Sloth Fever

by Gertrud U. Rey Recent news headlines have featured a mysterious and presumably new illness termed “sloth fever.” More aptly named Oropouche fever, the disease is caused by Oropouche virus (OROV), an arthropod-borne virus that is transmitted primarily through the biting midge Culicoides paraensis. OROV typically circulates in sloths, non-human primates, and birds, but it …

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Why Does Stress Reactivate Herpes Simplex?

by Gertrud U. Rey It is well known that stress and exposure to UV radiation can reactivate replication of latent herpes simplex virus type 1 and/or type 2 (HSV-1 and/or HSV-2), and the painful lesions associated with these infections. But why is that? During a primary infection, HSV-1 and HSV-2 replicate within the epithelial cells …

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Active vs. Passive Immunity

by Gertrud U. Rey During the first few months of life, residual maternal antibodies that crossed the placenta during gestation and antibodies from breast milk protect infants from infection with various microbes. This type of immune protection is known as “passive immunity,” and differs from “active immunity,” which develops in an individual following vaccination or …

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You Cannot Get Bird Flu From Pasteurized Milk

by Gertrud U. Rey Multiple recent outbreaks of “bird flu” in U.S. dairies are raising concerns about whether milk from infected cows is safe to drink. H5N1, the strain of influenza virus causing the outbreaks, is typically transmitted among birds but occasionally spreads to non-avian animals, including mammals. Prior to distribution, commercially sold milk is …

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Does Herpes Simplex Virus Cause Alzheimer’s Disease?

by Gertrud U. Rey Alzheimer’s Disease (AD) is a neurodegenerative disorder and the most common form of dementia. Although its exact cause is unclear, an increasing body of evidence suggests that an infection with herpes simplex virus (HSV) may contribute to onset of AD later in life. Both types of HSV (HSV-1 and HSV-2) infect …

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Dogma Does Not Belong in Science

by Gertrud U. Rey According to established scientific dogma, infection of cells with HIV-1 leads to delivery of the viral capsid into the cell cytoplasm, followed by “uncoating” of the capsid to release the single-stranded RNA genome. A viral-encoded enzyme called reverse transcriptase then catalyzes the conversion of the viral RNA into a single strand …

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Trial By Error: Norway Disability Case Exposes Flaws in Draft Guideline for “Long-Term Fatigue–including ME/CFS”

By David Tuller, DrPH A recent disability case in Norway provides a good example of why the draft of a new guideline for “long-term fatigue—including ME/CFS” is so problematic.  As I reported last week, the draft guideline, produced by the Norwegian Directorate of Health*, generally favors the biopsychosocial approach. The guideline offers few specifics about …

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Trial By Error: Why is Professor Crawley Still on the COFFI Steering Committee?

By David Tuller, DrPH Several years ago, the leaders of the biopsychosocial ideological brigades decided to create the Collaborative On Fatigue and related symptoms Following Infection, or COFFI. According to its website, COFFI’s “overarching aim” is “to investigate factors influencing the development of long-term symptoms (in particular fatigue) following certain infectious diseases.” Akershus University Hospital …

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Trial By Error: Aussie GPs Still Push Graded Exercise Therapy

By David Tuller, DrPH When I was in Australia for the first time in 2018, it was clear that the country’s general practitioners were fervent supporters of the biopsychosocial ideology when it came to ME/CFS. That hasn’t changed, according to a recent exchange of views published in the Australian Journal of General Practice.  The debate …

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Trial By Error: Dutch Agency Funds CBT Training Program Based on Flawed Long COVID Trial

By David Tuller, DrPH Here is how bullshit replicates itself in today’s medical world: Conduct a flawed trial, declare success despite serious questions, then develop health policy based on these hyped-up claims. ZonMW, a major Dutch healthcare funding agency, is supporting a new program led by Professor Hans Knoop, a longtime supporter of the fraudulent …

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Trial By Error: More on Norway’s Problematic Draft Guideline for “Long-Term Fatigue–including ME/CFS”

By David Tuller, DrPH I posted a piece yesterday on Norway’s draft guideline for “long-term fatigue—including ME/CFS.” But my post was already outdated!  The draft guideline was written by a team from the Norwegian Directorate of Health and is open for public comment until May 4th. A working group of 25 individuals from a range …

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Trial By Error: Norway’s Problematic Draft Guideline Combining Long-Term Fatigue and ME/CFS

By David Tuller, DrPH On February 4th, the Norwegian Directorate of Health published a draft of a “national professional guideline” for diagnosis, management and treatment of “long-term fatigue—including ME/CFS.” A consultation period for the draft lasts for three months. All comments must be received by May 4th.  The draft is intended to replace a 2015 …

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