Dr. Gabe Mirkin's Fitness and Health e-Zine
December 23, 2012
HPV Infections Can Return as You Age Without New Sexual Exposures
Recent breakthrough research shows that the sexually-
transmitted, cancer-causing Human Papilloma Virus (HPV) can come
back to cause an infection many years after an old sexual contact
that gave you the infection in the first place (Journal of
Infectious Diseases, December 15, 2012;206(12)). It can do so
without any new sexual contact, just as the chicken pox virus
causes shingles many years later, without additional exposure .
This recent study confirms the findings of a previous study that
showed that HPV infections increase after menopause (Cancer
Epidemiology Biomarkers & Prevention, December 2010). However,
the postmenopausal women most likely to have HPV symptoms are the
ones with new sexual partners in the last six months. The data
show that a new infection is far more common than a reactivated
one from a previous infection.
HPV CAUSES CANCERS: HPV can cause cancers of the head,
neck, tongue, mouth, tonsils, cervix, vulva, vagina, penis and
anus. It is the most common sexually transmitted disease in
North America today. The use of condoms can help to prevent
HPV infections.
SHINGLES: When you were a child, you probably acquired
chicken pox and had blisters all over your body. Then the
blisters went away and you thought that you were cured. However
the virus remains in your nerves for the rest of your life. For
one out of three Americans, the virus comes back in later life to
cause horrible pain and blisters in one nerve.
HPV, LIKE SHINGLES, can also return many years later. Men
and women over 50 who develop mouth, vaginal, urinary or penile
spots or rashes, could have a recurrence of HPV without a new
sexual partner, or they could have acquired a new infection from
a new sexual partner.
THE MORE LIFETIME PARTNERS, THE MORE LIKELY HPV IS TO RECUR.
In this study, about 77 percent of the infections were detected in
women who had five or more sexual partners in their lifetimes. The
more partners they had, the more likely they were to suffer
recurrent infections later in life.
HOW COMMON ARE HPV INFECTIONS? Sexually active women have a
probability of being infected with HPV at:
AGE INCIDENCE OF HPV
14-19 24.5 percent
20-24 44.8 percent
25-29 27.4 percent
30-39 27.5 percent
40-49 25.2 percent
50-59 19.6 percent
The Centers for Disease Control estimates that at least
80 percent of sexually active women have been infected by age 50
(CDC, 2004).
TYPES OF HPV: You can get more than 150 different types of
HPV. Only 15 percent of infections are from the types that are
called high risk for cancer. At least 24 percent of women have two
types of HPV, and 16 percent have three or more types detected.
The types that put you at high risk for cancer are types 16, 18,
52, and 59. These four types are associated with more than
90 percent all cervical cancers.
NATURAL HISTORY OF HPV INFECTIONS: When you are infected
with HPV, your immune system appears to clear the virus in six to nine
months. That does not mean that the virus is gone. It means that
doctors cannot find it. More than 150 different HPVs exist and
with each infection, you acquire immunity to that specific HPV,
but usually not to any other type. So you are still susceptible
to getting any of the other HPV types. With each sexual exposure,
you can pick up any other one or more of the HPVs. The data
clearly show that the more partners you have, the more likely you
are to have HPV persist. Men and women with the most partners are
most likely to have the most different types of HPV. People who
have had the most partners are the ones most likely to have a
recurrence of HPV in later life, even though they may not be
acquiring any new viruses.
DOES EVERY WOMAN WHO HAS HPV ALSO HAVE AN ABNORMAL PAP
SMEAR? Many women with proven HPV infections will not have an
abnormal PAP smear. The women infected with the high risk 16, 18,
52 and 59 are the ones most likely to have abnormal PAP smears and
be at higher risk for cervical cancer.
A man or woman who is recently infected with HPV can
usually expect doctors to be unable to find the virus six to nine
months later. However, if an infected person's immune system is
depressed by menopause, pregnancy, chronic illness, or immune
suppression drugs, the virus can be activated. The person can
develop burning, itching, pain, or irritation in the infected
site, and the virus can be found in the skin, vagina or mouth
again. The high-risk subtypes are the most likely to come back.
IMMUNIZATION: The available vaccines contain only four
of the more than 150 different HPV types. One vaccine protects
against HPV 16 and HPV 18, while the other protects against types
52 and 59. They are of no value after a person is infected with
these HPV subtypes. The CDC recommends the vaccines for all
girls and boys before age eleven.
CASES OF GONORRHEA AND CHLAMYDIA RISE THIS YEAR: The CDC
just reported increases in these sexually-transmitted diseases:
* Chlamydia rates increased eight percent, to 457.6 per 100,000; and
* Gonorrhea rates increased four percent, to 104.2 per 100,000.
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Reports from DrMirkin.com
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http://www.drmirkin.com/morehealth/G167.htm
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http://www.drmirkin.com/men/1833.html
How helicobacter causes vitamin B12 deficiency
http://www.drmirkin.com/nutrition/8386.html
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Diet Affects Prostate Cancer Risk
The prospective Malmo Diet and Cancer study followed
8128 healthy men, aged 45-73, for 15 years and found no
association of prostate cancer with total carbohydrate or fiber
intake. It did find an association of prostate cancer with
refined carbohydrates in foods such as low-fiber cereals, cakes,
biscuits, white rice and pasta. (American Journal of Clinical
Nutrition, 11/09/2012).
Nature packages all carbohydrates in foods with fiber.
After you eat, the pyloric sphincter at the end of the stomach
closes and allows only a liquid soup to pass into the intestines.
Since humans cannot break down fiber, it takes a long time for
fiber to pass into the intestines. Removing fiber from nature's
sources of carbohydrates increases the rate of absorption and
raises blood sugar levels considerably. It takes an orange up
to six hours to pass through your stomach, compared to minutes for
orange juice (liquid sugar) to pass. The higher blood sugar rises
after you eat, the more sugar sticks to the outer membranes of
cells and damages them, which can increase cancer risk.
The same applies to whole grains and flour. Whole grains
are seeds of grass that have a tight capsule that cannot be broken
down by your intestinal enzymes. Therefore, eating whole grains
causes very little rise in blood sugar. However, grinding a whole
grain into flour breaks the capsule and markedly increases the
rise in blood sugar that follows eating bakery products or pastas.
This high rise in blood sugar is probably what increased the men's
risk for prostate cancer.
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What Killed President Andrew Jackson?
Andrew Jackson was the seventh president of the United
States. At age 39, he was 6'1" tall and weighed 135 pounds.
His excessive thinness saved his life.
THE DUEL: In a duel, competitors walk a specific distance
from each other, turn and fire. Usually the first to fire wins,
unless he misses. Then he usually loses. Charles Dickinson, one
of the most successful duelers in America, challenged Andrew
Jackson to a duel. Dickinson had fought many duels and won them
all. He was also a champion marksman. Andrew Jackson was not an
experienced dueler, and wasn't even a very good shot. He knew,
no matter how hard he tried, Dickinson would get off the first
shot. To save his life, Jackson had do something clever. So he
wore a long dark blue coat and long black, baggy trousers to the
duel.
Dickinson did shoot first. Jackson felt severe pain
in his chest. His coat turned bright red with blood, but he was
still alive. Dickinson was horrified and screamed: "I missed him."
Jackson aimed and fired. Dickinson fell to the ground and died
soon afterwards.
WHY ANDREW JACKSON LIVED: Dickinson's aim was perfect, but
he had shot at the wrong place. Jackson took advantage of his
incredible thinness by wearing a baggy full-length coat that
drooped to his knees. The coat hid the fact that he had pulled
his baggy pants to his armpits, so he looked like he was taller
than he actually was. When Dickinson took aim at what he thought
was Jackson's heart, he was really aiming at Jackson's lower
chest. His aim was perfect, but instead of going through his
heart, the bullet went through his left lower ribs, several inches
below his heart. Jackson bled from his lungs, not his heart, and
filled his left boot with blood.
LIFETIME SYMPTOMS: Jackson survived the duel but doctors
were not able to remove the bullet from his chest, and he had pain
for the rest of his life. He also had a bullet in his shoulder
from an earlier duel. He suffered from:
* excessive salivation,
* early loss of teeth,
* colic (chronic belly pain),
* diarrhea,
* pallor,
* hand tremors,
* irritability,
* paranoia,
* violent mood swings, and
* chronic renal failure.
All of these symptoms can be caused by a single
medical condition. His physicians treated him repeatedly with the
commonly-used early 19th-century medications, calomel and sugar of
lead.
THE DIAGNOSIS WAS MADE IN 1999: Two hairs from Jackson's
head were analyzed for mercury and lead. Mercury levels were 6
and 5.6 parts per million (PPM) from both the 1815 and 1839 hair
specimens (Journal of the American Medical Association, 1999;282
(6):569-571). Lead levels were incredibly high at 130 PPM in
1815 and 44 PPM in 1839. All the symptoms listed above can be
caused by poisoning from mercury or lead or both. He was poisoned
with lead and mercury by his doctors' prescriptions: mercury from
calomel (mercurous chloride) and lead from sugar of lead (lead
acetate). The bullets also contributed to the high lead levels.
WHAT CAUSED ANDREW JACKSON'S DEATH? Now let's see if you
can tell what eventually killed Andrew Jackson. In addition to
the lead and mercury poisoning,
* He smoked his entire life,
* he ate meat every day,
* he had several bouts of left chest pain that kept him in bed for
several weeks at a time.
* his wife, Rachel, was the only wife of an American president who
smoked a pipe.
THE BEGINNING OF THE END: At age 78, he suffered from
suffocating shortness of breath. His neck veins swelled and his
shoes hurt him because they were too tight. Then his ankles,
legs, hands and belly started to swell. Then, to be able to
breathe, he had to sit up in bed, propped up on pillows. By late
spring,
* his face was swollen and
* he exclaimed: "I am a blubber of water."
* Then he smothered to death.
HE DIED OF ???????????????????
The weeks of being bed ridden with chest pain were caused
by several heart attacks which damaged his heart muscle and
eventually made it too weak to pump blood through his body. Then
his heart failed, which caused his body to retain fluid. . People
in heart failure retain fluid and swell all over their bodies.
The fluid collects in their lungs so they can't breathe, and in
their legs, so their shoes feel too tight and then their legs
swell so much that they are unable to walk.
His lifestyle should scare you. He smoked every day
of his life, lived with a smoker, ate meat daily, had chronic gum
and tooth disease, carried lead bullets in his body for many
years, and was treated by his doctors regularly with medications
that contained mercury and lead. All these factors increased his
risk for heart attacks that eventually damaged his heart so badly
that it could not pump blood through his body so he smothered to
death.
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Recipe of the Week:
My favorite holiday "cookie" --
Fruity Pebbles
http://www.drmirkin.com/recipes/pebbles.html
You'll find lots of recipes and helpful tips in
The Good Food Book
http://www.drmirkin.com/goodfood/index.html
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Gabe Mirkin, M.D.
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