{"id":45,"date":"2014-03-19T16:24:52","date_gmt":"2014-03-19T22:24:52","guid":{"rendered":"http:\/\/brevis.com\/blog\/?p=45"},"modified":"2014-04-01T10:23:26","modified_gmt":"2014-04-01T16:23:26","slug":"an-epidemic-of-absence","status":"publish","type":"post","link":"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/","title":{"rendered":"\u201cAn Epidemic of Absence\u201d"},"content":{"rendered":"<p>Now there\u2019s a title to arouse one\u2019s curiosity.<\/p>\n<p>The training of the immune system so that it can distinguish &#8220;self&#8221; from &#8220;non-self&#8221; is something we take for granted. Maybe we shouldn\u2019t. It begins to appear that for many, if not all people, exposure to worms in early life is a significant part of that training. Without it we may end up with autoimmune diseases such as Crohn\u2019s, asthma, autism, MS, etc.<\/p>\n<p>Many patients with Crohn\u2019s disease are now being treated successfully with worms such as the whipworm, Trichuris trichiura. It\u2019s a long story but excitingly told by Rob Dunn in \u201cThe Wild Life of our Bodies\u201d and by Moises Velasquez-Manoff in \u201cAn Epidemic of Absence.\u201d Evolution has a curious bag of tricks and we would do well to pay attention to the entire ecosystem of which we are only one small part. That includes all the microbes we are so familiar with but also our helminth friends that we tend to think so revolting. Maybe our exquisite public health and sanitation systems have given us a back-handed slap by eliminating these &#8220;parasites.&#8221;<\/p>\n<p>Have you taken a worm to lunch lately? (They don\u2019t eat very much.)<\/p>\n<p>Gordon Short, MD<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Now there\u2019s a title to arouse one\u2019s curiosity. The training of the immune system so that it can distinguish &#8220;self&#8221; from &#8220;non-self&#8221; is something we take for granted. Maybe we shouldn\u2019t. It begins to appear that for many, if not all people, exposure to worms in early life is a significant part of that training. &hellip; <a href=\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">\u201cAn Epidemic of Absence\u201d<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-45","post","type-post","status-publish","format-standard","hentry","category-gordonshortmdposts"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u201cAn Epidemic of Absence\u201d<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Gordon Short, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/\"},\"author\":{\"name\":\"Gordon Short, MD\",\"@id\":\"https:\/\/www.brevis.com\/blog\/#\/schema\/person\/a8b271f2b49a6d129129abaa6e5a436e\"},\"headline\":\"\u201cAn Epidemic of Absence\u201d\",\"datePublished\":\"2014-03-19T22:24:52+00:00\",\"dateModified\":\"2014-04-01T16:23:26+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/\"},\"wordCount\":209,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.brevis.com\/blog\/#organization\"},\"articleSection\":[\"Dr. Gordon Short weighs in\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/\",\"url\":\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/\",\"name\":\"\u201cAn Epidemic of Absence\u201d\",\"isPartOf\":{\"@id\":\"https:\/\/www.brevis.com\/blog\/#website\"},\"datePublished\":\"2014-03-19T22:24:52+00:00\",\"dateModified\":\"2014-04-01T16:23:26+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.brevis.com\/blog\/2014\/03\/an-epidemic-of-absence\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.brevis.com\/blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u201cAn Epidemic of Absence\u201d\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.brevis.com\/blog\/#website\",\"url\":\"https:\/\/www.brevis.com\/blog\/\",\"name\":\"Brevis\",\"description\":\"Infection Prevention &amp; 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