Synopses & Reviews
A brilliant, cutting-edge exploration of the dramatic rise of allergic and autoimmune diseases and the controversial, potentially groundbreaking therapies that scientists are developing to correct these disorders Whether it is asthma, food or pollen allergies, type-1 diabetes, lupus, multiple sclerosis, or Crohn’s disease, everyone knows someone who suffers from an allergic or autoimmune disorder. And if it appears that the prevalence of these maladies has increased recently, that’s because it has—to levels never before seen in human history. These days no fewer than one in five—and likely more—Americans suffers from one of these ailments. We seem newly, and bafflingly, vulnerable to immune system malfunction. Why? Science writer Moises Velasquez-Manoff explains the latest thinking about this problem and explores the remarkable new treatments in the works.
In the past 150 years, improved sanitation, water treatment, and the advent of vaccines and antibiotics have saved countless lives, nearly eradicating diseases that had plagued humanity for millennia. But now, a growing body of evidence suggests that the very steps we took to combat infections also eliminated organisms that kept our bodies in balance. The idea that we have systematically cleaned ourselves to illness challenges deeply entrenched notions about the value of societal hygiene and the harmful nature of microbes. Yet scientists investigating the rampant immune dysfunction in the developed world have inevitably arrived at this conclusion. To address this global “epidemic of absence,” they must restore the human ecosystem.
This groundbreaking book explores the promising but controversial “worm therapy”—deliberate infection with parasitic worms—in development to treat autoimmune disease. It explains why farmers’ children so rarely get hay fever, why allergy is less prevalent in former Eastern Bloc countries, and how one cancer-causing bacterium may be good for us. It probes the link between autism and a dysfunctional immune system. It investigates the newly apparent fetal origins of allergic disease—that a mother’s inflammatory response imprints on her unborn child, tipping the scales toward allergy. In the future, preventive treatment—something as simple as a probiotic—will necessarily begin before birth.
An Epidemic of Absence asks what will happen in developing countries, which, as they become more affluent, have already seen an uptick in allergic disease: Will India end up more allergic than Europe? Velasquez-Manoff also details a controversial underground movement that has coalesced around the treatment of immune-mediated disorders with parasites. Against much of his better judgment, he joins these do-it-yourselfers and reports his surprising results.
An Epidemic of Absence considers the critical immune stimuli we inadvertently lost as we modernized, and the modern ills we may be able to correct by restoring them. At stake is nothing less than our health, and that of our loved ones. Researchers, meanwhile, have the good fortune of living through a paradigm shift, one of those occasional moments in the progress of science when a radically new way of thinking emerges, shakes things up, and suggests new avenues of treatment. You’ll discover that you’re not you at all, but a bustling collection of organisms, an ecosystem whose preservation and integrity require the utmost attention and care.
Review
“
An Epidemic of Absence explores recent research into the causes of human immune system malfunction against a background of evolution and human history. This book is a fascinating read for lay-persons, and it will even excite the very laboratory scientists whom it quotes by providing additional insights into the broader significance of their work. Ground-breaking and ambitious,
An Epidemic of Absence should also be compulsory reading for all medical students.”
—Graham A. W. Rook, professor of immunology at UCL (University College London)
Review
"Modern medicine gave us antibiotics and hygiene, which saved untold lives. But it also altered the intimate balance between our bodies and their residents--the viruses, bacteria, fungi, and worms that infected our ancestors for millions of years.
An Epidemic of Absence is an absorbing, impressively researched look at the result of this medical revolution: a global disruption of immune systems."
-Carl Zimmer, author of Parasite Rex and A Planet of Viruses
Review
"A brilliant and important book that will change the way you think about illness, medicine, genetics, and even evolution. Modern living has vanquished many serious health challenges, but also created many new ones.
Review
“Remarkable…Moises Velasquez-Manoff draws together hundreds of studies to craft a powerful narrative carrying a fascinating argument.” Wall Street Journal
Review
“A reportorial journey into a frontier of science and health.” Wired
Review
"A brilliant and important book that will change the way you think about illness, medicine, genetics, and even evolution. Modern living has vanquished many serious health challenges, but also created many new ones. Moises Velasquez-Manoff forces us to confront the very personal ramifications of biological interdependence. Humans will never stand apart from our ecology. The sooner we realize that, and embrace it, the better off we'll all be."
- David Shenk, author, The Genius in All of Us: New Insights into Genetics, Talent, and IQ
Synopsis
A brilliant, cutting-edge report on the rise of allergic and autoimmune disease--and the controversial new "worm therapy" that scientists are considering to treat it.
A brilliant, cutting-edge exploration of the dramatic rise of allergic and autoimmune diseases and the controversial, potentially groundbreaking therapies that scientists are developing to correct these disorders
Whether it is asthma, food or pollen allergies, type-1 diabetes, lupus, multiple sclerosis, or Crohn's disease, everyone knows someone who suffers from an allergic or autoimmune disorder. And if it appears that the prevalence of these maladies has increased recently, that's because it has--to levels never before seen in human history. These days no fewer than one in five--and likely more--Americans suffers from one of these ailments. We seem newly, and bafflingly, vulnerable to immune system malfunction. Why? Science writer Moises Velasquez-Manoff explains the latest thinking about this problem and explores the remarkable new treatments in the works.
In the past 150 years, improved sanitation, water treatment, and the advent of vaccines and antibiotics have saved countless lives, nearly eradicating diseases that had plagued humanity for millennia. But now, a growing body of evidence suggests that the very steps we took to combat infections also eliminated organisms that kept our bodies in balance. The idea that we have systematically cleaned ourselves to illness challenges deeply entrenched notions about the value of societal hygiene and the harmful nature of microbes. Yet scientists investigating the rampant immune dysfunction in the developed world have inevitably arrived at this conclusion. To address this global "epidemic of absence," they must restore the human ecosystem.
This groundbreaking book explores the promising but controversial "worm therapy"--deliberate infection with parasitic worms--in development to treat autoimmune disease. It explains why farmers' children so rarely get hay fever, why allergy is less prevalent in former Eastern Bloc countries, and how one cancer-causing bacterium may be good for us. It probes the link between autism and a dysfunctional immune system. It investigates the newly apparent fetal origins of allergic disease--that a mother's inflammatory response imprints on her unborn child, tipping the scales toward allergy. In the future, preventive treatment--something as simple as a probiotic--will necessarily begin before birth.
An Epidemic of Absence asks what will happen in developing countries, which, as they become more affluent, have already seen an uptick in allergic disease: Will India end up more allergic than Europe? Velasquez-Manoff also details a controversial underground movement that has coalesced around the treatment of immune-mediated disorders with parasites. Against much of his better judgment, he joins these do-it-yourselfers and reports his surprising results.
An Epidemic of Absence considers the critical immune stimuli we inadvertently lost as we modernized, and the modern ills we may be able to correct by restoring them. At stake is nothing less than our health, and that of our loved ones. Researchers, meanwhile, have the good fortune of living through a paradigm shift, one of those occasional moments in the progress of science when a radically new way of thinking emerges, shakes things up, and suggests new avenues of treatment. You'll discover that you're not you at all, but a bustling collection of organisms, an ecosystem whose preservation and integrity require the utmost attention and care.
Synopsis
A brilliant, cutting-edge report on the rise of allergic and autoimmune disease—and the controversial new “worm therapy” that scientists are considering to treat it.Whether it’s asthma, Crohn’s Disease, or food or pollen allergies, everyone knows someone who suffers from an autoimmune or allergic disorder. But why are they on the rise?
Science writer Moises Velasquez-Manoff offers a new and controversial way of thinking about immune-mediated disease—one that may foster a paradigm shift in the way we think about health and hygiene.
In the early twentieth century, improved hygiene, water treatment, vaccines, and antibiotics saved countless lives, nearly eradicating diseases that had plagued humanity for millennia. But in the wake of this triumph, a new problem arose: The human immune system began to malfunction.
A growing body of evidence suggests that the very steps we took to combat infectious disease have also eliminated organisms that once kept our bodies in balance. To address this “epidemic of absence,” some scientists have begun deliberately reintroducing parasitic worms—helminths—to calm the immune system of their hosts. This book takes a close look at the scientists at the vanguard of “worm therapy,” which has shown promise not only in preempting immune malfunction, but in sending a number of disorders—from Crohn’s Disease to multiple sclerosis to asthma—into remission.
Exploring the greater context of rampant immune system dysfunction in the developed world, and its implications for developing countries, Velasquez-Manoff offers an eye-opening and elegant portrait of science’s new view of the human organism, one that springs from a belated recognition of our intimate connection with bacteria, viruses, and parasites.
About the Author
Moises Velasquez-Manoff covered science and the environment for The Christian Science Monitor, and his work has appeared in The New York Times Magazine, The Chicago Tribune, and Slate, among other publications. He graduated from the Columbia Graduate School of Journalism’s Master of Arts program, with a concentration in science writing.