Surfers three times more likely to have antibiotic-resistant bacteria in guts
eurekalert.org
eurekalert.org
BUT sewage regulation can go a long, long way - take a look at the San Diego bacteria report http://www.sdbeachinfo.com - the regularly sampled coastal water is in general pretty good even though there was rain in SoCal last week.
Meanwhile less than 30 miles away the surf breaks next to Tijuana, Mexico are extremely high bacteria - that's about par for the course - really sad to see:
http://www.sandiegouniontribune.com/news/environment/sd-me-t...
http://www.sandiegouniontribune.com/news/environment/sd-me-t...
You'd think those damn bugs would know better than to get the mayor.
Two weeks ago the water was dark brown. Point taken, but... shrug? Like you said, seems like the merits of the exercise outweigh the downsides.
That was my initial thought as well, basically.
Cystic fibrosis is a deadly genetic disorder that makes one vulnerable to infection. Last I checked, the life expectancy was about 37 in the US, though someone on HN recently said it is now age 40.
People with CF who surfed had such a better prognosis than average that it led to development of a non drug treatment where they inhale nebulized saline solution as a treatment.
I think a better solution is just consume good quality sea salt. That's what I did to good effect. But everyone tells me that's anecdotal, whereas the existence of hypertonic saline solution as a medically prescribed treatment for my deadly condition is sciency or something. (There is probably a better way to say that, but I can't think of it at the moment.)
Which is to say, it’s anecdotal -and- not grounded in an underlying reasoning that makes sense in the context of the disease.
It's not on its face impossible for sea and rock salt to differ in trace minerals, but be aware that the salt itself is the same in both. From the medical stuff you mentioned it sounds like it's the salt itself that's having the beneficial effect and not the other minerals.
Although, I do see an oft-overlooked wrinkle to it: the costs of these minor changes are so small that the odds that there might be something going on unknown to medicine might be worth taking.
Standard table salt typically has iodine added. It also has a chemical added to make it pour easier. This may not have a notable impact on a healthy person, but if you genetically misprocess various things and are medically prescribed a high amount of salt, that double whammy seems significant to me. You are consuming a lot of these extra chemicals and no one is questioning what that does to an already wonky physiology.
I no longer purchase Celtic Sea Salt. It is no longer necessary. But I still avoid standard table salt and favor brands that list sea salt as an ingredient.
Wikipedia: "Worldwide, iodine deficiency affects about two billion people and is the leading preventable cause of intellectual and developmental disabilities."
Wikipedia also lists sources for this claim.
Edit: if anybodys doctor told them to be careful with iodine then they should listen to their doctor instead of listening to random strangers on the internet. I'm just pointing out that there is good reasons why we started adding iodine to salt.
As far as I know, there are no studies on how consuming those additives in high quantities impacts this population with a genetic disorder that causes them to misprocess a number of different things.
People with CF get a high salt diet because the same transporter defect causes an inability to reclaim sodium from sweat. This results in an inability to regulate water content, causing a hypovolemia. It’s not a “treatment modality” in that it directly treats the CF. It mitigates one consequence of CF: losing excess salt in sweat. That has nothing to do with dietary salt intake affecting the course of the disease generally.
And I don’t know where you got the information that surfers are absorbing salt through their skin. As far as I know (https://www.sciencedirect.com/science/article/pii/0167273892..., https://ac.els-cdn.com/S0022202X15470599/1-s2.0-S0022202X154..., http://www.comprehensivephysiology.com/WileyCDA/CompPhysArti...) that’s not a thing, but if you have any sources to the contrary I’d be interested in reading them.
People with CF are prone to aquagenic wrinkling. In layman's terms, they get extremely pruney when they bath. This suggests they absorb the water at a higher rate than is normal due to their genetic disorder impacting epidermal function.
https://jamanetwork.com/journals/jamadermatology/fullarticle...
No one is positing that saline inhalations are going to preserve pancreatic function, but that’s not because they forgot about the pancreas.
What I recall reading is that when people with CF surfed, their general prognosis was overall better. So if no one is positing that it has any impact on pancreatic function, then it seems to me they are viewing the data in highly selective terms and assuming it only impacts lung function and nothing else when the data does not suggest that.
Granted, I haven't dug deeply into the original data because it wasn't important to me. I was only trying to understand the positive results I was getting for my own edification. My recollection is the study was done in Australia if you want to try to find it.
I will add that it isn't actually necessary to prove people with CF absorb it through the skin. The article we are discussing states that surfers swallow a great deal more sea water than swimmers, 10x iirc. So surfers are, in fact, consuming sea salt.
Why would you think of sea salt as the relevant factor instead of the very well known positive effects on breathing and lung capacity caused by swimming?
Exercise also has played a significant role in my improvement. I am not discounting the impact it has. I just am baffled that they found that surfing benefits people with CF and their primary takeaway is that it must be beneficial to breath damp, salty air. There is a lot more going on when you surf than breathing damp, salty air. But that's the piece they turned into a medically prescribed treatment.
It’s not baffling.
Most people have NO idea/sympathy for what its really like to have a disease/condition that medicine doesn't totally understand yet.. including doctors.
The bar for a certain treatment to be scientifically accepted is rightly pretty high - studies/research etc. that takes decades to do.
But as a patient, when medicine has no real treatments to offer you, of course our own bar should be lower! Even if sea salt hasn't been studied in a million people with double-blind placebo-controlled blah-blah studies, this kind of experiment has zero downside and potentially a very high upside - you would have to be crazy not to try it.
Anyways, just want to offer my sympathy and ranting as someone with a rare and ill-understood disease. Tim Ferriss and the whole "bio-hacking" movement also have this idea of "you are an N of 1" - we don't need permission to do basic experiments on ourselves. And for many millions of people for whom medicine has no answers, this really is the best we have.
Please keep talking about what works and what doesn't work for you regardless of haters - anecdotes can help others and the right anecdotes will someday become experiments, which will one day become well-accepted "science". Maybe in a 100 years medicine will recommend sea salt for CF, it will be just as effective then as it is now, and all that will have changed is it will have the "REAL SCIENCE TM" stamp of approval.
As is often the case, the point I was trying to make has been completely ignored while multiple people jump on the personal angle of whether or not I actually know something medically useful and most comments are coming from an assumption of no, she can't possibly know anything medically useful, she is merely crazy. This is always a personally frustrating experience for me.
I'm human. I slept 14 hours last night and I am still tired and it is aggravating that the entire world wants me to either scientifically prove my personal opinions about my firsthand experience or be condemned to never, ever mention them at all. Sheesh.
So it might be time for me to just step away from this derail of a discussion because a. It is off topic and b. Most of it is openly and unnecessarily hostile and dismissive.
I'm not trying to prove anything here. I'm just human and don't always know how to separate my firsthand experience of life from some point I am trying to make and for whatever reason the world at large is often excessively interested in talking about that personal piece, whether the topic is my health or something else. And it is frequently a very negative experience for me.
TLDR: Thanks, but that wasn't the point and if I step away from this discussion it is not an admission that other people are right and I am wrong. It is just evidence that this discussion is off topic, not a positive experience for me and I don't feel like continuing it.
"In the Netherlands a considerable part of PM10 is of natural origin. On a yearly average basis we have quite a large contribution of sea salt: 4 - 7 μg/m3. ... It would be wrong to conclude that this natural contribution does not have any associat- ed health effects. "
You're making a conclusion about cause and effect. It might be the case that the majority of people who take up surfing are extremely healthy since it's a physically demanding sport.
Most of the serfers I know are just generally active people, they were like it long before becoming serfers, most did not become healthy because they are serfers, instead they become serfers because they like active healthy lifestyle.
These infections are usually confirmed by doctors for the people in their 50s or older, but us younger people are frequently under the weather from what I might now guess is bacterial infections.
My anecdote is hardly scientific proof but this article certainly supports my thinking that I've now got a stronger stomach than most due to surfing at such a young age in terrible water conditions.
Over a period of a few years it just stopped and I was never ill again (after a surf)...apart from the dreaded and incredibly painful ear infections.
http://libgen.io/scimag/ads.php?doi=10.1016%2Fj.envint.2017....
"Professor Hawkey [from the Institution of Microbiology and Infection, University of Birmingham] reports grants and personal fees from Eumedica, grants and personal fees from Pfizer, personal fees from Merck, personal fees from Novartis, personal fees from Magus Communications, personal fees from Bio Merieux, personal fees from Wyth, from Becton Dickinson, personal fees from Novacta, personal fees from Novolytics, outside the submitted work."
Wow, I'm in the wrong business. /s
Yes, this kind of practice has now been outlawed in many developed countries, but there are tons of indirect ways a doctor can get "favors" from a company. Free lunches, invitation to seminars, scholarships, speaking fees as you mention (which can be pretty, pretty generous), publications, reviews, advisory boards, etc...
So, let's not be naive. Patients should be aware of all this kind of things because they can clearly influence doctors in their choice of drugs.
So instead they invite you out to expensive dinners which is of course during off hours.
> The Open Payments Search Tool is used to search payments made by drug and medical device companies to physicians and teaching hospitals.
> A federal government website managed by the Centers for Medicare & Medicaid Services
Not in every country...
In any case, the article is slightly misleading since the overlap between important human antibiotics and the widely used animal antibiotics is modest.
The overlap may be modest, but the evidence clearly indicates that the resistances as a result of them do impact important human antibiotics:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3194830/
> Increased virginiamycin use in Danish broilers during the mid-1990s correlated with a rise in resistant E. faecium prevalence, from 27% to ∼70% (7). Following the ban, resistance declined to 34% in 2000. Likewise, in Denmark, the 1998 ban on the use of tylosin in swine resulted in a decline in erythromycin (a structurally related macrolide) resistance, from 66% to 30%
> The finding of bacterial cross-resistance between NTAs used in food animals and human drugs was aptly demonstrated with avoparcin (an AGP) and its close relative vancomycin (an important human therapeutic) when vancomycin-resistant enterococci (VRE) emerged as a serious human pathogen. A connecting link between resistance in animals and humans was revealed when Bates et al. found avoparcin- and vancomycin-coresistant enterococci in pigs and small animals from two separate farms. Ribotyping methods showed that some of the patterns from farms and sewage exactly matched those of Enterococcus spp. from the hospital (24). The structures of the two drugs are similar: they are both members of the glycopeptide family
Just your periodic reminder that Surfing is one of the most fun things that a person can do on this planet, as evidenced by the fact that so many people have essentially dropped out of society and dedicated their lives to doing it every day.
If you live in a place near the water such as, say, the San Francisco Bay Area, and you have never tried surfing, you owe it to yourself to head down to Santa Cruz this weekend and give it a try.
Minor warning, though, you'll likely end up wearing your own personal groove into that highway over the next several years as you find excuses to sneak in a quick one every single morning once you get hooked.
Sorry what? I hear people who do hard drugs that ruin their lives do the same thing. You know, drop out of society and dedicate their entire life doing it.
Well, I always interpreted that as "arrange your life so that you can do what you love as often as possible", so I program computers for a living. It has the perfect combination of paying you four times as much as anything else for each hour you put in, and letting you hop from short term gig to short term gig. That gives you lots of free time that you can spend doing what you love.
Including, for instance, dedicating your life to climbing rocks and surfing.
I'm sure you could also dedicate your life to sitting in your mom's basement or on the beach in Belize smoking weed, for much less. But that's not what we're discussing here.
The reason I mentioned Surfing above is that, until you try it, you might not realize that you want to re-structure your lifestyle to prioritize it over, say, contriving to lease the flashiest car your bank will give you credit for. Most people are doing that second thing most of the time. And lots of them could benefit from a bit of real fun in their lives.
It's a shame I currently live in a landlocked country.
Also, it's at least possible (in theory) it's not the water at all. What if, just an example, many of them have the same weed dealer? Perhaps not the ideal example. But life is complex and surfing might not be THE common tread for this situation.
Or what if they ate ice cream? (Note: I know the difference between bacteria and virus. The link is simply to suggest the possibility of some other "trigger.")
https://arstechnica.com/science/2018/01/the-curious-case-of-...