Those Who Cook at Home Eat Better, Study Finds

Those Who Cook at Home Found Eat Better - Report
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After investigating the eating habits of thousands of Americans, one factor was found to account for a significant difference in the healthiness of Americans: cooking meals at home. In a recent study from Johns Hopkins Center for a Livable Future, people who cooked meals at home were found to eat consume fewer calories, fat, sugar and carbohydrates.

Those Who Cook at Home Found Eat Better - Report
Julia Wolfson, MPP

“A difference of 150 calories per day over time can make a significant difference in dietary intake and health,” Julia Wolfson, MPP, PhD Candidate Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Center for a Livable Future-Lerner Fellow, and one of the authors of the study, told The Speaker.

And a difference of 150 calories per day was the finding. After analyzing data from over 9,000 participants aged 20 and older, the researchers found that when adults who cooked dinner once or less a week were compared with adults who cooked six to seven times a week, the people who cooked at home were eating a lot healthier. Those who cooked at home consumed 2,164 calories, 81 grams of fat and 119 grams of suger on average daily, while those who more often ate out consumed an average of 2,301 calories, 84 grams of fat and 135 grams of sugar.

“This difference indicates that a person who starts cooking more does not need to make drastic changes to their diet in order to see a beneficial impact, Wolfson told us. “These results show that just the act of cooking more frequently is associated with reduced intake of calories, fat, sugar and carbohydrates.”

The researchers also made other significant findings. Blacks were found to be more likely than whites to live in households where there was less home cooking, and individuals who worked over 35 hours per week outside the home were also found to cook less often at home.

“There are very real barriers to frequent cooking,” explained Wolfson. “Time constraints, cost of ingredients, resources and equipment to cook, and lack of access to fresh, healthy, and affordable ingredients. These barriers are more likely to impact lower-income populations, who… are more likely to be black.”

Americans are familiar with the 40 hour work week associated with full-time employment, but recent polls have found that full-time workers in the US actually work an average of 47 hours per week–and 40 percent of full-time workers work over 50 hours per week.

“Long work hours, inflexible schedules definitely make cooking very frequently more difficult for many people,” Wolfson told us. “Because encouraging more cooking at home has the potential to have a positive impact on obesity rates and diet quality, we need to find ways to support more frequent cooking at home. However, for those individuals for whom cooking at home is not feasible, we also need to invest in ways to make eating healthfully outside the home easier and more affordable.

“The most important takeaway is that more frequent cooking at home is associated with a healthier diet, regardless of whether one is trying to lose weight. If a person starts cooking more meals at home, they will be eating healthier by default.”

The report, “Is cooking at home associated with better diet quality or weight-loss intention?” was authored by Julia A. Wolfson and Dr Sara N. Bleich, an associate professor in the Department of Health Policy and Management at the Bloomberg School, was supported by the National Heart, Lung, and Blood Institute, and was published in the journal Public Health Nutrition.

By Heidi Woolf

Photo: Ryan McVay

NCU Scientists Identify Specific Ebola-Linked Genes

NCU Scientists Identify Specific Ebola-Linked Genes
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Significant improvements in Ebola research have been made possible by researchers at the University of North Carolina. The researchers have not only bred a mouse that can be used to better investigate the way Ebola symptoms develop in a human host, but have also identified several key genes that account for a variety of Ebola symptoms–in particular one gene, Tek, which accounts for a large amount of the symptom variation in individuals within a species.

“Laboratory mice have traditionally been unable to be infected by wild-type Ebola virus,” Martin Ferris, research assistant professor of genetics at UNC-Chapel Hill and one of the researchers on the project, told The Speaker.

NCU Scientists Identify Specific Ebola-Linked Genes
Dr Martin Ferris

Typical lab mice do not develop Ebola in the way that humans do–mice infected with Ebola don’t develop the fatal symptoms that present in human victims. The team considered, however, that some mice might be more susceptible than others, and bred a new mouse strain that could be infected with an Ebola virus and which displayed symptoms like those displayed by human Ebola victims.

“A mouse adapted strain of Ebola has been used for in vivo studies of Ebola pathogenesis for over 15 years,” said Ferris. “This mouse adapted Ebola virus was used in our studies.” Ferris clarified for us that the team did not infect mice with the active human strain of Ebola that is currently epidemic in West Africa. Nevertheless, strict medical precautions were taken.

“In general, adaptation of viruses to small animal models results in attenuated viruses as measured on human cell types–obviously there are no studies showing primary human infection. Often this is due to viral changes to utilize host-species specific cell receptors. That said, it is not clear whether the mouse adapted Ebola virus used in these studies would cause disease in a human. Therefore, to be safe, this virus was still handled under Biosafety Level 4 conditions, just like other Ebola virus strains.”

Read more: Ebola Genome Sequencing Being Undertaken by Harvard Team to Discover Weaknesses in Virus Genome, Which Has Already Mutated Hundreds of Times

The team bred together eight genetic mouse variants to create the new strain that could be infected and develop symptoms similar to those experienced by humans.

Ferris elaborated on how the process worked.

“Just as host genetic variants can impact disease susceptibility, so too can viral genetic variants. In other words, just as there is no single human from a genetic standpoint, there is no single Ebola virus from a genetic standpoint.

In some cases specific mutations in a virus can be identified and characterized which allow for improved infection of a different species (e.g. mice instead of humans). In other cases, there are only associations of sequence variants in different stages of an epidemic. For example, as viruses that have typically resided in wild animal populations spend more and more time spreading within the human population, and eventually are maintained by human to human contact, we can see genetic variants selected for in the virus population. This is illustrated by the SARS-coronavirus epidemic in 2002-2003, where changes in the virus over the course of the outbreak allowed it to interact more efficiently with its receptor on human cells. This likely allowed the virus to infect humans more efficiently, thereby worsening the outbreak.”

The UNC study will aid researchers in fighting Ebola by providing them with a better tool for understanding how Ebola Ebola infection manifests in the body of a host, and by pointing to a gene that researchers can target in their investigations.

The team found that a combination of genes was involved in producing a range of disease symptoms, and linked genetic variation to symptom variety. Not only that: the researchers were able to identify a single gene that accounted for much of the variation in symptoms–a gene that codes for the protein Tek.

“Our study not only in gives an improved mouse model which recapitulates more of the severe Ebola disease seen in humans,” said Ferris, “but also in pointing to a gene, Tek, which has sequence variants that are strongly associated with disease outcome in these mice. This helps in two ways.

“Therapeutics and vaccines need to be shown to be both effective against viral infection, and also safe for individuals. By developing a mouse model that shows many aspects of severe Ebola disease, we have a better platform for quickly assessing how effective treatments might be.”

“We now have a genetic target (Tek),” continued Ferris, “and its associated pathway of host response genes where we can focus studies on. Having a specific pathway that differentiates resistant and susceptible mouse lines provides us with a good host pathway that can be targeted to develop Ebola virus therapies.”

Of particular importance is the way that a disease, such as Ebola, infects individuals within a species differently, and that means variants in a species genetic code need to be identified in order to combat the disease–exactly what was accomplished in the research.

“Host genes have a major impact on susceptibility to infection, and not just between species,” said Ferris. “The mice we used were related to each other, yet some were resistant to infection and others got hemorrhage in a very controlled experiment. This means variants in their genes played a major role in determining their disease outcomes.”

NCU Scientists Identify Specific Ebola-Linked GenesThe UNC team has been working on the study since before Ebola made headlines earlier this year, and Ferris pointed out that disease, if it is to be successfully fought, must be studied before it becomes a problem.

“I think another critical point is that we cannot wait for a major outbreak to start research on potential human pathogens,” said Ferris. “We have been part of this collaborative study for over 2 years, and therefore started well before the current outbreak. Only by identifying pathogens and studying them before they cause pandemics can we hope to develop the tools needed to combat infection.”

The report, “Host genetic diversity enables Ebola hemorrhagic fever pathogenesis and resistance,” was authored by Angela L. Rasmussen, Atsushi Okumura, Martin T. Ferris, Richard Green, Friederike Feldmann, Sara M. Kelly, Dana P. Scott, David Safronetz, Elaine Haddock, Rachel LaCasse, Matthew J. Thomas, Pavel Sova, Victoria S. Carter, Jeffrey M. Weiss, Darla R. Miller, Ginger D. Shaw, Marcus J. Korth, Mark T. Heise, Ralph S. Baric, Fernando Pardo Manuel de Villena, Heinz Feldmann, and Michael G. Katze, and was published in Science Magazine.

By Dan Jackson

Shipworms Co-opt Digestive Enzymes From Outside Stomach, and It Could Aid the Bio Fuel Revolution

Shipworms Co-opt Digestive Enzymes From Outside Stomach, and It Could Aid the Bio Fuel Revolution
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The same bizarre worm-like clams that create holes in driftwood may be a game-changes for fuel supplies in America, according to a joint research team that has just published their finding that shipworms have a totally unique digestive system–hitherto unknown–and possess the ability to create enzymes that break plant matter down into sugar and other fuel products.

“You don’t hear about the discovery of new diges­tive strate­gies very often,” said Dr Dan Distel, Director at the Ocean Genome Legacy Center of New England Biolabs Marine Science Center, Northeastern University, and a lead researcher on the study. “It just doesn’t happen.”

Breakthrough Discovery of Exterior Digestion Could Aid Bio Fuel Revolution“This is why it’s so impor­tant that we as researchers look at oceans,” Distel said. “It yields so many unex­pected benefits.”

Shipworms aren’t worms–they’re clams that look like worms, and they burrow holes through wood using enzymes made by bacteria. They use the broken down wood matter as nutrition, similar to termites.

How shipworms break down wood is the matter of the teams recent, groundbreaking discovery: the bacteria doesn’t come from shipworms’ guts.

The enzymes that break down wood are made by bacteria that lives inside special cells in the clam’s gills, and are transported to the gut.

No other animal in the world uses bacteria produced outside its digestive system, Distel said. No other intracellular bacterium produces enzymes that function outside of the host.

Shipworms Co-opt Digestive Enzymes From Outside Stomach, and It Could Aid the Bio Fuel Revolution
Dr Dan Distel

“This is really unusual in that the bacteria that produce the enzymes are located in an organ outside the digestive system and in fact appear to be intracellula,” Distel told The Speaker. “The vast majority of animals use extracellular bacteria in the gut to help them digest. The lumen of the gut, if you think about it, is really part of the outside of the animal. There are some examples of animals ingesting enzymes produced by bacteria or fungi in their food, but I have not heard of another animal that has a special organ outside of the gut designed to house enzyme-producing bacteria.”

Because the team could find around 45 genes inside the guts of the shipworms that matched the 1000 genes found in the gills, the team believes they can find the enzymes that could be used in commercial biofuel production.

“This was a key finding,” Distel said, “because we can iden­tify the small number of enzymes that are actu­ally involved in breaking down wood in gut, and that gives us a list of can­di­dates that you can start to look at to find commercially-​​viable enzymes.”

The enzymes convert plant biomass–cellulose–into sugar, and sugar can be used to make ethanol and other biofuels.

Breakthrough Discovery of Exterior Digestion Could Aid Bio Fuel RevolutionBiofuel production is already a matter of US government policy. By 2022 36 billion gallons of cellulosic biofuel should be produced in the country, according to a government mandate, and the United States Department of Agriculture (USDA) expects that one-third of US transportation fuel could be met with cellulosic biomass.

The main obstacle to commercial success in cellulosic ethanol is finding the right enzymes to convert plant matter into sugar.

Distel told us that although it would be an overstatement to say that they had found the key to unlocking commerce in cellulosic ethanol, they had identified a new source of enzymes with potential commercial value.

Next for the research team is to investigate how shipworms’ digestive enzymes move from gills to gut, and to characterize each of the proteins the team found and evaluate their potential applications.

The research was a large cooperative effort undertaken with the help of colleagues at the Joint Genome Institute (DOE), New England Biolabs, and other collaborating institutions.

In addition to collaborative help, advances in science were also credited by Distel in the research.

Breakthrough Discovery of Exterior Digestion Could Aid Bio Fuel Revolution“It has been known that bacteria are present in the gills since the 1970’s and it has been suspected for some time that they contribute to wood digestion by the host,” Distel told us, “but this is the first demonstration. I have been working on these critters for many years, but recently advances in genomics and proteomics have given us the tools to answer many questions that were previously tough to address. ”

Their research paper, “Gill bacteria enable a novel digestive strategy in a wood-feeding mollusk,” was published in Proceedings of the National Academy of Sciences Monday afternoon, and was authored by Roberta M. O’Connora of Tufts Medical Center, Jennifer M. Fung at Bolt Threads biotech company, Koty H. Sharp at Eckerd College, Jack S. Bennerd, Colleen McClungd, Shelley Cushing, Elizabeth R. Lamkin, Alexey I. Fomenkov, Bernard Henrissat, Yuri Y. Londer, Matthew B. Scholz, Janos Posfai, Stephanie Malfatt, Susannah G. Tringe, Tanja Woyke, Rex R. Malmstromh, Devin Coleman-Derrh, Marvin A. Altamia, Sandra Dedrick, Stefan T. Kaluziak, Margo G. Haygood, and Daniel L. Distel.

By Dan Jackson

Photos: Dan Distel, Korabel Cherv

First Website Ever Made in US Brought to Light in Digital Archaeology Find

First Website Ever Made in US Brought to Light in Digital Archaeology Find
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Digital archaeology that has revealed the earliest signs of web-life in America. Stanford Libraries has brought to light the first websites ever uploaded in the US–genealogically part Euro-descendant, part US original. The pages are now available for browsing, and Stanford Wayback, a customized platform for accessing archived web assets, provides a third dimension for viewing the internet, allowing users to see and navigate the web as it has changed over time and to look back in time at code written by the earliest “WWW Wizards.”

“A handful of staff at SLAC who worked on the early web fortuitously saved the files, along with their timestamps,” said Nicholas Taylor, web archiving service manager for Stanford Libraries.

The earliest site dates back to Dec. 6, 1991–a month in which no-fly zones were being set up in Iraq after the Gulf War, the Ukrainian people voted for independence from the Soviet Union and the Cold War ended, Hezbollite (Shiite Muslim) militants released their last US hostages, and Michael Jackson and Whitney Houston won at the 2nd annual Billboard Music Awards.

The sites were installed on the first server outside of Europe, which was installed by physicist Paul Kunz between Dec. 6 and Dec. 12.

First Website Ever Made in US Brought to Light in Digital Archaeology FindTaylor told The Speaker how in launching the Stanford Web Archive Portal, once they learned of the existence of the earliest US websites, this seemed the most intriguing choice.

“A major focus for Stanford University Libraries’ web archiving effort is preserving Stanford University’s institutional legacy. We thought that the SLAC earliest websites would be the most broadly interesting historical web content related to the University with which to launch the Stanford Web Archive Portal. That is to say, we didn’t explicitly set out to track down the oldest US website, per se, but became quickly interested once we learned about it.”

The lineage of the earliest US sites is a part European descendant-part original strain, Taylor told us.

“They’re necessarily derivative, in some sense; what made the Web was adherence to a common set of conventions (e.g., the syntax for a hyperlink). The SLAC ‘WWW Wizards’ built the first US website based upon the conventions formulated by Tim Berners-Lee, the creator of the world’s first website at CERN. In another sense, the first U.S. website was entirely home-grown, built foremost to serve the research needs of the SLAC research community.”

Taylor elaborated on this piece of digital archaeology was undertaken.

First Website Ever Made in US Brought to Light in Digital Archaeology Find“You might say that there were two major digital archaeology efforts. One, SLAC’s previous recovery and preservation of the original website files, and two, Stanford University Libraries’ much subsequent restoration of access to the websites in their original temporal context, via the the Stanford Web Archive Portal.

We have the early sites back online today because of SLAC staff foresight.

“Essentially, SLAC staff that were involved with the early websites and, later, staff in the SLAC Archives and History Office had the wherewithal to retrieve, set aside, and document the files constituting the earliest websites,” said Taylor.

The sites were saved with their timesstamps, which are associated with the first version of a website, as well as subsequent versions.

“The original timestamps were preserved as part of the SLAC backup system for those servers and are a critical piece of context in understanding the restored content.

“We’re accustomed to thinking about the Web in two dimensions–i.e., as a flat plane that we navigate spatially. Web archives and the Memento protocol, in particular, offer the prospect of adding a third dimension to the Web–allowing users to see how it has changed over time and seamlessly navigate to archived versions of resources that have since disappeared.”

First Website Ever Made in US Brought to Light in Digital Archaeology FindTaylor commented on the nature of investigating the origins of the digital realm, and noted that we are close enough in time to still touch its ancestry.

“A last note about ‘digital archaeology,'” said Taylor, “unlike much archaeology, our digital archaeology effort had the benefit of being able to confer directly with the individuals who created these artifacts.”

Taylor encouraged everyone to support and celebrate the efforts of this “memory institution,” and take a look at our digital past in the artifacts they have recently preserved.

Stanford Wayback is part of the Libraries’ web archiving initiative, which aims to collect, preserve and provide access to web content that is at risk of being updated, replaced or lost.

By Andy Stern

Life From Death: Ecologists Demonstrate Species Manipulation With “Less is More” Approach

Life From Death: Ecologist Demonstrate Species Manipulation With "Less is More" Approach
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New understanding has been gained into how densities within populations can affect outcomes for the species as a whole. Answers to how species populations can be manipulated to increase and properly manage fish yields, better eliminate unwanted pests, and other species-wide effects have been demonstrated by Princeton University researcher Anieke van Leeuwen and two European colleagues who asked, “Can less really be more?”

“When we think about dynamics in ecological systems, either in one population or through interactions between populations (for example predator-prey dynamics or competition) or in entire ecosystems (food webs), we have to consider the fact that individual organisms differ within a population (or stock or species),” Dr Anieke van Leeuwen, postdoctoral research associate at Princeton University’s Department of Ecology and Evolutionary Biology and one of the three authors of the report, told The Speaker.

Life From Death: Ecologist Demonstrate Species Manipulation With "Less is More" Approach
A group photo including Drs van Leeuwen, Schröder and Cameron

There was a significant benefit to understanding how differences among individuals within a species population affect outcomes for the whole, van Leeuwen told us.

“There are differences in sizes, and individuals need to grow and develop, which costs energy. In other words, we cannot think in terms of numbers of individuals (and therewith average all biological characteristics, such as size, over all individuals). We will have to count the biomass per individual organism and account for the energy that it takes to grow to that size and maintain that biomass.”

Van Leeuwen explained how this could be done.

“Consider a herring population that has grown to the maximum ‘capacity’ of its resource environment. In such a setting we would predict that all individuals in the population experience harsh competition for resources, resulting in slow growth and a population size-distribution that is hump-shaped. Or in other words, the population is stunted.

Life From Death: Ecologist Demonstrate Species Manipulation With "Less is More" Approach“When we are interested in harvesting in particular the large individuals, the presence of such large, mature individuals could be boosted by some source of mortality on this herring population. Through increased mortality the intra-specific (i.e. intra-population) competition can be released, which would allow individuals in the population to attain higher growth rates and reach larger individual sizes. In the scenario accounting for some source of mortality (which may be imposed by fisheries or caused by predatory marine Life From Death: Ecologist Demonstrate Species Manipulation With "Less is More" Approachspecies, such as cod) the population size-distribution would become bimodal (at least to a much stronger extent than in the previous scenario) and large individuals are present (at all, or in higher densities than before).”

Van Leeuwen pointed to an earlier research paper, “How cod shapes its world,” which provided illustrations of the overcompensation phenomenon as well as the collapsing pattern that can result from overfishing in a more complex species system. In this research, the scientists reviewed existing studies that showed positive population level impacts of mortality, and explained how this has been looked at in theoretical models: classically (i.e. mostly non-size-structured populations) vs when accounting for population size structure, and compared the essential assumptions and processes of such models with what is reported in empirical studies.

Logically extending their understanding, the researchers concluded that species could be decimated if imposed mortality surpassed a certain point.

“If fishing pressure in such a setting steadily increases, observations show and models predict that there is a maximum, above which the herring population collapses,” van Leeuwen explained. She offered an illustration from the world of art: Pieter Bruegel the Elder’s “Big Fish Eat Little Fish” (1557).

“It shows the importance of size-structure and differentiation so beautifully, while at the same time pointing out that humans are overexploiting natural systems,” commented van Leeuwen.

In seeking to understand species dynamics, many ecological models have ignored differences in body size in development while predicting that Life From Death: Ecologist Demonstrate Species Manipulation With "Less is More" Approachmodest gains in total species numbers could be achieved by imposing mortality. Considering these theories, in addition to research that has shown that mortality of individuals from certain life stages or size classes can have a positive effect, the researchers concluded that the overlap of these data showed that it was a division along lines of developmental stages that was key to understanding mortality benefits.

“Only theory predicting the life stage specific positive mortality effects accounts for fundamental aspects of individuals,” the researchers found. “Mortality-induced density increases that are specific to life-history stage are common in nature.”

We asked van Leeuwen about whether their findings could be applied to human populations to understand the world’s various demographics. The comparison of humans to other animal species was complicated, she said, because human existence involves much more complicated social relationships than the animal settings in the study systems the researchers looked at allow for (for example, laboratory settings or the simplifying assumptions made in mathematical models).

“This question is extremely hard to answer from our context,” said van Leeuwen. “I think it is reasonable to say that in general human populations are limited in a different fashion or by different kinds of resources than the simplified ‘one-resource’ by which consumers are limited in the studies we refer to.

“Moreover, the structure in human populations is very much determined by certain social constructs and social configurations. These would influence populations to a large extent, while the research we review discounts any such social structure.”

Van Leeuwen offered an alternative starting point.

“I think with respect to potential applications for human interest, we should rather think about how the concept of culling has been known and used for ages in forestry and agriculture; and also in recreative or sports fisheries this is a familiar phenomenon.”

The report, “When less is more: positive population-level effects of mortality,” was completed by first author Arne Schröder, a postdoctoral research fellow at the Leibniz-Institute of Freshwater Ecology and Inland Fisheries in Berlin and first author, and Tom Cameron, a lecturer in aquatic community ecology at the University of Essex in the United Kingdom, in addition to van Leeuwen, and was supported by the Journal of Experimental Biology, the Swedish Research Council and the Leibniz-Institute of Freshwater Ecology and Inland Fisheries, the University of Leeds, the National Environment Research Council and the European Commission Intra-European Fellowship, and the National Science Foundation.

By Day Blakely Donaldson
Photos: the research team, Jørgen Schyberg, and The Speaker

Ebola Survivors, Immune to the Disease, Sign Up to Fight Outbreak

Ebola Survivors, Immune to the Disease, Sign Up to Fight Disease
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One of the most powerful weapons in the ongoing fight against Ebola is considered to be Ebola survivors themselves, who carry antibodies in their blood. Survivors in Guinea, Liberia and Sierra Leone are signing up to work in Ebola treatment units, care for children orphaned by Ebola, and provide counselling to Ebola victims. Their fight is not just against Ebola, however. It is also a fight against the powerful social stigma faced by survivors of the disease.

The outbreak has killed over 10,000 people in West Africa to date, and continues to expand, doubling every three weeks. One of the largest current challenges is that, although hundreds of millions of dollars have been pledged in aid from foreign sources, West African governments are losing the battle because of a shortage of front line health care workers.

Treatment units are being set up by various organizations to combat the disease. Among those volunteering to work at the units are Ebola survivors.

Ebola Survivors, Immune to the Disease, Sign Up to Fight DiseaseSurvivors are believed to possess immunity to Ebola because of antibodies that exist in their blood.

Ordinary health care workers must protect themselves from contamination using heavy personal protective equipment, and cannot offer victims the same type of human contact survivors are capable of offering.

Ebola Survivors, Immune to the Disease, Sign Up to Fight Disease (3)Survivors can also offer counsel.

“We share our own experience with those people, explaining that we were sick but now we have been cured,” said a Guinean high school teacher, Fanta Oulen Camara, who recovered from Ebola after a two week fight. “We give them hope.”

But the fight does not end for survivors when they recover from the disease. After Camara recovered from Ebola, she lost her job, friends stopped visiting, and her brother was told not to return to his office.

“Everyone has been facing stigma and rejection,” said a Guinean doctor, Oulare Bakar, who set up the survivors association three months after he beat Ebola. “We needed to send a message to the people about the epidemic and also the possibility to be cured.” The role of Ebola survivors in the Ebola fight also involves demystifying the disease, Bakar said.

Surviviors may also offer a cure. The World Health Organization is currently undertaking a project to store the blood of survivors to be used as a serum to treat new infections. The project could be realized as early as December.

By Heidi Woolf

Photos: Anna Zieminski

Japan to Invest in Robots, Not Immigrants, to Provide Healthcare for Aging Population

Japan to Invest in Robots, Not Immigrants, to Provide Health Care for Aging Population
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Japan’s aging population will be cared for by robots–not immigrant laborers, according to the plans of the Japanese government. The Abe government is increasing investments in healthcare robots to meet the nation’s needs, and recently announced subsidies that will cover up to two-thirds of the research and design costs for the development of various healthcare robots.

One quarter of Japan’s 127 million population age 65 and older, and that percentage is expected to rise to approximately 35 percent by 2025. In 2010, according to the Health Labor and Welfare Ministry of Japan, the nation needed around 2 million nursing care workers, but this need went unmet–only 1.33 million workers were employed in 2010. That need will rise to 4 million by 2025, the ministry predicted, and require 1 million mostly foreign elderly care workers.

That is why the Japanese government is planning to extend financial subsidies in order to help firms develop inexpensive nursing care robots. The goal is to produce care robots that will be ready for the market by fiscal 2016, and that will cost around $1,000 per unit.

Instead of increasing immigrant workers, Japan will invest in an expanding robotics market that is expected to reach $13.6 billion in 2018, and around $90 billion by Japan to Invest in Robots, Not Immigrants, to Provide Health Care for Aging Population2025. The Japanese government, which is already funding healthcare robot production, is extending research subsidies in order to develop more inexpensive robots for hospital and home use. Beginning this fiscal year, the government will provide subsidies that will cover one-half to two-thirds of research and development costs for care robots–valued at over $20 million.

These robots will  be covered by nursing care insurance, and will be available for rent at approximately 10 percent of their purchase price.

There are several main areas of healthcare robot development that robotics firms are focusing on. One goal is to create a robot that could carry a patient to a toilet. A robotic suit has already been created that can help care staff more easily lift patients.

There is also demand for robots that could monitor a patient’s use of medication, robots that could help the elderly to walk, portable, motorized, self-cleaning toilet robots, and robots that could track the location of dementia patients.

Special concerns faced by the elderly during emergency situations are also being considered as robot care services. Robots will be programmed to ask patients if they are dizzy and to nag them to stay well hydrated and cool during heat waves.

Another area of development is companionship. Already, Japanese robots like SoftBank’s cloud-based Pepper can read and react to facial expressions, gestures and voice commands. Pepper will be sold to Japanese consumers next year for around $2,000.

By Dan Jackson

Photo: Héctor García

Diabetes Triples Tuberculosis Infection – TB-Diabetes Co-Epidemic Warning

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Tuberculosis, the world’s second most deadly infectious disease after AIDS and a disease that killed 1.5 million people last year, has an increased infection rate of 300 percent for sufferers of diabetes, which killed 3 million people last year. The two pose a “looming” threat of a world-wide co-epidemic, warned a report by the International Union Against Tuberculosis and Lung Disease and the World Diabetes Foundation (UNION). The report was presented at the 45th World Conference on Lung Health in Barcelona Wednesday.

“Diabetes is fueling the spread of TB,” wrote UNION.

“This is largely because diabetes rates are skyrocketing around the world, and having diabetes increases the risk that a person will become sick with TB.”

Read more: Drug-Resistant Tuberculosis Rising to Global Threat – WHO

Health professionals have noted a growing link between the two diseases, but the mechanisms are not fully understood.

“Successfully addressing TB-diabetes therefore requires a coordinated response to both diseases at all levels of the health system.”

Worldwide, 347 million people have diabedes, and nine million people contract TB per year. Three million diabedes die per year, while 1.5 million people died of TB last year. The numbers are on the increase, as drug-resistant and multidrug-resistant TB are increasingly becomming the common forms of the disease.

The report by the International Union Against Tuberculosis and Lung Disease and the World Diabetes Foundation also found that more people live with a combination of TB and diabedes than TB and AIDS–a more commonly-known disease combination, and one which has allowed TB to spread quickly. Of those people infected with HIV, one-fourth die of TB.

The report, the authors wrote, was “a call to action to address this threat before it takes a larger toll in death and disability as well as economic impact–and before we see the gains made against TB in the past decade rolled back by diabetes.

“TB-diabetes is a looming co-epidemic that we need to address now, before it has a chance to take root in countries and cause sickness and death on a large scale.”

By Heidi Woolf

First Artificial Cow’s Milk to Hit Market Next Year

First Artificial Cow's Milk to Hit Market Next Year
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The world’s first artificial cow’s milk is being developed by synthetic dairy start up Muufri (“Moo-free”)–a team of Californian vegan bioengineers–and is set to hit the market next year.

The artificial milk, nicknamed “out-of-body udder” milk, produces milk that has the same taste and health benefits as regular milk, but is vegan friendly.

“If we want the world to change its diet from a product that isn’t sustainable to something that is, it has to be identical [to], or better than, the original product,” said Perumal Gandhi, one of the two bioengineers responsible for the project. “The world will not switch from milk from a cow to the plant-based milks. But if our cow-less milk is identical and priced right, they just might.”

The inspiration for Muufri, according to the team, was a perceived need to reduce overcrowded dairy barns, in which cows are often poorly treated and are fed hormones and antibiotics. The barns are also responsible for three percent of annual greenhouse gas emissions worldwide, according to the Food and Agriculture Organization of the UN.

The market might have a place for a milk alternative that is more nutritious than soy, rice and almond milk, and can be made into ice cream with the same flavor of regular ice cream, the Muufri team said.

Not only that: Because Muufri will not contain bacteria like regular milk does, it will have a much longer shelf-life.

Synthesizing cow’s milk is a relatively simple process. Cow’s milk has only 20 components, and is 87 percent water. Muufri will contain six proteins for structure, and eight fatty acids for flavor.

Similar to insulin production, DNA extracted from dairy cows is inserted into yeast cells. The cells will then be grown in industrial-sized culture into milk for harvesting.

“Although the proteins in Muufri milk come from yeast, the fats come from vegetables and are tweaked at the molecular level to mirror the structure and flavour of milk fats,” said National Geographic’s Linda Qui of the new product. “Minerals, like calcium and potassium, and sugars are purchased separately and added to the mix. Once the composition is fine-tuned, the ingredients emulse naturally into milk.” Artificial milk could potentially be even better for you than regular milk.

When Muufri hits the shelves next year, it will be more expensive than regular milk, but if sales allow the company to scale up, prices will decrease, the team said.

By Heidi Woolf

Yale Scientists Conclude Best Chances of Eradicating Ebola – Report

Isolating Ebola Cases Best Chance of Eradicating Ebola - Report
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A recent study by Yale University has found that isolating Ebola victims within four days of symptom onset could achieve disease elimination in Liberia. Setting out to determine how to best use scare resources to combat the Ebola outbreak overwhelming West Africa, and after analyzing the incidence and case fatality of the outbreak, the team concluded that the best hope for ending the spread of Ebola was isolation of Ebola victims very early in the progression of symptoms–although the time window suggested by the research was smaller than current time to hospital reporting in West Africa.

“The Ebola outbreak in Western Africa is spiraling out of control. The need to determine how to deploy scarce resources to end this crisis is urgent,” Dr Dan Yamin, Postdoctoral Associate in Epidemiology at Yale School of Medicine and lead author of the report, framed the study.

Dan Yamin
Dr Dan Yamin, lead researcher on the study

The goal of the study was to “evaluate the contribution of disease progression and case fatality to transmission and to examine the potential for targeted interventions to eliminate the disease,” according to the report.

The team used both clinical and epidemiological data–incidence and case fatality records–from the Liberian Ministry of Health and Social Welfare, and found that secondary infections occurred during the infectious period of an Ebola victim at an average rate of 1.73. That is, each infected person passed on Ebola to 1.73 healthy individuals.

Isolating Ebola Cases Best Chance of Eradicating Ebola - Report
Distribution of secondary cases per infected individual among survivors and nonsurvivors

Ebola victims who did not survive passed the disease on to 0.66 people, while nonsurvivors passed the disease on to 2.36 people. Survivors of Ebola, the study found, infected at least one healthy person in 32 percent of cases. Nonsurvivors infected at least one healthy person with a 67 percent probability rate.

“Consequently, nonsurvivors, who made up 63% (CI, 60% to 64%) of the population, were responsible for 86% (CI, 63% to 98%) of transmissions,” the researchers found.

Left alone, “the number of newly reported cases will be doubled every 20 days,” Yamin told The Speaker, pointing out that the number of newly reported cases should not be misconstrued to be the total number of cases.

The conclusion reached by the team was that isolation of infected individuals offered a chance of eliminating the disease. Isolation of 75 percent of nonsurviving infected individuals within four days after symptoms began created a 74 percent chance of disease elimination. Isolation of all infected people offered a marginal reduction beyond the 74 percent. Isolation of asymptomatic people, however, made no practical sense, the researchers found.

“There is no medical sense in quarantining asymptomatic people,” Yamin told us. “All evidence shows that asymptomatic people (and people that were exposed and are in the “incubation period”) can’t transmit.

“Isolating all individuals before symptoms onset is not practical,” said Yamin, noting that, of course, it “would obviously lead to disease elimination.”

Isolating Ebola Cases Best Chance of Eradicating Ebola - Report
Average number of secondary cases per day of symptomatic disease

The most pragmatic way to actually combat Ebola in West Africa, Yamin told us, was isolation of only those people who were already symptomatic.

“In the absence of sufficient isolation units, our model emphasizes that targeted isolation of those who are mostly responsible for transmission may be the most efficient way to contain Ebola. Specifically, because infectiousness increases greatly with disease progression we found that that isolating 75% of infected individuals (particularly, the more severe cases) within four days of symptom onset has a high chance of eliminating the spread of the disease.

The researchers found that the current average period from symptom onset to hospitalization in Liberia was approximately 5 days–significantly beyond the requirements suggested by the study.

The researchers also evaluated the effectiveness of self-quarantine–a pragmatic strategy in areas where there were not sufficient isolation units. Self-quarantine of 75 percent of all infected could eradicate Ebola with 78 percent probability.

“Effectively, we tested self-quarantine by contact reduction of an infected person beyond what was currently reported,” Yamin told us. “The data provided by the Liberian Ministry of Health suggests that, an infected individual contacts, on average, with 6 people–this

Isolating Ebola Cases Best Chance of Eradicating Ebola - Report
Probability of disease elimination for different intervention strategies and coverages

number seems to be substantially lower than the number of contacts of a healthy person.

“Our results suggest that to achieve 78% for elimination, additional 60% reduction in contacts should occur following the first day from symptoms onset. Practically, implementing even this strategy seem to be challenging, which highlights the importance of increasing isolation units in Liberia.”

The conclusion of the researchers was that the massive international support directed at helping in West Africa “should be directed towards expanding the capacity of hospitalized case isolation.”

“Targeted isolation may offer the best hope of ending the Ebola epidemic.”

The report, “Effect of Ebola Progression on Transmission and Control in Liberia,” was authored by Dan Yamin, PhD; Shai Gertler; Martial L. Ndeffo-Mbah, PhD; Laura A. Skrip, MPH; Mosoka Fallah, PhD; Tolbert G. Nyenswah, MPH; Frederick L. Altice, MD, MA; and Alison P. Galvani, PhD, was published in Annals of Internal Medicine, and was funded primarily by the National Institute of Health.

By Andrew Stern

Photo: International Federation of Red Cross and Red Crescent Societies

Brain Cells Created From Skin Cells in Landmark Study

Brain Cells Created From Skin Cells in Landmark Study
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A team of researchers from Washington University School of Medicine has converted human skin cells directly into brain cells. This breakthrough research is complimented by other landmark findings within the study–including that the cells were able to form neurological connections, both axonal and dendritic. The research holds promise for sufferers of neurodegenerative diseases such as Huntington’s disease.

“Our study shows that the transplanted human cells derived by direct conversion of skin cells could actually behave like normal neurons,” Dr Andrew Yoo, assistant professor of developmental biology at the Washington University School of Medicine and lead researcher on the study, told The Speaker.

Brain Cells Created From Skin Cells in Landmark Study
Dr Andrew Yoo

“We have evidence for both dendritic and axon growth,” Yoo told us.

“For dendritic growth, we found the transplanted cells could elicit spontaneous postsynaptic potentials, meaning that the cell were wired into the existing neural circuit and receive inputs from neighboring cells.”

The transplanted cells also formed axonal projections from the transplanted skin cells. “These cells are known to extend projections into certain brain regions. And we found the human transplanted cells also connected to these distant targets in the brain. That’s a landmark point about this paper,” said Yoo.

The team used a particular combination of microRNAs and transcription factors to reprogram the skin cells to become a particular type of brain cell known as medium spiny neurons.

Brain Cells Created From Skin Cells in Landmark Study
Human skin cells (top) can be converted into medium spiny neurons (bottom) with exposure to a combination of microRNAs and transcription factors

Yoo’s team had found in previous research that exposing skin cells to two small RNA molecules–miR-9 and miR-124–could transform the cells into different types of brain cells.

The team is not certain how the transformation takes place, but has hypothesized that the two small RNA molecules open up the DNA inside the cells. That DNA holds the instructions for making brain cells. The team achieved transformation of a skin cell into a particular type of brain cell by adding molecules called transcription factors that the team knew were present in the region of the brain where medium spiny neurons are abundant.

“They are priming the skin cells to become neurons,” said co-author Matheus B. Victor of the small RNA molecules. “The transcription factors we add then guide the skin cells to become a specific subtype, in this case medium spiny neurons. We think we could produce different types of neurons by switching out different transcription factors.”

The spiny neurons produced by the team are the main type affected by the neurodegenerative disease Huntington’s disease, an inherited disease that causes a gradual decline of mental ability, accompanied by involuntary movement.

The team plans to achieve further understanding of how their results could help people suffering from Huntington’s disease.

Yoo lab
Yoo lab

“We are currently doing experiments to figure out how these transplanted cells send out axons to proper sites,” Yoo told us.

Next for the team is research that will use cells from patients with Huntington’s disease. Whereas the current research transformed human skin cells into mouse brain cells, the next step will aim to convert skin cells from humans with Huntington’s into mice with the same disease, again trying to create medium spiny neurons.

“For any future implications of using reprogrammed cells for cell replacement-based therapeutic approaches, it is imperative to show that the human neurons directly converted from fibroblasts could integrate into the brain circuit,” Yoo told us.

The report, “Generation of Human Striatal Neurons by MicroRNA-Dependent Direct Conversion of Fibroblasts,” was authored by Matheus B. Victor, Michelle Richner, Tracey O. Hermanstyne, Joseph L. Ransdell, Courtney Sobieski, Pan-Yue Deng, Vitaly A. Klyachko, Jeanne M. Nerbonne, and Dr Yoo, was published in Neuron Magazine, and was funded by various bodies including the National Institutes of Health (NIH).

By Daniel Jackson
Photos: Yoo Lab, Dierk Schaefer

 

Cholera Outbreak on the Rise in Western Africa

Cholera Outbreak on the Rise in Western Africa (3)
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The Western African nation of Niger is experiencing an outbreak of cholera. To date, 51 people have died of the disease this year–deaths are on the rise, with 38 deaths taking place in September alone.

The UN Office for the Coordination of Humanitarian Affairs (UNOCHA) reported that 1,300 people have been infected with cholera so far this year in Niger. The high rate of infection has been caused in part by the heavy flooding which has existed in Niger since June.

The outbreak involves four of Niger’s eight regions, and UNOCHA is taking steps to contain the illness and prevent it from appearing in new places, according to officials.

Chola Outbreak on the Rise in Western Africa (1)Cholera is a food- and water-borne disease, like salmonella, polio, hepatitis A, e. coli, and transmissible spongiform enephalopathies–although cholera is a particularly aggressive infection–and is prevalent in Asia, Africa and South America.

The ingestion of food or drink contaminated with human waste is the common means of cholera transmission. Symptoms include diarrhoea and dehydration, and death can result within 24 hours if the disease remains untreated.

Cholera Outbreak on the Rise in Western Africa (3)The world is currently experiencing its seventh recorded cholera pandemic. Each has been devastating.

There are currently 100 active strains of cholera in the world, which makes development of an effective vaccine difficult, as each vaccine can only target one version of the bacterium.

Cholera Outbreak on the Rise in Western Africa (3)The current outbreak in Niger involves the special concern of 105,000 refugees from Boko Haram and the Nigerian army have settled in Diffa, southeastern Niger. Many of these refugees have settled on the islands of Lake Chad where there is limited access to drinking water and hygiene and sanitation are precarious.

Photos: Oxfam East Africa, barth1003, mashroms