Category Archives: Health

Are our smartphones afflicting us all with symptoms of ADHD?


When was the last time you opened your laptop midconversation or brought your desktop computer to the dinner table? Ridiculous, right? But if you are like a large number of Americans, you have done both with your smartphone.

Less than a decade after the introduction of the first iPhone, more people reach for their smartphones first thing in the morning than reach for coffee, a toothbrush or even the partner lying next to them in bed. During the day, with a smartphone in our pocket, we can check our email while spending time with our children just as easily as we can text a friend while at work. And regardless of what we are doing, many of us are bombarded by notifications of new messages, social media posts, breaking news, app updates and more.

Anecdotal evidence suggests that this pervasiveness of smartphones is making us increasingly distracted and hyperactive. These presumed symptoms of constant digital stimulation also happen to characterize a well-known neurodevelopmental disorder: Attention Deficit Hyperactivity Disorder, or ADHD. Could the pinging and dinging of our smartphones be afflicting even those of us not suffering from ADHD with some of that condition’s symptoms? As a behavioral scientist, I set out to test this idea in a well-controlled experiment.

Studying digital interruption

My colleagues and I recruited 221 millennials – students at the University of British Columbia – to participate in a two-week study. Importantly, these participants were recruited from the university’s general participant pool, rather than from a population of students diagnosed with ADHD.

During the first week, we asked half the participants to minimize phone interruptions by activating the “do-not-disturb” settings and keeping their phones out of sight and far from reach. We instructed the other half to keep their phone alerts on and their phones nearby whenever possible.

In the second week, we reversed the instructions: Participants who had used their phones’ “do-not-disturb” settings switched on phone alerts, and vice versa. The order in which we gave the instructions to each participant was randomly determined by a flip of a coin. This study design ensured that everything was kept constant, except for how frequently people were interrupted by their phones. We confirmed that people felt more interrupted by their phones when they had their phone alerts on, as opposed to having them off.

Measuring inattentiveness and hyperactivity

We measured inattentiveness and hyperactivity by asking participants to identify how frequently they had experienced 18 symptoms of ADHD over each of the two weeks. These items were based on the criteria for diagnosing ADHD in adults as specified by the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM-V).

The inattentiveness questions covered a wide range of potential problems, such as making careless mistakes, forgetting to pay a bill and having difficulty sustaining attention or listening to others. The hyperactivity questions were similarly broad, assessing things like fidgeting, feeling restless, excessive talking and interrupting others.

The results were clear: more frequent phone interruptions made people less attentive and more hyperactive.

Because ADHD is a neurodevelopmental disorder with complex neurological and developmental causes, these findings in no way suggest that smartphones can cause ADHD. And our research certainly does not show that reducing phone interruptions can treat ADHD. But our findings do have implications for all of us who feel interrupted by our phones.

Smartphone ubiquity poses risks

These findings should concern us. Smartphones are the fastest-selling electronic gadget in history – in the 22 seconds it took to type this sentence, 1,000 smartphones were shipped to their new owners. Even if one of those 1,000 users became more likely to make a careless mistake, ignore a friend in the middle of a conversation or space out during a meeting, smartphones could be harming the productivity, relationships and well-being of millions.

As with all disorders, symptoms of ADHD form a continuum from the normal to the pathological. Our findings suggest that our incessant digital stimulation is contributing to an increasingly problematic deficit of attention in modern society. So consider silencing your phone – even when you are not in the movie theater. Your brain will thank you.

The Conversation

Kostadin Kushlev, Research Associate in Psychology, University of Virginia

This article was originally published on The Conversation. Read the original article.

Vitamin D’s anti-inflammatory properties


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  • Regular Vitamin D doses can tame inflammation linked to chromic diseases
  • Adequate time in the sun can supplement bolsters immune cell function
  • Vitamin D deficiency can lead to soft bones

VITAMIN D supplements can control inflammation associated with chronic conditions such as obesity, heart disease or diabetes.

This finding is based on a review by Curtin University scientists of 23 immune cell studies.

“We found evidence that vitamin D was able to indirectly quench reactive oxygen species, which are accepted as a major factor in the onset and development of chronic diseases including type 2 diabetes,” Professor Philip Newsholme says.

“In fact, inflammation may contribute to a multitude of diseases,” Prof Newsholme says

The results showed for the average person, if they were getting adequate levels of sun exposure or taking a vitamin D supplement, then their immune cell function would benefit.

People who had a good immune cell defence were more likely to have good overall health, according to the review.

Vitamin D deficiency can lead to soft bones or osteoporosis, with symptoms often not evident or ranging from muscle or joint pain, depression and fatigue. It can only be diagnosed via a blood test.

However, this can be avoided by taking the daily supplement or spending time in the sun.

“These kinds of diseases are associated from chronic inflammation and may well benefit from ensuring people have adequate amounts of vitamin D so that they can then supress any adverse levels of inflammation,” he says.

The researchers examined vitamin D in its active form being injected into human cells, focusing their attention on chronic conditions such as obesity and diabetes.

Prof Newsholme says the findings were exciting because it fed into longer term studies, in particular examining the effects of vitamin D levels in humans and its impact on metabolism.

“We believe vitamin D is important for regulation of immune cell metabolism and function, therefore may impact and reduce the onset of chronic inflammatory diseases related to ageing such as cardiovascular disease and diabetes,” he says.

He is now part of a clinical trial which takes blood samples from people and examines their vitamin D levels in winter, these participants are due to be tested again in February.

White House launches public workshops on AI issues


The White House today announced a series of public workshops on artificial intelligence (AI) and the creation of an interagency working group to learn more about the benefits and risks of artificial intelligence. The first workshop Artificial Intelligence: Law and Policy will take place on May 24 at the University of Washington School of Law, cohosted by the White House and UW’s Tech Policy Lab. The event places leading artificial intelligence experts from academia and industry in conversation with government officials interested in developing a wise and effective policy framework for this increasingly important technology.

Speakers include:

The final workshop will be held on July 7th at the Skirball Center for the Performing Arts, New York. The Social and Economic Implications of Artificial Intelligence Technologies in the Near-Term will address the near-term impacts of AI technologies across social and economic systems. The event is hosted by the White House and New York University’s Information Law Institute, with support from Google Open Research and Microsoft Research.

The focus will be the challenges of the next 5-10 years, specifically addressing five themes: social inequality, labor, financial markets, healthcare, and ethics. Leaders from industry, academia, and civil society will share ideas for technical design, research and policy directions.

You can learn more about these events via the links to the event websites below, and each workshop will be livestreamed:

According to Ed Felton, Deputy U.S. Chief Technology Officer, “There is a lot of excitement about artificial intelligence (AI) and how to create computers capable of intelligent behavior. After years of steady but slow progress on making computers “smarter” at everyday tasks, a series of breakthroughs in the research community and industry have recently spurred momentum and investment in the development of this field.

Today’s AI is confined to narrow, specific tasks, and isn’t anything like the general, adaptable intelligence that humans exhibit. Despite this, AI’s influence on the world is growing. The rate of progress we have seen will have broad implications for fields ranging from healthcare to image- and voice-recognition. In healthcare, the President’s Precision Medicine Initiative and the Cancer Moonshot will rely on AI to find patterns in medical data and, ultimately, to help doctors diagnose diseases and suggest treatments to improve patient care and health outcomes.

In education, AI has the potential to help teachers customize instruction for each student’s needs. And, of course, AI plays a key role in self-driving vehicles, which have the potential to save thousands of lives, as well as in unmanned aircraft systems, which may transform global transportation, logistics systems, and countless industries over the coming decades.

Like any transformative technology, however, artificial intelligence carries some risk and presents complex policy challenges along several dimensions, from jobs and the economy to safety and regulatory questions. For example, AI will create new jobs while phasing out some old ones—magnifying the importance of programs like TechHire that are preparing our workforce with the skills to get ahead in today’s economy, and tomorrow’s. AI systems can also behave in surprising ways, and we’re increasingly relying on AI to advise decisions and operate physical and virtual machinery—adding to the challenge of predicting and controlling how complex technologies will behave.

There are tremendous opportunities and an array of considerations across the Federal Government in privacy, security, regulation, law, and research and development to be taken into account when effectively integrating this technology into both government and private-sector activities.

That is why the White House Office of Science and Technology Policy is excited to announce that we will be co-hosting four public workshops over the coming months on topics in AI to spur public dialogue on artificial intelligence and machine learning and identify challenges and opportunities related to this emerging technology. These four workshops will be co-hosted by academic and non-profit organizations, and two of them will also be co-hosted by the National Economic Council. These workshops will feed into the development of a public report later this year. We invite anyone interested to learn more about this emergent field of technology and give input about future directions and areas of challenge and opportunity.

The Federal Government also is working to leverage AI for public good and toward a more effective government. A new National Science and Technology Council (NSTC)Subcommittee on Machine Learning and Artificial Intelligence will meet for the first time next week. This group will monitor state-of-the-art advances and technology milestones in artificial intelligence and machine learning within the Federal Government, in the private sector, and internationally; and help coordinate Federal activity in this space.

Broadly, between now and the end of the Administration, the NSTC group will work to increase the use of AI and machine learning to improve the delivery of government services. Such efforts may include empowering Federal departments and agencies to run pilot projects evaluating new AI-driven approaches and government investment in research on how to use AI to make government services more effective. Applications in AI to areas of government that are not traditionally technology-focused are especially significant; there is tremendous potential in AI-driven improvements to programs and delivery of services that help make everyday life better for Americans in areas related to urban systems and smart cities, mental and physical health, social welfare, criminal justice, the environment, and much more.

We look forward to engaging with the public about how best to harness the opportunities brought by artificial intelligence. Stay tuned for more information about the work we’re doing on this subject as it develops over the coming months.”

Ed Felten is a Deputy U.S. Chief Technology Officer.

To fight Zika, let’s genetically modify mosquitoes – the old-fashioned way


The near panic caused by the rapid spread of the Zika virus has brought new urgency to the question of how best to control mosquitoes that transmit human diseases. Aedes aegypti mosquitoes bite people across the globe, spreading three viral diseases: dengue, chikungunya and Zika. There are no proven effective vaccines or specific medications to treat patients after contracting these viruses.

Mosquito control is the only way, at present, to limit them. But that’s no easy task. Classical methods of control such as insecticides are falling out of favor – they can have adverse environmental effects as well as increase insecticide resistance in remaining mosquito populations. New mosquito control methods are needed – now.

The time is ripe, therefore, to explore a long-held dream of vector biologists, including me: to use genetics to stop or limit the spread of mosquito-borne diseases. While gene editing technologies have advanced dramatically in the last few decades, it is my belief that we’ve overlooked older, tried and true methods that could work just as well on these insects. We can accomplish the goal of producing mosquitoes incapable of transmitting human pathogens using the same kinds of selective breeding techniques people have been using for centuries on other animals and plants.

Technicians from Oxitec inspect genetically modified Aedes aegypti mosquitoes in Campinas, Brazil.
Paulo Whitaker/Reuters

Techniques on the table

One classic strategy for reducing insect populations has been to flood populations with sterile males – usually produced using irradiation. When females in the target population mate with these males, they produce no viable offspring – hopefully crashing population numbers.

The modern twist on this method has been to generate transgenic males that carry a dominant lethal gene that essentially makes them sterile; offspring sired by these males die late in the larval stage, eliminating future generations. This method has been promulgated by the biotech company Oxitec and is currently used in Brazil.

Rather than just killing mosquitoes, a more effective and lasting strategy would be to genetically change them so they can no longer transmit a disease-causing microbe.

The powerful new CRISPR gene editing technique could be used to make transgenes (genetic material from another species) take over a wild population. This method works well in mosquitoes and is potentially a way to “drive” transgenes into populations. CRISPR could help quickly spread a gene that confers resistance to transmission of a virus – what scientists call refractoriness.

But CRISPR has been controversial, especially as applied to human beings, because the transgenes it inserts into an individual can be passed on to its offspring. No doubt using CRISPR to create and release genetically modified mosquitoes into nature would stir up controversy. The U.S. Director of National Intelligence, James Clapper, has gone so far as to dub CRISPR a potential weapon of mass destruction.

But are transgenic technologies necessary to genetically modify mosquito populations?

Examples of successful artificial selection of various traits through the years. In the center is a cartoon of the ‘block’ scientists would like to select for in mosquitoes so they can’t pass on the virus.
Jeff Powell, Author provided

Selective breeding the old-fashioned way

Genetic modification of populations has been going on for centuries with great success. This has occurred for almost all commercially useful plants and animals that people use for food or other products, including cotton and wool. Selective breeding can produce immense changes in populations based on naturally occurring variation within the species.

Artificial selection using this natural variation has proven effective over and over again, especially in the agricultural world. By choosing parents with desirable traits (chickens with increased egg production, sheep with softer wool) for several consecutive generations, a “true breeding” strain can be produced that will always have the desired traits. These may look very different from the ancestor – think of all the breeds of dogs derived from an ancestor wolf.

To date, only limited work of this sort has been done on mosquitoes. But it does show that it’s possible to select for mosquitoes with reduced ability to transmit human pathogens. So rather than introducing transgenes from other species, why not use the genetic variation naturally present in mosquito populations?

Deriving strains of mosquitoes through artificial selection has several advantages over transgenic approaches.

  • All the controversy and potential risks surrounding transgenic organisms (GMOs) are avoided. We’re only talking about increasing the prevalence in the population of the naturally occurring mosquito genes we like.
  • Selected mosquitoes derived directly from the target population would likely be more competitive when released back to their corner of the wild. Because the new refractory strain that can’t transmit the virus carries only genes from the target population, it would be specifically adapted to the local environment. Laboratory manipulations to produce transgenic mosquitoes are known to lower their fitness.
  • By starting with the local mosquito population, scientists could select specifically for refractoriness to the virus strain infecting people at the moment in that locality. For example, there are four different “varieties” of the dengue virus called serotypes. To control the disease, the selected mosquitoes would need to be refractory to the serotype active in that place at that time.
  • It may be possible to select for strains of mosquitoes that are unable to transmit multiple viruses. Because the same Aedes aegypti mosquito species transmits dengue, chikungunya and Zika, people living in places that have this mosquito are simultaneously at risk for all three diseases. While it has not yet been demonstrated, there is no reason to think that careful, well-designed selective breeding couldn’t develop mosquitoes unable to spread all medically relevant viruses.

Fortunately, Ae. aegypti is the easiest mosquito to rear in captivity and has a generation time of about 2.5 weeks. So unlike classical plant and animal breeders dealing with organisms with generations in years, 10 generations of selection of this mosquito would take only months.

Researchers are working out mass rearing techniques for Aedes mosquitoes – their generation time is only 2.5 weeks.
IAEA Imagebank, CC BY-NC-ND

This is not to imply there may not be obstacles in using this approach. Perhaps the most important is that the genes that make it hard for these insects to transmit disease may also make individual insects weaker or less healthy than the target natural population. Eventually the lab-bred mosquitoes and their offspring could be out-competed and fade from the wild population. We might need to continuously release refractory mosquitoes – that is, the ones that aren’t good at transmitting the disease in question – to overcome selection against the desirable refractory genes.

And mosquito-borne pathogens themselves evolve. Viruses may mutate to evade any genetically modified mosquito’s block. Any plan to genetically modify mosquito populations needs to have contingency plans in place for when viruses or other pathogens evolve. New strains of mosquitoes can be quickly selected to combat the new version of the virus – no costly transgenic techniques necessary.

Today, plant and animal breeders are increasingly using new gene manipulation techniques to further improve economically important species. But this is only after traditional artificial selection has been taken about as far as it can to improve breeds. Many mosquito biologists are proposing to go directly to the newest fancy transgenic methodologies that have never been shown to actually work in natural populations of mosquitoes. They are skipping over a proven, cheaper and less controversial approach that should at least be given a shot.

The Conversation

Jeffrey Powell, Professor, Yale University

This article was originally published on The Conversation. Read the original article.

Early Celebrity Deaths Related To Stress and Overworking


When the medical journal Circulation printed a study last year about stress and depression being the cause of early deaths, it was generally overlooked by the public as being somewhat obvious and a given. What most people seem to forget is that the celebrities they love who die early are most likely the result of the stress their career puts on their bodies.

Seven researchers from the Department of Medicine at Columbia University wrote in their study Perfect Storm: Concurrent Stress and Depressive Symptoms Increase Risk of Myocardial Infarction or Death that patients with coronary heart disease are more at risk of early death if their mental state is also ill due to depression and stress. Considering one out of every four people that die in the United States every year suffer from coronary heart disease, this isn’t surprising at first, but when you also consider that stress affects the same number of adults, all you need to add to the mix for the “perfect storm” that leads to an early death is depression.

Depression is known to affect around 7% of American adults, although the definition of depression is often controversially discussed as being ambiguous to laymen. This study, however, assessed its 4487 participants based on showing signs of stress and signs of depression over a five year period, being categorized as either low stress/low depression or high stress/high depression, and the subjects with the most heart attacks happened to be the ones with high stress and high depression.

With the recent deaths of Prince and David Bowie, it might make sense to assume that Prince, known for being a workaholic, spiritually disrupted (for lack of a better explanation) and argumentative or “difficult” person, was prone to an early death despite being clean and sober — that is if he also had heart disease (reports are uncertain as this writing). Bowie, on the other hand, may have made it further if he hadn’t succumbed to liver cancer, most likely caused by a lifetime of alcohol and oral drug use (pills).

Of course this is just speculation, but it’s still may help to dispel the notion that celebrities, with all their millions and fan love, live longer, healthier lives then the rest of us..

Your Body Can Now Be Run With Computer Programming


Scientists have found a new way through which the cells of our body can be controlled through a proprietary programming language, which could help you from falling prey to diseases. This latest innovation comes from a group of biological engineers at MIT, who have developed a programming language capable of designing complex DNA functions that can further be put in a human being’s cell.

How does it work?

Commenting on the functionality of the latest innovation, Christopher Voigt, a biological engineering professor at MIT revealed that it was more of text-based language used to program a computer. Similarly, the program is then compiled into a DNA sequence, which is then inputted into the cell, and its circuit runs within the cell.

How did they do it?

Verilog, a hardware description language has been used by researchers to make this a reality. Sensors that can be programmed into DNA sequences have been used with specially designed computing elements.

The interesting part lies in the way the program works. The DNA sequences are first programmed into a cell to create a circuit. The customizable sensors then detect the amount of glucose, oxygen, and temperature. What wonders science and technology today can put together is completely inspiring.

Should fracking decisions be made locally?


The future role of gas in the UK is the subject of significant debate. There is controversy about how much gas we could use and for how long, and whether this will be compatible with statutory climate change targets. As North Sea supplies decline, there are also starkly differing views about whether some of the gas we will need in future should come from domestic shale gas resources.

Despite the number of headlines about shale gas, there has been very little development activity so far. Fracking for shale gas has only been carried out at one site near Blackpool, where operations by Cuadrilla caused minor earthquakes in 2011. This means that it is almost impossible to determine whether significant UK shale gas production would make economic sense. The recent falls in oil and gas prices have added to this uncertainty, but are likely to make commercial viability more challenging.

During the recent 14th licensing round for onshore oil and gas, 159 areas were awarded licenses for development – 75% of these were for unconventional oil and gas extraction, which has sparked local debates in many of the affected areas.

Two planning applications submitted by Cuadrilla for exploration at sites in Lancashire were recently turned down by the local council on the grounds of noise and traffic. One of these was refused against the advice of council officers. An appeal by Cuadrillia is currently underway. Whether or not it goes in favour of the council or the developer, it raises broader questions about the role of local democracy and decision-making.

Last August the government announced the introduction of fast-track planning regulations designed to limit the length of local planning processes for unconventional oil and gas operations. Greg Clark, the secretary of state for communities and local government, also said he expects to have the final say over the Lancashire applications.

What is Fracking?

This intention to constrain local planning processes has understandably led to concerns about local democracy. It is not the first time national government has tried to intervene in local decision-making, especially when it comes to the development of new large-scale infrastructures or natural resources.

While national government may emphasise a particular course of action, like the development of shale gas, there is no guarantee that local decision-makers will simply agree. Furthermore, selective limits on local planning risk exacerbating public mistrust. A Sciencewise project on public engagement with shale gas and oil, commissioned by the government, revealed significant unease among participants about decision-making processes.

A waste of energy?

Given that large-scale changes to energy infrastructures are very likely to be required across the UK as the energy system decarbonises, this issue goes well beyond shale gas. Local opposition has also been significant for other energy developments such as wind farms, solar farms, gas storage sites and electricity transmission lines.

The government’s approach to different energy sources appears to be inconsistent – most notably between onshore wind and shale gas. In contrast with the approach for shale, local planners will determine whether new onshore wind projects go ahead or not. Ministers have defended this situation on the grounds that a lot of wind farms are already being deployed, while shale gas is at a very early stage.

Although the government’s regular energy opinion poll no longer asks specific questions about onshore wind, other polls suggest it still has significant public support – as well as being the cheapest low carbon electricity generation technology.

Where should our energy come from?
Pexels

The focus on shale and wind could also be a missed opportunity for a broader conversation about the UK’s sustainable energy transition. This conversation should not be restricted to which technologies or resources should be used, and what they might cost. Previous research from the UK Energy Research Centre suggests that people are also interested in how energy systems can reflect values such as fairness, sustainability and efficiency. A focus on individual sources like shale gas in isolation leaves little space for this broader conversation to be held.

The Conversation

Jim Watson, Research Director, UK Energy Research Centre

This article was originally published on The Conversation. Read the original article.

Sleep Deprivation Causes Increased Sugar Cravings, Leads To Obesity


In a study performed by Erin Hanlon, a research associate at the University of Chicago, researchers revealed that lack of sleep induced higher levels of endocannibinoids, a brain chemical that binds to the same receptors as marijuana and regulates our appetite.

As the CDC states, one in three American adults don’t get enough sleep, which happens to match around the same percentage of obese American adults. Hanlon was interested in connecting these two problems and found that there may, indeed, be a connection between obesity and adequate sleep.

The study compared the appetites of adults who got 8.5 hours of sleep vs those who received only 4.5 hours of sleep. The result was that those with less sleep were more apt to eat unhealthy junk food high in sugar the longer they stayed awake. These people’s endocannibinoid levels were higher than those who got a full night’s sleep.

“We are trying to get out awareness that people need to think of adequate sleep as an important aspect of maintaining good health,” Hanlon told CNN.com

While there are many studies published regarding the causes of obesity, sleep deprivation hasn’t received the attention Hanlon felt it deserved, so she got the support of researchers from Universite Libre de Bruxelles and Medical College of Wisconsin. The researchers were able to measure the concentration of a specific endocannabinoid called 2AG in the blood and found the results surprising.

Showtime’s ‘Dark Net’ Uncovers Deep Web Internet Culture

Through the internet, the impact of technology on our lives is both unprecedented and undeniable.

From cyber relationships, S&M culture and child abuse to biohacking, content moderation and nootropics, Dark Net finally puts into moving pictures what blogs have been typing up a storm about for the past few years.

At first glance the show seems like your run-of-the-mill cyber culture documentary, but the topics being explored are of a much more taboo persuasion — and it’s not just the underground pedophile networks accessed via Tor we’re talking about.

While Dark Net covers a lot of ground in technology subculture, it also serves as a bit of a transhumanist playground, discussing cutting edge and controversial topics such as RFID chip implants and other biohacks, nootropics, artificial intelligence girlfriends, and more. The main topic, however, seems to be the nature of human relationships being altered, augmented, and even hindered by technology, and it’s not difficult to understand why.

Through the internet, the impact of technology on our lives is both unprecedented and undeniable. Exploring subcultures and trends such as sadomasochism, porn addiction, and even internet addiction, Dark Net attempts to bring to light some otherwise undisclosed topics the most people refuse to talk about openly.

Dark Net is on Showtime, Thursday nights.

Max Klaassen
Public enema xenomorphic robot from the dimension Zrgauddon.

Is the 2015 Nobel Prize a turning point for traditional Chinese medicine?


Marta Hanson, Johns Hopkins University

I’m sure I’m not the only one surprised by the announcement that half of the 2015 Nobel Prize in Physiology or Medicine has gone to a researcher who spent her entire career researching traditional Chinese medicine. Based at the Chinese Academy of Traditional Chinese Medicine in Beijing (now the China Academy of Chinese Medical Sciences) since 1965, scientist Youyou Tu, her colleagues, and home institution may well be just as stunned today as I am.

Being granted the Lasker Award is often a good predictor of Nobel Prize prospects. Tu received one in 2011 for her discovery of Artemisinin as an alternative malaria cure to the standard chloroquine, which was quickly losing ground in the 1960s due to increasingly drug-resistant parasites. Scientific research on the pharmaceutically active properties of traditional Chinese medicinals, however, has never been a predictor for such widespread international recognition.

Traditional medical knowledge anywhere in the world has not even been on the radar for Nobel Prize prospects. Until now, that is. So how should we interpret this arguably seismic shift in international attention on traditional Chinese medicine?

Watch the announcement of the winners and the following Q&A.

Discoveries to be made in historical record

In the question-and-answer session after the announcement at the Karolinska Institute, which awards the Nobels, one of the panelists emphasized not just the quality of Tu’s scientific research, but also the value of recorded empirical experience in the past.

The antifebrile effect of the Chinese herb Artemisia annua (qinghaosu 青蒿素), or sweet wormwood, was known 1,700 years ago, he noted. Tu was the first to extract the biologically active component of the herb – called Artemisinin – and clarify how it worked. The result was a paradigm shift in the medical field that allowed for Artemisinin to be both clinically studied and produced on a large scale.

Youyou Tu.
China Stringer Network/Reuters

Tu has always maintained that she drew her inspiration from the medical text of a fourth-century Chinese physician and alchemist named Ge Hong 葛洪 (circa 283-343).

His Emergency Formulas To Keep at Hand (Zhouhou beijifang 肘後備急方) can best be understood as a practical handbook of drug formulas for emergencies. It was a book light enough to keep “behind the elbow” (zhouhou), namely, in one’s sleeve, where Chinese men sometimes carried their belongings. We can discern from Ge’s astute description of his patients’ symptoms that people then suffered not only from malaria but also from other deadly diseases including smallpox, typhoid and dysentery.

Beyond recording the fever-fighting qualities of Artemisia annua, Physician Ge also wrote about how Ephedra sinica (mahuang 麻黃) effectively treated respiratory problems and how arsenic sulphide (“red Realgar,” xionghuang 雄黃) helped control some dermatological problems.

Traditional ingredients, modern drugs

Just because a compound has natural roots and has long been used in traditional medicine is no reason to take it lightly.

You might remember that in 2004, the FDA actually banned ephedra-containing dietary and performance-enhancing supplements. They’d been the cause not only of serious side effects but also several deaths. The ban remains in effect in the US despite a court challenge from ephedra manufacturers. Related drug ephedrine, however, is used to treat low blood pressure and is a common ingredient in over-the-counter asthma medicines.

Compounds long known by practitioners of traditional Chinese medicine to be effective are being isolated now in modern labs.
vkreay/flickr, CC BY-SA

As for Realgar, its toxicity was well-known in both ancient Greece and Chinese antiquity. In Chinese medical thought, though, skillfully administered toxins may also be powerful antidotes for other toxins. Realgar thus continues to be used in Chinese medicine as a drug that relieves toxicity and kills parasites. Applied topically, it treats scabies, ringworm and rashes on the skin’s surface; taken internally, it expels intestinal parasites, particularly roundworms.

Although biomedicine does not currently use Realgar or its related mineral arsenicals in treatments, Chinese researchers have been studying their anticancer properties for some time now. In 2011, a Chinese researcher at Johns Hopkins University, Jun Liu (with other colleagues), also discovered that the Chinese medicinal plant Tripterygium wilfordii Hook F (lei gong teng 雷公藤 “Thunder God Vine”) is effective against cancer, arthritis and skin graft rejection.

Tu’s groundbreaking work on artemisinin, in fact, can be seen as the tip of the iceberg of the extensive and global scientific study of pharmacologically active Chinese medicinals, including another successful antimalarial Dichroa febrifuga (changshan 常山) that has roots in the new scientific research on Chinese medicinals in 1940s mainland China.

It was validation of this traditional drug as an antimalarial in the 1940s, in fact, that set the foundation for Chinese leader Mao Tse Tung’s directive two decades later in the late 1960s to find a cure for malaria. Indeed, Tu’s research is best understood within the complex politics and history of top-down support from the Chinese government of Chinese medicine in mainland China during the long durée of the 20th century, and not just in the Maoist period.

Even outside mainland China, though, such research has yielded results. In the 1970s, for example, US and Japanese researchers developed the statin drugs used to lower cholesterol from studying the mold Monascus purpureus that makes red yeast rice, well, “red.”

Empirical evidence of the medical efficacy in the rich Chinese medical archive from centuries earlier similarly influenced the initial direction of this research.

Medically bilingual

So is this Nobel Prize for Tu’s discovery a signal that Western science has changed how it perceives alternative systems of medicine? Perhaps, but only slightly.

One of the Karolinska Institute panelists acknowledged that there are many sources from which scientists draw inspiration to develop drugs. Among them, we should not ignore the long history of experiences from the past. As he clarified, such sources may be inspirational, but the old herbs found there cannot be used just as they are. Don’t underestimate the sophisticated methods Tu used to extract the active Artemisinin compound from Artemesia annua, another one of the panelists concluded.

So the Nobel Prize is not only acknowledging this complete transformation of a Chinese herb through modern biomedical science into something powerfully efficacious, but also the millions of lives saved because of its successful application worldwide, particularly in the developing world.

But there’s something else that marks Tu as extraordinary vis-à-vis both her two fellow Nobel Laureates for medicine, William C Campbell and Satoshi Ōmura, and her more Western medically oriented colleagues in pharmacology. She embodies, in both her history and her research, what I call medical bilingualism – the ability not only to read in two different medical languages but to understand their different histories, conceptual differences, and, most importantly for this unexpected news, potential value for therapeutic interventions in the present.

This medical bilingualism is a quality that current researchers mining the same fine line between the empirical knowledge of traditional medical traditions and the highest level of modern biomedical science would be lucky to share with Nobel Laureate Youyou Tu.

The Conversation

Marta Hanson, Associate Professor of the History of Medicine, Johns Hopkins University

This article was originally published on The Conversation. Read the original article.