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The Pharmaceutical Journal
Vol 269 No 7223 p692
9 November 2002

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Moon element [more]
Discouraging buzzwords [more]
The sociology of diabetes [more]


Moon element

When Johan Jakob Berzelius discovered selenium in 1818 he explained that he had given it that name because of properties similar to those of tellurium, named from Tellus the Roman earth-goddess, though his reasoning seems a little obscure. Selene, the Greek moon-goddess from whom he derived the name, was daughter of the Titans.

In recent years the image of selenium, once regarded as a dangerous and useless element, has undergone drastic revision, and in the October issue of Chemistry in Britain Margaret Rayman of the University of Surrey in Guildford has outlined its present significance as a dietary essential factor.

Fifty years ago selenium was seen as a toxic factor in certain soils, where plants reared there caused poisoning of cattle, notably in Dakota and Wyoming in the United States and some regions of Venezuela and China. Today it is hailed as a useful industrial product, for example in photocells, and an essential element in the diet of humans as well as stock animals, albeit hazardous in excess. It occurs in the amino-acid selenocysteine, which features in the genetic code. It operates in biological redox reactions and in electron transfer. So far, some 14 mammalian selenoproteins have been identified, some of them able to remove the products of tissue damage caused by free radicals. Some help to limit blood clotting and inflammatory processes, in producing thyroid hormone, and in controlling cell division and gene expression.

In Europe, sources of selenium in foodstuffs are deficient, but Brazil nuts, kidney, liver, crab and other shellfish and fish are useful sources. Recommended daily intakes in the United Kingdom are 75µg for men and 60µg for women. Recent reductions in selenium levels in the UK have been attributed to the reduced import of mainly Canadian wheat for bread-making, this being selenium-rich compared with locally grown wheat.

Since selenium enters the food chain through plants that extract it from the soil, its deficiency is seen in regions of volcanic, acid or iron- or aluminium-rich soils. Animals reared in such areas show reproductive impairment, growth depression and myopathy of heart and skeletal muscle. Human diseases due to such deficiency include Keshan disease, a frequently fatal cardiomyopathy encountered in north-east China, and Kashin-Beck disease, a type of osteoarthritis in some regions of China, Tibet and Siberia. Prophylactic treatment with selenium has reduced the incidence of these.

Low selenium status has also been associated with an increased risk of cardiovascular disease, asthma, rheumatoid arthritis, reproductive problems, immune incompetence, cancer and adverse states of mood. Apparently selenium is capable of reversing the onset of immune response decline in the elderly.

Despite these beneficial effects, it has to be remembered that selenium in excess is toxic and a high intake must be avoided. One practical method of increasing its intake with minimal risk may be to spray crops with a fertiliser containing sodium selenate, as has been tried in Finland.

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Discouraging buzzwords

The Portman Group, which exists to promote sensible drinking and prevent alcohol abuse, has recently published the third edition of its code of practice, which is supported by more than 120 companies that produce or market alcoholic beverages. The code is designed to remove from the market any product with a container or label design that might appeal to children or teenagers or encourage antisocial behaviour by its suggestions. Products that have been withdrawn include those bearing on the labels pictures of illegal drugs, those marketed in containers shaped to suggest bullets, test-tubes, hypodermic syringes or ice-pops, and drinks named after a popular cartoon character that might appeal to children.

One new alcoholic drink called Crack Ice has been condemned under the code because the words "crack", "buzz" and "illicit" on the container suggest an association with the dangerous drug known as crack cocaine, which is fused cocaine alkaloid. Criticism from the public has prompted withdrawal of the offending beverage. The labelling and packaging of alcoholic drinks which masquerade as foodstuffs, or which carry a suggestion that they inculcate bravado, popularity or sexual or social success, is being stringently forbidden under the code of practice, which has the support of the Office of Fair Trading.

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The sociology of diabetes

Today, wide publicity is given to obesity and its frequent aftermath, diabetes. We hear about the hazards of modern eating habits, and of modern slothful behaviour and dependence upon mechanised aids to movement. These twin diabetogenic tendencies are worldwide, no longer afflicting merely the rich and overfed, but increasingly the less pampered in the developing countries.

A letter from a Glasgow medical practitioner published in the BMJ for 26 October comments that the real cause of the problem is rarely recognised; it is the total environment in which we spend our days today. There is not, and never will be, remarks the correspondent, any conventional medical treatment for obesity and diabetes: "The cure lies not with medicine but in how our societies are created."

In the first place city children are denied vital play space which would help them towards healthier activity, since politicians favour selling such space to developers of housing. "Sixty per cent of the green space used for housing in London in the past 10 years came from the sale of playing fields."

And we aggravate the position by excluding children's play from our streets by allowing traffic unsafe speed limits. If we really want to encourage children to walk that extra three miles daily for the sake of their health, reducing weight by 4kg and the risk of diabetes by 58 per cent, we need to make that walking reasonably safe, which it is not at present.

Politicians should exert their influence by ceasing to bow to the powerful lobbies concerned with pharmaceuticals, food, tobacco and motoring. And not only politicians, it appears. A news item in the same issue of the BMJ describes opposition from the World Alliance for Breastfeeding Action to a fundraising alliance between the United Nations Children's Fund (UNICEF) and the McDonald's chain of fast-food restaurants. UNICEF has a mission to promote good nutritional practices. According to WABA, the fast-food company, on the contrary, is "known world-wide for its aggressive promotion of foods contributing to poor nutrition and ill health in industrialised and non-industrialised countries". To ally oneself to such a cause undermines the World Health Organization's fight against diabetes, obesity, cardiovascular disease and hypertension. The plan is to organise collection boxes on World Children's Day, 20 November, and it originates in the United States, not Europe.

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