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A disease which targets latinx? seems more likely its field workers, inadequate hydration and bad fluid hygene overall. Could be culturally diet influenced as
by ggm 22d ago
A disease which targets latinx? seems more likely its field workers, inadequate hydration and bad fluid hygene overall.
Could be culturally diet influenced as well.
My urologist after I had my first oxalate kidney stone said "you can drink a litre of water a day, or you can pay for my yacht upgrade. It's your choice" -but the main thing was to limit oxalate rich foods or take adequate citric acid alongside/soon after. Obv there are many kinds of kidney disease aside from stones, but the commonality here about 'use it or lose it' with heat, fluids, work strikes me.
- tptacek 22d agoHard to imagine a diet of cultural significance that would put people into lifelong dialysis, at an epidemic scale.
- nine_k 22d agoA diet that makes a particular infection easier to take root is very imaginable.
- bawolff 22d agosure, but not if we are just suddenly seeing it now. Most cultural based diets have a long history.
- masklinn 22d agoThey do, but it does not take much for economic pressure to make one seemingly small change with wide ramifications e.g. a plant or two which are not economically viable, get substituted, and turn out to be critical, then leading to chronic deficiencies (iirc the British navy got scurvy back after they switched from lemons to cheaper limes, or maybe between two kinds of limes and one had significantly lower levels of vit c). It could also be interactions between the cultural diets and new products historically unavailable to that culture, which are either improperly processed (maize caused a lot of pellagra in europe) or has problematic interactions with components of the cultural diet (I don’t have an example for that, but grapefruit is famous for its medical interactions so nutritional interactions don’t seem impossible). I don’t think it should be the first thread of investigation but it certainly should not be dismissed out of hand if nothing else bears fruit. That is how you get scurvy.
- deleted 22d ago[deleted]
- Someone 22d ago> but not if we are just suddenly seeing it now FTA: “Fischer and her collaborators combed through the medical records of patients who had received emergency dialysis between 2012 and 2015 at any Harris Health hospital. Out of the 346 cases of kidney failure in uninsured or undocumented patients, 17 percent had no readily identifiable cause. That percentage was staggering to the researchers. It suggested that thousands of emergency-dialysis visits in Texas annually may be attributable to CKDu“ ⇒ it seems (part of) the reason we suddenly started seeing this is that we recently started looking for it.
- riffraff 22d agoWell there's cases of diets which came to prominence and caused issues,.from the obesity epidemic of modern west to the pellagra-riddled European countries consuming maize. It is conceivable that social/natural changes might bring to dietary changes whose damage at scale is only visible on hindsight.
- red-iron-pine 22d agoHispanic laborers aren't eating at whole foods, there are markets and foods that cater to them. I definitely hit those up back in the day when doing pipefitting work, too. buncha glyphosate in batches of corn and masa could absolutely hit that big and mess up kidneys that much
- card_zero 22d agoWhat's the popular food that contains lots of oxalates? I don't see anyone binging on sorrel or star fruit or parsley.
- thelastgallon 22d agoSpinach. Maybe other leafy vegetables.
- 4lx87 22d agoSpinach is very high per serving, but all sorts of foods can have high oxalates per serving. Sweet potato, Swiss chard, almonds, beets, chocolate. You'd have to consult the content per serving for all foods you consume if you're trying to avoid them.
- christophilus 22d agoIt’s in loads of things. Peanuts, spinach, beans, chocolate, avocados, corn, soy… the list is endless. If someone is really sensitive, they can have problems with high oxalate foods. Some people seem to accumulate oxalates, meaning their problems compound, where others have no problem at all. Biology is weird.
- randcraw 22d agoIt turns out that some foods counteract the formation of kidney stones. If you drink milk when you eat oxalates, the oxalates will not fuse into stones and will be excreted normally in your urine. Oxalates are present in tea too, though not coffee, IIRC.
- jrootabega 22d agoSpinach and almonds.
- card_zero 22d agoI'm frequenting clinics 'Cos I eats my spinach, I've kidney the failure, man
- phyzome 22d agoFor your explanation to be correct, you'd have to explain why this doesn't affect field workers of other genetic background all around the world.
- throwup238 22d agoIt does. This article is about Latino workers but there are well known hotspots for CKDu in Sri Lanka and India. There’s other reports of it in the rest of Asia, Middle East, and Africa but its not as well known of an issue and under reported.
- kulahan 22d agoI feel like this is the medical equivalent of saying "I can't believe these guys didn't try turning it off and on again". Like, "maybe the people whose job is to consider the cause and spread of disease never considered diet and hydration!"
- ggm 22d agoYes, that occurred to me after I posted. Obviously they believe strongly there's some novel causes at play. Soil borne bacteria, fungi/mould, pesticide, genetics. They wouldn't publish otherwise. And, given climatic shifts we're already seening effects like zoolnotic disease movement so it could be parasite migration too. We've had odd pockets of diseases cropping up like malaria at European airports because of surviving mozzie infestations on inbound flights, and zika happened.
- ggm 22d agoIn my defence this from TFA: Much like public debates over climate change, discussions about the role of heat stress in CKDu can be contentious. Some close observers, such as Glaser, have argued that heat alone is sufficient to cause CKDu. His stance has been bolstered by the success of interventions that encourage sugarcane cutters to rest more often in the shade and stay hydrated. Such measures have slashed rates of kidney injury among workers. Yet other experts, including Fischer, aren’t convinced. Fischer doesn’t doubt that heat is involved, only that it’s the sole cause. She cites findings from studies that were unable to conclusively rule out pesticides, heavy metals, and other environmental conditions as factors. And some of the highest rates of CKDu in Central America are among shrimp farmers, for whom heat stress is far less of an issue than it is for sugarcane cutters. She says high temperatures and dehydration likely amplify kidney damage from other contributors. “I think the role of heat is a complicating factor. It complicates whatever the disease pathology or physiology is,” she says. “I don’t think it’s a disease initiator.”
- WhereIsTheTruth 22d ago> A disease which targets latinx? seems more likely its field workers, inadequate hydration and bad fluid hygene overall. "has arrived" Did working condition worsen over time? if yes, then maybe If not, then COVID proved that we are past the idea of a theoretical biowar, it is already happening
- orwin 22d ago> Did working condition worsen over time? if yes, then maybe I've read in this thread that Texas removed provisions for a mandatory hydration/sunscreen break after 4 hours of work.
- GaryBluto 22d ago>latinx Is the LatinX the new release after the Latin8?
- Cthulhu_ 22d agoIt's white people virtue signaling and forcing ungendered words into a gendered language, see https://en.wikipedia.org/wiki/Latinx https://en.wikipedia.org/wiki/Latinx > Latinx does not adhere to conventional grammatical gender rules in Spanish, is difficult to pronounce for Spanish speakers, and is criticized as showing disrespect towards the Spanish language as a whole.[1] In Latin America, terms such as Latine and Latin@ have been used to indicate gender-neutrality
- Hnrobert42 22d agoI appreciate the attempt to be gender neutral, but it turns out that Latinos themselves generally do not prefer the term Latinx. https://en.wikipedia.org/wiki/Latinx https://en.wikipedia.org/wiki/Latinx
- mapotofu 22d agoI think you’re being generous because I find this behavior quite disrespectful. Presumably they did so to signal and then talk about themselves.
- bsagdiyev 22d agoPlease do not refer to us as "latinx". That's disgusting.