Antiseptic Health Wipes – Proof Positive?

You know that theory that for every action there is an equal and opposite reaction? It certainly seems to apply to any new product development as the report in the British Medical Journal of 1 December seems to prove. Because there is such a prevalence now of bugs and viruses, the incidence of using antiseptic hand cleansing products has become much more widespread in public buildings and in our homes. However these various products from hand wipes to hand washing solutions usually contain alcohol in one form or another and there is now concern that they could be a problem to alcoholics.

Guy’s and St. Thomas’ NHS Foundation Trust did a study after investigating a case report on a patient known to have a history of alcohol dependence who displayed withdrawal symptoms even though he had not consumed alcohol for 24 hours. The patient arrived at the hospital and during admission was found collapsed, having vomited in the bathroom. He was holding an empty 500 ml bottle of alcohol hand rub with another such bottle next to him. His blood ethanol concentration at the time of collapse was nine times over the legal British driving limit and a potentially fatal concentration

The Trust then looked at hospital admissions related to children and adults exposed to alcohol hand wipes and it was found that during the 18 month period after alcohol hand wipes and hand rubs became widespread in use that 66% of the admissions were thought to result from intentional abuse. These cases all occurred within hospitals or nursing homes where their use ought to be strictly monitored, though it appears that in a normal adult as little as 360 ml of an alcohol hand rub containing 80% ethanol might potentially lead to life-threatening complications.

Any ill effects generally occur within one to two hours after ingestion and usually have symptoms of gastric pain and vomiting. More serious effects involve central nervous system depression, leading to aspiration and respiratory arrest. According to the toxicologists who wrote the report, the more serious effects are seen in those who ingest more than 500 ml of hand rub, and this is most likely to occur in confused patients and alcohol abusers seeking the desired effect.

Diabetes and the Younger Generation

First the bad news: the onset of type 2 diabetes appears to be rapidly increasing for people in their twenties. This is an age group that most doctors traditionally wouldn’t think about diagnosing for diabetes, but the evidence shows that it is now a serious factor.

Diabetes Care magazine this week ran a report from the University of Michigan study that showed there had been a 40 per cent increase in hospitalisations related to diabetes among those aged 20 to 29. Joyce Lee, M.D. and her colleagues studied data from the period 1993 to the end of 2004 and one of the conclusions they reached was that this huge increase probably was reflecting the physiological connection between obesity and type 2 diabetes. Throughout the Western world, and particularly in the USA and UK, there has been an unprecedented rise in childhood obesity. This is due to the change in diet, which has many youngsters consuming far more empty calories from snacks such as crisps and carbonated soft drinks, and this has unfortunately been mirrored by a corresponding decrease in physical exercise and activity.

Interestingly the rate of increase of childhood diabetes has remained fairly stable, leading to the possible conclusion that damage done in childhood from diet takes some time to take effect, and that most people on leaving school undertake far less exercise than they did when younger.

Now the good news: do you know anyone under the age of 30 without a mobile phone? Texting is as automatic as breathing to most young people, so some health practices are taking advantage of this to track individuals with acute and chronic medical conditions such as asthma and diabetes. This group may not respond well to conventional follow up methods, but they always check their messages so this one way to ensure that the message about medication and specific health practices is getting through. For example, in one study in Scotland, young diabetics could send a text message to their doctor to check how to modify their insulin treatment after eating certain foods, or drinking alcohol at a party.

Mobile phones and Autism Link

Do you know a child who doesn’t have, or want, their own mobile phone? There are good practical reasons for giving children a way of being in touch when away from home, but there is now new research that links mobile phone use and autism. Rates of autism, a disabling neurodevelopmental disorder, have increased nearly 60-fold since the late 1970s, with the most significant increases occurring in the past decade. The cause of autism is unknown, although theories include such potential causes as:

* Genetic predisposition

* Inability to clear heavy metals

* Increased vulnerability to oxidative stress

* Environmental exposures including mercury preservatives in vaccines

* Trans-generational accumulation of toxic heavy metals

Now a groundbreaking new theory has been suggested by a study published in the Journal of the Australasian College of Nutritional & Environmental Medicine. They believe that it is electromagnetic radiation (EMR) from cell phones, cell towers, Wi-Fi devices and other similar wireless technologies that are an accelerating factor in autism.

The study involved over five years of research on children with autism and it found that EMR negatively affects cell membranes, and allows heavy metal toxins, which are associated with autism, to build up in the body. The researchers pointed out that autism rates have increased concurrently along with the proliferation of cell phones and wireless use. EMR from wireless devices (such as laptops, bluetooth etc) works in conjunction with environmental and genetic factors to cause autism.

EMR, the researchers say, could impact autism by facilitating early onset of symptoms or by trapping heavy metals inside of nerve cells, which could accelerate the onset of symptoms of heavy metal toxicity and hinder therapeutic clearance of the toxins.

What’s the solution? At present there doesn’t seem to be one. Research on the potential health effects from mobile phone technology is evaluated periodically by the Government’s Health Protection Agency s Radiation Protection Division after the Stewart Report in 2000 recommended further research as part of an overall precautionary approach to the use of mobile phone technology. The independently managed Mobile Telecommunications and Health Research (MTHR) programme, jointly funded by Government and industry, was set up in 2001 in response to the Stewart Report recommendations. It is currently supporting a number of studies into the possible health effects but there is no definitive answer as yet. My suggestion? Seriously limit mobile phone use – especially for children – and my feeling is that being available 24/7 by phone is hugely stressful and is a health hazard in itself so switch it off unless it is an essential call! My mobile is off until I need to check my messages or call ahead about a delayed appointment.

In fact my mobile message is very specific it says ‘I do not leave this mobile switched on so do not leave a message unless you are prepared for it not to be picked for several days. Leave a message on my home phone instead’. Worth a try?

Red Wine Blues

I am one, among many apparently, who have had to give up drinking red wine because it gives me a headache. I can avoid that mostly by sticking to organic red wine, and just having one glass, but scientists at the University of California have developed a new device may be able to detect the chemicals in red wine that lead to the dreaded post-red headache.

The chemicals are called biogenic amines, and they’re found in a variety of fermented foods including wine, cheese, olives, nuts, cured meats and chocolate. The specific red wine headache is thought to be caused by two amines called tyramine and histamine, but other potential causes also exist. Red wine and sake were found to have the highest amine levels so if they are your tipple of choice then a sensible interim solution if you are susceptible to such headaches, is to avoid amine-rich food and drinks because, aside from headaches, amines can also trigger high blood pressure, heart palpitations and elevated adrenaline levels. None of which are desirable drinking companions.

The new detector, which is the size of a small suitcase, can analyse a drop of wine and determine its amine levels in five minutes. Don’t worry, they know how ridiculous you would look lugging a suitcase along to a restaurant or dinner party, so they are now in the process of developing a pocket-sized version that you can take with you. Quite how your hosts- or the sommelier – would react is another matter as my experience has been that is the very cheapest wines that have the highest number of chemicals.

Only a scientist wouldn’t think this through to the end-user stage but they could always develop a tiny first aid kit to cope with the reaction to your using it!

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