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An Epidemic of Absence: A New Way of Understanding Allergies and Autoimmune Diseases Reprint Edition, Kindle Edition

4.5 4.5 out of 5 stars 279 ratings

A brilliant, groundbreaking report on the dramatic rise of allergic and autoimmune disease, and the controversial therapies scientists are developing to correct these disorders.

From asthma to Crohn’s disease, everyone knows someone who suffers from an allergic or autoimmune disorder. And if it appears that the prevalence of these maladies has increased recently, that’s because it has—to levels never before seen in human history. These days no fewer than one in five—and likely more—Americans suffers from one of these ailments. We seem newly, and bafflingly, vulnerable to immune system malfunction. Why? One possibility is that we have systematically cleaned ourselves to illness; this belief challenges deeply entrenched notions about the value of societal hygiene and the harmful nature of microbes. Yet scientists investigating the rampant immune dysfunction in the developed world have inevitably arrived at this conclusion. To address this global “epidemic of absence,” they must restore the human ecosystem.

This groundbreaking book explores the promising but controversial “worm therapy”—deliberate infection with parasitic worms—in development to treat autoimmune disease. It explains why farmers’ children so rarely get hay fever, why allergy is less prevalent in former Eastern Bloc countries, and how one cancer-causing bacterium may be good for us. It probes the link between autism and a dysfunctional immune system. It investigates the newly apparent fetal origins of allergic disease—that a mother’s inflammatory response imprints on her unborn child, tipping the scales toward allergy.

An Epidemic of Absence is a brilliant, cutting-edge exploration of the dramatic rise of allergic and autoimmune diseases and the controversial, potentially groundbreaking therapies that scientists are developing to correct these disorders.

Editorial Reviews

Review

“Remarkable…Moises Velasquez-Manoff draws together hundreds of studies to craft a powerful narrative carrying a fascinating argument.” (Wall Street Journal)

“A reportorial journey into a frontier of science and health.” (Wired)

About the Author

Moises Velasquez-Manoff covered science and the environment for The Christian Science Monitor, and his work has appeared in The New York Times Magazine, The Chicago Tribune, and Slate,among other publications. He graduated from the Columbia Graduate School of Journalism’s Master of Arts program, with a concentration in science writing.

Product details

  • ASIN ‏ : ‎ B0061P2L5U
  • Publisher ‏ : ‎ Scribner; Reprint edition (September 4, 2012)
  • Publication date ‏ : ‎ September 4, 2012
  • Language ‏ : ‎ English
  • File size ‏ : ‎ 2254 KB
  • Text-to-Speech ‏ : ‎ Enabled
  • Screen Reader ‏ : ‎ Supported
  • Enhanced typesetting ‏ : ‎ Enabled
  • X-Ray ‏ : ‎ Not Enabled
  • Word Wise ‏ : ‎ Enabled
  • Print length ‏ : ‎ 402 pages
  • Customer Reviews:
    4.5 4.5 out of 5 stars 279 ratings

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Customer reviews

4.5 out of 5 stars
279 global ratings

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Customers say

Customers find the book provides an in-depth review of current research and theories on autoimmune illnesses. They appreciate the scientific facts and documentation that illuminate their understanding of human health. The book is considered fascinating and worth reading for anyone interested in understanding health. Readers describe the narrative style as personal and humorous, with a brilliant presentation of the science in a true story context.

AI-generated from the text of customer reviews

65 customers mention "Information quality"62 positive3 negative

Customers find the book provides an in-depth review of current research and theories on autoimmune illnesses. They appreciate the scientific facts and evidence supporting them. The level of serious science documentation is excellent, but almost overwhelming in its detail and amount. It illuminates their understanding of human health and our connection to the living world. Readers mention that the book raises the right questions and poses a challenge to science. There are obvious links between current lifestyle and diets and the prevalence of autoimmune illnesses. This area of research is growing rapidly, and the book is important for understanding autoimmune and what we've been doing to ourselves over the last few years.

"...This area of research is growing rapidly and as an active research scientist in this field, I found this book to be a terrific compilation of almost..." Read more

"...The scientific results of lots of studies from scientist all around the world (referenced for further reading) is presented in story brilliantly...." Read more

"...Net, an important and useful study of the field of the super-organism, ie humans and our parasites." Read more

"...The author covers the gamut of immune diseases, and finishes by developing a comprehensive insight into the toxic balances that create the most..." Read more

34 customers mention "Value for money"34 positive0 negative

Customers find the book fascinating and well-written. They say it's worth reading for anyone interested in understanding health. The subject matter is interesting and the book opens up a new world to them. It contains an inventory of stories and a thorough annotated bibliography.

"...all the work in arranging the information in way that makes it enjoyable interesting and near impossible to stop reading...." Read more

"...It contains a full inventory of stories and a very thorough annotated bibliography...." Read more

"...The insights gained for personal health are well worth the time to read it from cover to cover." Read more

"...or even cancer and heart disease, you will find this book very interesting and possibly helpful for treatment...." Read more

10 customers mention "Auto-immune disease"10 positive0 negative

Customers find the book helpful for learning about autoimmune diseases and how the immune system interacts with infections. They say it's the "autoimmune bible."

"...compilation of science discoveries regarding how our immune systems interacts with infection, or lack of...." Read more

"...what cutting-edge scientists have discovered about the connections between autoimmune disease..." Read more

"...and this book has some revelations about allergies and auto-immune problems like psoriasis. It has about 80 pages of references...." Read more

"...really opened my eyes to a new way of thinking about allergies, autoimmune diseases, and obesity. Excellent!" Read more

9 customers mention "Narrative style"9 positive0 negative

Customers enjoy the narrative style. They find it engaging, with a personal and humorous perspective. The book is presented in a brilliant way, like a thriller or mystery. It brings a humble and brilliant point of view, and helps readers appreciate our intimate interdependence with all other life on Earth.

"...The book is also livened up by personal stories of individuals who have taken matters into their own hands by infecting themselves with parasites to..." Read more

"...all around the world (referenced for further reading) is presented in story brilliantly...." Read more

"...into a thrill-a- minute, page turning, funny tour de force where personal narrative, deep scholarship, poetic device and humor all acrobatically..." Read more

"...-Manoff writes in a humorous and comprehensive style, and brings a humble and brilliant point of view to the subject...." Read more

Top reviews from the United States

  • Reviewed in the United States on October 24, 2012
    In a comprehensive and compelling book, Moises Velaquez Manoff has provided an updated version of the hygiene hypothesis to explain: Why is there more autoimmune diseases in the modern world?

    While the idea that we are now no longer exposed to enough pathogens and therefore our immune system is beginning to attack our bodies is certainly not new, the author has provided a comprehensive review of the lots of new evidence supporting this hypothesis.

    This area of research is growing rapidly and as an active research scientist in this field, I found this book to be a terrific compilation of almost all the most important studies out there. Through interviews with most of the leading scientists in this field, the author has been able to synthesize their thoughts into laypersons terms.

    I gave this book to my parents after reading it, because it explained to them the concepts behind the type of research that I was doing now. Indeed, if I were to have the time, this would have been the book that I would have liked to write. There are very few things missing in it, and indeed many more ideas and stories that I had never come across.

    The book is also livened up by personal stories of individuals who have taken matters into their own hands by infecting themselves with parasites to treat their symptoms of auto-immunity. Indeed, the author chronicles his own voyage in this regard. His writing captures the personalities of some of these individuals very well and reminds us that these autoimmune diseases are devastating many lives in our modern world.

    The author starts by describing how the environment we live in has undergone rapid changes from the perspective of the microbes that we are exposed to and then begins to examine, one disease at a time, how these diseases may be linked with exposure to microbes. What has revolutionized this field over the last few years has been the increased appreciation of how our commensal gut bacteria affect our immune systems and this book will bring you up to date with the most recent studies in this field.

    Through interviews with scientists, a picture is painted of how parasites and microbes may provide protection against diseases like inflammatory bowel disease, asthma, multiple sclerosis and so on. A particularly interesting idea is put forward regarding the effects on pregnancy and autism, which was also discussed in a New York Time opinion piece.

    This book is a terrific read for anyone interested in how the immune system interacts with pathogens and commensals, providing a laypersons explanation for the rise of diseases where the immune response is dysregulated. This hypothesis is now in the main stream of science and no longer a fringe idea and is a very exciting place to be as a research scientist.
    45 people found this helpful
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  • Reviewed in the United States on July 29, 2015
    If you want to understand how allergies and auto-immunity may further impact modern living then you might want to consider how worms and other microorganism can contribute to your health. Rarely do we stop and think about our relationship to other micro-organisms and how they might be contributing to life style conditions that we once thought of only in relationship to diet and exercise. As I finished this book I realized we are all part of a new order in the way that we approach managing our health. Not only are we going to redefine what "healthy" is but our approach in the near future will be drastically different. This book gives you a sneak peek into the beginnings of how we might be living very differently in the very near future and how our approach to health might be different. What we consider healthy is about to change and how probiotics factor into the health equation will have a big impact on that. Will we be colonizing and stabilizing certain probiotic strains and packaging them with food in the future? Like we currently do with macronutrients we want to use to enhance a particular nutritional profile? We do it with milk yogurt cereals etc... already. Will we do it more with probiotics in the future? It's not that far fetched when you read where the science is and see the direction it's going. We may be ordering a helminth worm or two with our salads lol. The author has done all the work in arranging the information in way that makes it enjoyable interesting and near impossible to stop reading. The scientific results of lots of studies from scientist all around the world (referenced for further reading) is presented in story brilliantly. The author gives what I thought of as a very linear review of how it all ties together. And we get to enjoy. An all around great read.
    5 people found this helpful
    Report
  • Reviewed in the United States on September 9, 2013
    A great strength of this book is its carefully assembled facts and comprehensive research. It contains a full inventory of stories and a very thorough annotated bibliography. It is hard to come away from this compelling barrage of facts without being convinced of the author's primary premise - that our elimination of early life pathogens and parasites has deprived our immune system of essential training, absent which, it turns on our own bodies creating a growing epidemic of allergies and autoimmune disease.

    It fails on the task of integration - what lessons should we take from each of these essentially self complete examples/stories. After about the half way point I wanted to scream "OK, I got it, lets move on". The conclusion offers little clarity or relief, perhaps not wanting to take the risk of practicing medicine without a Licence? However, an opinion from such an informed researcher would have been interesting. On timing: is it parental epigenomics/immunology; fetal transfer; early life; later life; exposure that matters most? On agents: is it worms (helminths), virus, bacteria; is it special individuals within one of these groups? Of course, the true answer is that no one really knows yet, but some more muscular integrative hypotheses would be a big help.

    In spite of all that, this is a field largely dominated by quack and fad medicine, and this book stays well away from all that nonsense. Net, an important and useful study of the field of the super-organism, ie humans and our parasites.
    11 people found this helpful
    Report

Top reviews from other countries

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  • Angelika de Beauclair
    5.0 out of 5 stars meraviglioso viaggio nella scienza anche per dilettanti
    Reviewed in Italy on March 19, 2023
    E' davvero sorprendente quanto un libro di storia scientifica possa essere accattivante. Ok, mi piace sempre imparare cose nuove, leggo spesso libri di divulgazione scientifica. Ma questo è davvero specialmente interessante. Da una nuova luce a parassiti, batteri e infezioni. Sono molto presa nella lettura. Asma, allergie e malattie autoimmuni sarebbero prevenibili? Sono venuti fuori solo nell'ultimo secolo per ragioni ben precise e scientificamente approvate?! Davvero da leggere. Specialmente per chi vuole procreare direi.
  • Canada Steve
    5.0 out of 5 stars This book is incredible.
    Reviewed in Canada on January 9, 2019
    Auto-immunity and allergies cannot be properly understood without the evolutionary context. The author does an exceptional job of summarizing these important concepts. The book is a pleasure to read.
  • Jeanette Queen
    5.0 out of 5 stars Five Stars
    Reviewed in Canada on April 14, 2018
    Good Book. Very interesting
  • NogginTheNog
    5.0 out of 5 stars apart from a good read, makes a compelling case for a bigger ...
    Reviewed in the United Kingdom on March 5, 2018
    Although having neither medical background nor history of allergy I have found myself involved in a research project looking into current allergy testing and data collection methods. Doing inital research it appears to me as someone coming from the IT world with its clear, binary logic, that the world of allergies is very "fuzzy" - diagnosis (a mix of somewhat imprecise tests viewed through the lens of patchy clinical history), root cause (unknown) and treatment (avoidence of the allergen).

    This book, apart from a good read, makes a compelling case for a bigger picture which should not be ignored. Of course the ideas are not necessarily new, St. Paul alluding to them 2,000 years ago!

    "He makes the whole body fit together perfectly. As each part does its own special work, it helps the other parts grow, so that the whole body is healthy and growing. The parts of the body that seem to be weaker are the ones we can’t do without"
  • Luna
    5.0 out of 5 stars A great read for somebody with autoimmune disease
    Reviewed in Germany on August 30, 2017
    I come from a family with various autoimmune diseases and I myself also suffer from a combination of eczema, asthma, hay fever and digestive issues. This book was fascinating for me as it goes further than simply explaining the hygiene hypotheses but also illustrating it with personal examples and interviews.This book is a terrific read for anyone interested in how the immune system interacts with pathogens and commensals, providing a laypersons explanation for the rise of diseases where the immune response is dysregulated. The author's argument is that humans evolved with so many parasites and commensal bacteria and other organisms that our immune systems function with them. And when we live in such a "clean" environment that they are cleared from our bodies our immune systems misfire, causing allergies, at the least, and autoimmune dysfunction at the worst. It is a powerful argument, especially for anyone considering having children ... the message I took from the book was expose them to as much as possible before age 2 -- other children, crowded subways, farm animals, etc.

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