to polishing shoes!

And the banana is a wonderful example of Nature’s perfect packaging. The artful positioning of the individual bananas to form a beautiful cluster or ’hand’ arrangement which can be hung; the tamper-proof skin that protects the soft and perishable flesh within; the nifty top opening that allows for an easy peeling back; and after all that, a covering that does not add to the litter but silently biodegrades to merge back into the soil. No wonder its botanical name is Musa sapientum: the fruit of wise men.

In India the mango always lays claim to being the king of fruits; the solid trustworthy banana is taken much for granted, as it does not make a dashing seasonal appearance and compete for awards of the most varieties and the best of them all. And yet this is the comfort food that is usually on hand, and one that almost every person can afford. It certainly was my father’s favourite, and now is the favourite of his great grandson who endorses Daddy’s maxim of Sabse Achchha Kela (banana is  bestest!)

Why this sudden paean to the banana? Well, I discovered that in America, the third Wednesday of April is celebrated as National Banana Day every year (reason for this undiscovered). I decided to join the celebrations this year!

Bananas were first brought to the United States in 1876, for the Philadelphia Centennial Exhibition. The exotic fruits were wrapped in foil and sold for 10¢ apiece (roughly $1.70 in today’s dollars).

While the mango always lays claim to being the king of fruits, the solid trustworthy banana is taken much for granted, as it does not make a dashing seasonal appearance and compete for awards of the most varieties and the best of them all!

The Banana was my father’s favourite fruit. He always used to say “sabse achha kela!” “Banana is the best”. So true…The scientific name for banana is musa sapientum, which means “fruit of the wise men.”

–Mamata

The Perfect Breakfast

Cooked rice soaked overnight in water, and the rice and water seasoned and enriched with various additions. This was the traditional breakfast in many rice-eating parts of India including all the Southern states, and in the East, including Odisha, West Bengal, Assam Jharkhand etc. Across the border, it is equally popular in Nepal and Myanmar and Bangladesh too. In fact, it was Kishwar Chowdhury, a contestant of Bangaldeshi origin who brought it to the world stage when she made a gourmet version on Masterchef Australia.

Two generations ago, even in cities, this was the standard morning fare. In Tamil Nadu, the rice was soaked overnight and the next day, mashed up, buttermilk was added, as also curry leaves, green chilies etc. My mother and her brothers had this almost every day before being sent off to school. It was healthy, nutritious, kept the stomach full for a long time. Also this ensured that rice was never wasted. And importantly, saved the mothers a load of work in the busy morning.  The nutritional value and taste of the soaked rice item is often enhanced by adding drumstick leaves, ginger, cumin, curd, lemon, a tadka, etc. There is even a sweet variant made by adding sugar or jaggery.

And this was the standard in homes across these states. Not just students but famers, workmen and others started the day with this.

Soaking cooked rice overnight leads to mild fermentation and promotes the growth of healthy bacteria. It lowers the glycemic index and increases mineral content. A paper in a respected scientific journal avers: ‘Soaked rice is rich in B6, B12 vitamins and is a source of beneficial bacteria which helps in digestion and boosts immunity. The given samples of normal cooked rice and overnight soaked cooked rice are tested for carbohydrate, crude protein, fat/oil and fiber content. The rice which was overnight soaked cooked rice was found to have more nutrient content than unsoaked cooked rice. There is an increase in energy, protein, fat, carbohydrate, fiber content and minerals. Eating fermented rice for breakfast was an old custom among the farmers. It has been proved that overnight soaked cooked rice acts as a healthy breakfast and would play an important role in the health of today’s young generation.’*

The benefits of soaked rice are now being recognized and celebrated. Odisha has taken this to heights by declaring a Day for this: Pakhala Dibasa was declared on 20 March 2011 and is marked every year by Odias everywhere. (Pakhala is Odia for soaked rice). It is appropriate that Odisha should take the lead in doing this, for the dish has a hoary history in this state. There is very early documentation of pakahla including a recipe of prasads at Lord Jagannath Temple of Puri dating back to the 10th century. There is also a mention in the Odia poems of Arjuna Das in his work Kåḷpålåtā composed during 1520-1530 CE.

And yes, in keeping with the tradition, this is another dish contested between Odisha and West Bengal!

Time to remind ourselves that health does not come from a box, nor all knowledge from the internet. Nutrition is right there in the humblest ingredients in our kitchens, and our grandmothers know a lot too!

So in honour of Pakhala Dibasa just gone by last week, and to mark Utkal Diwas (today, April 1), let us resolve to have a soaked rice breakfast at least once a week. This is especially good in the summer, as it has cooling properties.

Here is to happy, healthy breakfasts!

–Meena

*Neha Sharma M, Gayathri R, & Vishnu Priya V. (2018). Assessment of nutritional value of overnight soaked cooked rice over unsoaked cooked rice. International Journal of Research in Pharmaceutical Sciences, 9(3), 515–518. Retrieved from https://ijrps.com/home/article/view/4150

Angostura Bitters to settle the Stomach

Queasy stomachs have plagued humanity since ancient times. Many have been the remedies, each with its own followers and detractors. For instanc, in India, ginger, omam (ajwain), jeera, curd are all popular.

Somewhere in ancient times, probably in Egypt, wine infused with herbs became a popular remedy for uneasy stomachs.  The popularity of such infusions, called bitters, was high till even a hundred years ago.

Bitters are ‘liquid aromatic alcohol-based infusions of bittering botanicals and flavoring agents’. They are extracts of seeds, herbs, roots, bark, leaves, flowers, and fruit liquid from various plants.  While they started out as medicines, soon another use was found for bitters.

Today, we have two types of bitters: Digestive bitters and Cocktail bitters. Digestive bitters aid in the digestion of food and are usually sipped straight, on the rocks, after a meal and are popular in Europe. Cocktail bitters are made from a tincture of water and alcohol, containing spices and plant-based components.  They are too strong to be had neat, and are added to cocktails to elevate the taste and add a dash of sophistication.

Of all the bitters, Angostura Bitters are probably the best known, and are a staple for every bartender and cocktail-mixer, and are used in classic cocktails like the Old Fashioned and Manhattan. More than that, they are in every kitchen cupboard in Trinidad and Tobago where they are made, as a home remedy for stomach problems. They are also an important ingredient in many local dishes.

Angostura is a tree native to South America, but strangely, the famous bitters are not made from the bark of this tree. Rather, they get their name from the town of Angostura in Venezuela, where they were invented. (The name of the town was changed subsequently, and it is now known as Ciduad Bolivar).

They were first concocted in 1824 as a medicine for the army of Simon Bolivar by a German army surgeon called Johann Siegert in the town of Angostura. He called it ‘Amargo Aromatico’. Dr. Siegert started exporting this to Europe, USA and the Caribbean. Apart from its use as a medicine, this product caught the fancy of bartenders at a time when cocktails were just becoming popular. Demand boomed.

The Siegert family migrated to Trinidad in the mid-19th century and started manufacturing the tincture in Port of Spain, the capital. And the company flourished.

Angostura Bitters were something one had vaguely read about. It definitely did not loom large in our lives. Till we visited family in Trinidad. Then we realized how big a thing it was!

A tour of the Bitters factory was of course on the essential itinerary. It was an overwhelming experience, especially to the nose! The pervasive smell of alcohol and herbs and tinctures almost made one dizzy.

All the processes of making the Bitters were on display. But the critical part is a secret—the mix and proportions of the herbs which go into making the product! It is apparently one of the world’s longest-held culinary mysteries, and no one has been able to replicate it exactly! Apparently only five people are privy to the secret.

Another part of the myth and legend of Angostura Bitters is the over-sized labels on the bottles. Apparently, in the late 1800s, Siegert’s sons decided to re-brand the product.   As a part of a competition, one brother designed the new bottle, while another designed the new label. But they did not discuss their designs with each till it was too late. So the labels that had been printed were too big for the bottles they made!  Though the Siegerts lost the competition, one savvy judge advised them to keep the design as it was. He said that this would help the packaging stand out among the competition. And that is exactly what has happened! The oversize labels area distinctive feature even today.

I remembered my bottle of Angostura Bitters from our trip to Port of Spain trip when I recently had a stomach upset. Whether thanks to this or some of the other home remedies I tried, I was better soon!

–Meena

 

 

Pulses Rule!

They are at the heart of every meal; they come in many colours, shapes and sizes; they can be used in a large range of permutations and combinations. They are the pulses that are an integral part of all cuisines in India. In a country with such immense diversity in culinary traditions, food habits, and meals, pulses are the one common as well as essential element. Our daily meal is incomplete with a dish made from a pulse, and many of our favourite snacks would not be what they are without pulses. Yet there is much that we have never stopped to really think about.

Technically pulses are the edible seeds obtained from the cultivation of leguminous plants for both food and feed. India has an immense diversity of pulses at the genetic and species level, as well as their uses at the culinary level. What makes pulses the original ‘wonder food’?

These seeds are a rich source of nutrients, mainly proteins, that are crucial for a healthy and balanced diet. It is estimated that 100 grams of dry lentils contain about 25 grams of protein. Thus pulses can become a backbone of a vegan diet.

They are naturally low in fat and contain no cholesterol, reducing the risk of cardiovascular diseases. They are also low in sodium chloride or salt which is a contributor to hypertension. They are high in potassium which plays an important role for digestive and muscular functions.

Pulses are a good source of iron and a great answer to address iron deficiency. The iron in pulses is best absorbed in the body by combining them with foods containing vitamin C. They are an excellent source of folate, a B-vitamin essential for nervous system function. They have a low glycaemic index, which makes them suitable for people with diabetes. They are naturally gluten-free, making them an ideal option for those who are gluten intolerant.

They can be stored for a long time and can be used even when fresh seasonal fruits and vegetables are not available. Their long shelf-life prevents food loss and wastage.

Pulses are incredibly versatile and can be used in an endless variety of cuisines and dishes in numerous forms. 

That is so far as human health goes, and most people are, at some level, aware of these attributes of pulses (a lot of which is passed down through generations by family recipes and ‘granny’s words of wisdom’). But there is not as much awareness about the fact that pulses are as important for environmental health as they are for human health.

Pulses play a vital role in soil health by providing essential nutrients, maintaining soil biodiversity, and enhancing soil structure. They improve soil health by hosting helpful bacteria, called rhizobia, in their roots. These bacteria convert nitrogen from the air into fertilizers in the soil. Additionally, other bacteria and fungi help release phosphorus in the soil, providing essential nutrients for plants and promoting soil diversity. The fertilizers produced by pulses benefit not only the pulses, but also other crops grown alongside them, reducing the need for chemical fertilizers. This makes pulses ideal for sustainable farming practices like intercropping or crop rotation. Additionally, pulses and their by-products are utilized as animal feed.

The benefits are not limited to soil alone. Pulses also perform other ecosystem services. Many pulse species are drought tolerant and resilient to adverse climate, such as drought and heat. Their cultivation optimizes fertilizer use, thus reducing greenhouse gas emissions.

Pulse crops have a lower carbon footprint than most foods because they require a small amount of fertilizer to grow. They also have a low water footprint as they are adapted to semi-arid conditions and can tolerate drought stress.

Despite their immense value for human and environmental health, pulses are not generally ‘stars’; they are often undervalued and under-recognized. In an effort to highlight the importance, as well as potential, of pulses as a global food the United Nations declared 2016 to be the International Year of Pulses. As the then UN Secretary General Mr Ban-ki-Moon said: “The International Year can help overcome this lack of knowledge. Much work needs to be done to end hunger and provide food security and nutrition for all. One concrete, promising opportunity lies with pulses. Let us join forces to raise awareness of the benefits of pulses”.

As the world was embarking on efforts to achieve the newly-adopted Sustainable Development Goals it was hoped that this International Year would help raise awareness of the benefits of pulses globally. The year-long celebration was implemented by the Food and Agriculture Organization (FAO), a specialized agency of the United Nations. The year was a success, and recognizing the potential of pulses in further achieving the Sustainable Development Goals, since 2019 the United Nations General Assembly has designated 10 February as World Pulses Day to be celebrated every year.  

This celebration is a recognition of the decisive role that pulses can play in achieving the comprehensive, far-reaching and people-centred set of universal and transformative goals and targets of the United Nations’ 2030 Agenda for Sustainable Development.

The World Pulses Day celebrations are an opportunity to raise public awareness about pulses and the fundamental role they play in the transformation to more efficient, inclusive, resilient and sustainable agrifood systems for better production, better nutrition, a better environment, and a better life, leaving no one behind.

This is a good day to look more closely at our own meal! What is the original colour of the pulse on your plate? Green, yellow, red, brown, orange, black, white…

In what form are you eating your pulses? As a Dal (sweet Gujarati or Punjabi tadka?) Rajma-chaval or chana puri? As a part of your idli-sambar? As the partner to rice in khichadi? As the coating on your pakodas? As the sweet moong dal halva or payasam? Each platter will have a different version of pulses!

Whatever the form and whatever the taste, pulses rule our plates and palates!

–Mamata

Guillain–Barré: Real to Reality and Back

Watchers of ‘House MD’, the popular American medical serial would, unlike the general public, be very familiar with the term ‘Guillain–Barré syndrome’. GBS is a rare neurological autoimmune disorder in which a person’s immune system mistakenly attacks part of their own peripheral nervous system—the network of nerves which carry signals from the brain and spinal cord to the rest of the body. This can result in muscle weakness, loss of sensation in the legs and/or arms, and problems swallowing or breathing. Symptoms typically last a few weeks, with most individuals recovering without long-term, severe neurological complications.

The cause of GBS is not fully understood, but most cases follow after a viral or bacterial infection. Infection with the bacteria Campylobacter jejuni, which causes gastroenteritis (including symptoms of nausea, vomiting and diarrhoea), is one of the most common risk factors for GBS. People could also develop GBS after having the flu or other viral infections including cytomegalovirus, Epstein-Barr virus, and the Zika virus.

GBS is rare, affecting about 1 in 78,000 people across the world each year. But in the last few weeks, over 150 cases have been detected in India, especially in and around Pune and Maharashtra. Of concern is that a case has been detected as far away as Assam. A few deaths have also resulted.

Authorities are fully alert and taking action—both to ensure detection and treatment, but also importantly, prevention. Pune Municipal Corporation is promoting public health interventions – food and hand hygiene, and safe water — for disease management.

But getting back to ‘House MD’, so influential was the serial, that there is actually an academic paper titled ‘The usefulness of TV medical dramas for teaching clinical pharmacology: A content analysis of House M.D’, in a respected medical journal ‘Educacion Medica’!

Of course such serials often have patients misdiagnosing themselves with all kinds of exotic diseases, and generally being a pain in the neck for doctors, and a waste of resources. But in the case of one patient, Alexandria Ostrem, it was a tale stranger than fiction. Way back in 2008, when Alexandria was a teenager and an avid watcher of House. she suddenly developed trouble walking. Remembering the symptoms of GBS from all her TV-viewing, she rushed to the emergency room and insisted that the doctors test her for the syndrome. However, the results came back negative.

Her symptoms continued to worsen, and she was tested several times for GBS. But nothing positive showed up. There came a stage when she was paralyzed nearly everywhere except for some use of her arms. At this point, doctors told her they agreed with her self-diagnosis, and started treating her for GBS. She responded and got well!

In the serial House MD, the doctor and his team are super-specialists in rare diseases, and when diagnosing, they tend to think in terms of unusual and exotic diseases. Such diagnosticians are called ‘zebra hunters’, a term for someone who foolishly chooses to seek out the rarest of diseases. In the normal course of things, doctors are trained to do the opposite– summed up by the adage, “If you hear hoof-beats, think horses, not zebras.”

We are fortunate that the doctors in our health system listened to the hoof-beats carefully, and identified the zebras! Thank you all healthcare givers for all that you do for us.

Leonhard, S.E., Mandarakas, M.R., Gondim, F.A.A. et al. Diagnosis and management of Guillain–Barré syndrome in ten steps. Nat Rev Neurol 15, 671–683 (2019). https://doi.org/10.1038/s41582-019-0250-9

And here is praying that all those who have contracted GBS may recover quickly.

–Meena

The author is a laymen. All information is quoted from sources perceived to be authentic, and should not be a basis for action.

http://www.my.clevelandclinic.org/health/diseases/

http://www.who.int/news-room/fact-sheets/detail/guillain-barr%C3%A9-syndrome

Of Blasted Bunions and Cussed Cuboids

I was not born with beautiful feet. And they grew to a pretty unfeminine 6.5 size. I could have still lived with that. But then in my 30s, my right foot also started blooming a bunion. For those who do not suffer with this affliction, it is a word you may not even have heard. But for those of us who suffer, it an everyday reality. When will it start aching? Has it started growing again? Will I find a decent pair of footwear which accommodates the wretched bunion? Has anyone come out with yet another horrific torture-instrument that promises to solve the problem? And does it work? These are the questions we ask ourselves each day.

What is a bunion? Hallux valgus as it is called in medical terms, is ‘a bony bump that forms on the joint at the base of the big toe. It occurs when some of the bones in the front part of the foot move out of place, causing the tip of the big toe to get pulled toward the smaller toes and forcing the joint at the base of the big toe to stick out.’

Actually, bunions are not that uncommon. Experts estimate that about a third of the population of the US is thus afflicted. And why do they happen? Well, it is not a single reason. A combination of factors —family history, abnormal bone structure, increased motion and shoe choice — can cause them. When something puts extra pressure on the big toe joint over a long period– usually years–that can push the joint out of its natural alignment and toward the other toes, leading to bunions.  Some of the causative factors are beyond our control, but some things which we can take care of include the type of shoes we wear (narrow, pointed shoes are a no-no); the way we walk (what is called foot mechanics—though not easy, it may be possible to modify our gait so it more balanced); and how long we stand (avoid standing for extended periods of time).

And in yet another blow against the female gender, women are more prone to this! 30 per cent women versus 13 per cent men report this condition. And it is ageist too—people over 40 are more prone to it.

And can bunions be treated? Well, footwear change is recommended (but where do I go, I only wear open toe flats?); bunion pads and taping (of not too much use, believe you me); orthotics–shoe inserts that support your feet (these can help); icing and physical therapy (definitely help). If the pain and swelling are intense, painkillers or steroids are prescribed (fortunately I am not there yet). Surgery is the last resort in very severe cases, but not often resorted to for various reasons.

There are also a number of ‘correctors’ available which physically separate the toes and try to change the alignment of the big toe. These look like medieval torture instruments and have been of dubious utility to me.

Well, if there is any solace to be taken from the fact that very glamorous people have bunions, we can list several such. From Oprah Winfrey and Victoria Beckham, to Kate Middleton and Meghan Markle, from Uma Thurman to Naomi Campbell, the list is pretty long. And considering that they and their feet have to be in the glare of public and media view, we can count ourselves lucky that we can be more casual about our footwear and feet.

I had reconciled myself that I would face pain from time to time, and that I would never be able to wear dainty shoes. But then along came the cuboid! What is this very geometric sounding thing? Cuboid syndrome is a condition caused by an injury to the joint and ligaments surrounding the cuboid bone. The cuboid bone is one of the seven tarsal bones in the foot. It causes pain on the lateral side of the foot — the side of the little toe. A person often feels pain around the middle of the foot, or at the base of the fourth and fifth toes. So while the bunion hurts on the inner side of my foot, the cuboid hurts on the outside of the same foot.

And not to talk of my plantar fasciitis. The plantar fascia is a band of tissue, called fascia, that connects your heel bone to the base of your toes. It supports the arch of the foot and absorbs shock when walking. Plantar fasciitis typically causes a stabbing pain in the bottom of your foot near the heel. 

So all in all, I am definitely not Happy Feet!

I wonder why shoe-makers are not taking note of this huge market. If 30 per cent of the population suffers from bunions, surely many of them are yearning for comfortable footwear which is also half way decent looking. There is a pretty big market opportunity waiting!

Incidentally, Bunion is a cartoon strip by George Martin that was syndicated in newspapers throughout Britain and abroad (Canada, Sweden, etc.) in the 1960s and 1970s. Good to know someone found ‘Bunion’ funny!

–Meena

In solidarity with all sufferers of foot-pain, especially my bunion-sister Mamata!




Tragedy in a Paradise: Kuru Disease

Viewers of hospital serials like House become familiar with the names, symptoms and treatments for a variety of obscure diseases, from Wilson’s disease to Fulminating osteomyelitis to Ornithine Transcarbamylase Deficiency to Epstein Barr to Amyloidosis and Sarcoidosis.

But even to a hardened medical-series watcher like me, the most horrifying disease that I came across was in a news report. And the disease is Kuru.

Kuru is a prion disease. A prion is a type of protein that can trigger normal proteins in the brain to fold abnormally. Normal prion protein is found on the surface of many cells. Prion diseases occur when this protein becomes abnormal and clumps in the brain. It then causes brain damage. (https://www.hopkinsmedicine.org/)

This abnormal protein build-up in the brain can lead to memory problems, personality changes and trouble with movement. Symptoms include rapidly developing dementia, difficulty walking and changes in gait, jerking movements of the muscles, hallucinations, confusion etc. Death usually results within a year or two.

Experts still don’t know a lot about prion diseases. There are several of them, with the most common form of prion disease that affects humans being Creutzfeldt-Jakob disease (CJD). Others include Variably protease-sensitive prionopathy, Gerstmann-Sträussler-Scheinker disease etc.

These are sometimes spread to humans by infected meat products. In rare cases, the infection can spread through contaminated corneas or medical equipment.

But fortunately prion diseases are rare, with about 200 being reported in the US, because unfortunately these disorders are often fatal—there is just no cure.

Even among prion diseases, Kuru is particularly bizarre. It is caused by eating human brain tissue contaminated with infectious prions. But why would anyone eat human brain tissue? Well, it was a widely practiced funeral ritual among the Fore people of Papua New Guinea.

Papua New Guinea
Idyllic Papua New Guinea

The Fore people live in the Okapa District of the Eastern Highlands Province of PNG. Research in the 1950s indicated that the Fore tribe had a population of about 11,000 people. Of this small number, almost 200 people a year were dying of an unknown illness. As they started investigating this, they ruled out contaminants from the environment, common infections and the possibility of genetic inheritance. They narrowed it down to something in their practices. And then a study of their funerary rituals gave a clue. The Fore people would cannibalize their dead. The anthropologist  Hertz uncovered the reason for this—it sprang from love and respect for the deceased. ‘By this rite the living incorporate into their own being the vitality and the special qualities residing in the flesh of the deceased; if this flesh were allowed to dissolve, the community would lose strength to which it is entitled…. at the same time, endocannibalism spares the deceased the horror of a slow vile decomposition’, he wrote.

Children and women were usually more affected by Kuru  than men, probably because they consumed the brain as compared to the men who preferred muscles.

‘Kuru’ in Fore means shivering. It is also called the laughing disease because the affected would exhibit sporadic uncontrolled laughter.

The practice was banned in the 1960s by the PNG government. But sadly, the deaths continued for quite a while after that, since Kuru has a long incubation period—30 to even 50 years. So someone infected in the late sixties might have shown symptoms only in the late nineties. The last diagnosed case was in 2005.

Thank God, it is behind us!

Sorry if this has been a morbid and depressing piece. Blame it on the news item which triggered it!

–Meena

Fever Tree

Clay tablets from Mesopotamia mention this deadly disease. Indian writings of the Vedic period (1500 to 800 BC) call it the ‘king of diseases.’ Traces of the disease have been found in remains of bodies from Egypt dating from 3200 and 1304 BC. The 270 BC Chinese medical canon has documented the disease’s headaches, chills, fevers and periodicity. The Greek poet Homer (circa 750 BC) mentions it in The Iliad, as do Aristotle (384-322 BC), Plato (428-347 BC), and Sophocles (496-406 BC) in their works.

The disease? None other than malaria, a disease that has taken its toll on not only humans down the ages, but our Neanderthal ancestors too. In the 20th century alone, malaria claimed between 150 million and 300 million lives, accounting for 2 to 5 per cent of all deaths!

Many have been the scientists who spent their lives trying to understand malaria. Charles Louis Alphonse Laveran (1845-1922) a French army doctor during the Franco-Prussian played a key role. He as the first to postulate that malaria was not spread by bad air, but rather that ‘Swamp fevers are due to a germ’. He was also the earliest scientist to detect crescent-shaped bodies in the blood of affected individuals, and then the four stages of the development of the parasite in the blood. These findings were confirmed by Camillo Golgi. Dr. Charles Ross and India played a huge part in the unravelling of the whole cycle and Ross received the Nobel Prize for discovering the mosquito-stages of malaria.

The story of uncovering the cure for malaria has been dramatic too. For centuries, when no one had a clue what caused malaria, treatments included blood-letting, inducing vomiting, and drastic things like limb amputations, and boring holes in the skull. Herbal medicines like belladonna were used to provide symptomatic relief. 

Cinchona-nitida-quinine
Cinchona Tree whose Bark yields Quinine

But the cure strangely came from South America—a region not originally plagued with the diease. It was probably brought from the outside around the 16th century. The native Indians were the first to discover the cure. The story goes that an Indian with a high fever was lost in the Andean jungles. Desperate with thirst as he wandered the jungles, he drank from a pool of stagnant water. The taste was bitter and he thought he had been poisoned. But miraculously, he found his fever going down. On observation, he found that the pool he had drunk from had been contaminated by the surrounding quina-quina trees. He put two and two together, and figured that the tree was the cure. He shared his serendipitous discovery with fellow villagers, who thereafter used extracts from the quina-quina bark to treat fever. The word spread widely among the locals.

It was from them that Spanish Jesuit missionaries in Peru learnt about the healing power of the bark between 1620 and 1630, when one of them was cured of malaria by the use of the bark. The story goes that the Jesuits used the bark to treat the Countess of Chinchon, the wife of the Viceroy who suffered an almost fatal attack. She was saved and made it her mission to popularize the bark as a treatment for malaria, taking vast quanitities back to Europe and distributing it to sufferers. And from then, the use of the powder spread far and wide. It is said that it was even used to treat King Louis XIV of France.

The tree from which the bark came was Cinchona, a genus of flowering plants in the family Rubiaceae which has at least 23 species of trees and shrubs. These are native to the tropical Andean forests. The genus was named so after the Countess of Chinchon, from the previous para. The bark of several species in the genus yield quinine and other alkaloids, and were the only known treatments against malaria for centuries, hence making them economically and politically important. It was only after 1944, when quinine started to be manufactured synthetically, that the pressure on the tree came down.

Not unusually, the tribe who actually discovered it is forgotten. The medicine came to be called “Jesuit Powder’ or ‘Chincona powder’ or “Peruvian powder’. Trees in the genus also came to be known as fever trees because they cured fever.

May the many indigenous community, their knowledge and their practices which are at the base of so many medicines today get their due recognition, credit and due.

–Meena  

Slugs and Snails

Snails: UGGGGG!

Slugs: UGGGGGGGGGGG!

Yes, that indeed is the normal reaction.  Both of these creatures are gastropods, a type of mollusk. They are both soft-bodied creatures which are covered with mucus—and it is this which usually makes people go ‘UGGGG’. But they need the mucous to stop them from drying out.

Gardeners hate them too, because some species of slugs and snails (S&S) feed on live plant material. These species are particularly fond of eating soft fleshy leaves and seedlings. Some slugs which stay underground tunnel holes in potatoes and other tubers. Snails and slugs are sporadic pests in those places where damp conditions prevail.

And yes, there are worrisome trends too. Some species of exotic snails and slugs can destroy native biodiversity and multiply madly. They have no natural predators when they travel out of their native lands, and so thrive.

In India, 1500 species of land snails have been reported, but the number of species of slugs is limited. Of these, nine species of snails and 12 species of slugs are pests, including the Giant African Snail, which is a serious problem with regards to fruits, vegetables and ornamental plants specially in the east, northeast and south; the common snail, Helix spp. ;  the  common garden snail; and the black slug.  

These gastropod-pests are a worldwide problem. For instance, the Giant African Snail is native to East Africa. But it has spread to many, many parts of the world, either by stowing away on ships, or being deliberately brought to other countries for experiments, as pets etc. And wherever it has travelled, it is creating problems– over 500 plant species may be targeted by the giant African snail, including most vegetables, legumes, ornamental plants, banana, citrus, etc.


But wait! Before we condemn them outright, we must understand that slugs and snails are generally beneficent to the environment and have a key role to play in the ecosystems, as they are recyclers, feeding on dead leaves, dung and sometimes even on dead animals. They play a useful role in composting.  And as important, they are an important food source for birds, beetles and reptiles.

Snails and slugs

And in recent years, the fashion world has taken to these gastropods in a big way. Snail mucin and slug slime have become popular in the world of beauty. Gastropod slime has been shown to have many beneficial properties–antibacterial, anti-inflammatory and antioxidant, anti-tumoral, anti-aging, tissue regeneration, wound healing etc. Snail mucin contains antioxidants that may help reduce signs of aging like wrinkles, uneven skin tone and sagging. Studies indicate that snail mucin helps with skin regeneration and protects against damaging free radicals.

And let us also recognize that the seriously devastating snails and slugs are often introduced exotic species. There is never anything fundamentally ‘wrong’ about any species. They fit and have a role in the ecosystem where they have evolved. But a species can be in the ‘wrong place’, and then they can cause devastation.

So yes, it is up to us humans to ensure S&S stay where they belong, and don’t travel.

But there is no doubt people, especially gardeners don’t like them. And this is why a wildlife NGO in the UK, The Herts and Middlesex Wildlife Trust and Royal Horticultural Society (RHS) want to challenge negative perceptions. The  organisers want to create a positive image for snails and slugs by showing people how they contribute to ecosystems. Campaign organisers hope that by learning to “appreciate and co-exist” with snails and slugs, gardeners can adopt a more environmentally friendly approach. The trust, with the RHS, has produced a guide with tips to “live harmoniously alongside slugs and snails”.

And here is some S&S Trivia

Slugging is a slang term for a skin care technique that involves applying an occlusive moisturizer to one’s face, typically before sleep, primarily as a way to prevent moisture loss.

Slugging-it-out is to fight, argue, or compete with someone until one person wins.

Sluggish isbeing lazy and slow.

Sluggish in the computer world is when you use human-readable terms in a URL instead of a database number or some other form. It supposedly originated when programmers became too “lazy” to look up a proper code or ID for a website, and began naming them using words. Those “lazy URLs” became slugs.

And FYI: Snails move at a pace of 0.029 miles per hour, or 153 ft per hour. If we convert that to human speed, that’s the equivalent of walking almost 3.2 km per hour. Not too bad! So in this too, it seems snails are getting unnecessary flak!

S&S are nice fellows. Let’s not blame our problems on them!

-Meena

See also:

https://wordpress.com/post/millennialmatriarchs.com/3209

https://wordpress.com/post/millennialmatriarchs.com/2617

PIC: https://www.medicaldaily.com/snail-slime-touted-latest-miracle-beauty-product-243080