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Finland's National Allergy Program Successfully Reduces Allergic Diseases

Sharlin

Kids should be allowed to eat dirt. They should be exposed to rich, biodiverse environments, not just asphalt, rubber safety mats or impoverished monocultural lawns (although the latter are better than nothing, at least unless they're chock full of pesticides and herbicides…) Adults should, too, for that matter.

justaj

For me this link results in a 503

I've read the gist of this article in my local news org feed. What it basically comes down to is that Finnish scientists noticed that Russian children who grew up in rural areas usually had way less asthma cases than Finnish city children, and thus began to research why this was the case. They hypothesized that early (first 10000 days) exposure to micro-organisms might play a key role in training the immune system not to over-react to (harmless) micro-organisms later on in life, and thus "train" the immune system better. Their hypothesis now seems to have been validated.

Basically this comes down to the hunch I had for quite a long time: Isolating children into an almost clinical environment is not a great way to boost the immune system. This might explain why there are so many people with allergies. People living too cleanly and not getting exposed to (benevolent) micro-organisms so that their immune system prepares them when exposed to later in life. I think that's one of the reasons that kids that are around pets early in life usually have lower risk of developing allergies later on.

The reasoning went like this: We've spent most of our evolution in caves digging in dirt, and now (relatively) recently we have been transported into an environment where we can pretty much have the cleanest settings. What do you think this will do to our immune system?

cyco130

Reminds me of a dark joke I sometimes make: Why are there no Turkish people above forty with nut allergies? Because they all died in early childhood.

krisoft

> first 10000 days

A 10000 day old “child” is in their late twenties.

potamic

Checks out in India as well where allergy levels are as low as hygiene levels.

I think you have typo with 10000 days.

justaj

I suppose as with everything, there's supposed to be some kind of balance / ideal set of circumstances.

And yes, I mistakenly added an extra 0.

sofixa

> The reasoning went like this: We've spent most of our evolution in caves digging in dirt, and now (relatively) recently we have been transported into an environment where we can pretty much have the cleanest settings. What do you think this will do to our immune system?

The same it did to our infant and maternal mortality, make it lower?

mixermachine

Less protection then? Yes. So when something hits you later on, the system is not trained for it.

It's not about throwing infants in a dunghill first thing after birth and let nature take its course. It's about gradual exposure when the system can slowly get used to it.

ainiriand

Basically put a dog into your home and you are covered.

robohoe

Your assumption is partially correct. I have two dogs and now a baby. So now I have three babies.

thrance

Welp. I had a carpet floor in my bedroom as a kid, but that didn't prevent me from developing the badest allergy to dust mites as a teen. It recently got so bad that I started a hyposensitization treatment. Hopefully in 3-5 years it'll get better.

echelon

The hygiene hypothesis [1] is real.

Let kids play in the dirt, otherwise they'll develop severe allergies to innocuous substances. Early development is when the immune system trains on what is actually harmful. If you don't stimulate it, you wind up with pollen and peanut allergies instead of parasite and bacteria immune responses.

From the paper:

  Primary prevention
 
  Support breastfeeding, with solid foods from 4–6 months onwards

  Do not avoid exposure to environmental allergens (foods, pets), if not proven necessary
 
  Strengthen immunity by increasing contact with natural environments (e.g. by taking regular physical exercise and following a healthy diet such as a traditional Mediterranean or Baltic diet)
 
  Antibiotics should only be used in cases of true need (the majority of microbes are useful and build a healthy immune function)
 
  Probiotic bacteria in fermented food or other preparations may balance the immune function

  Do not smoke (parental smoking increases the risk of asthma in children
[1] https://en.wikipedia.org/wiki/Hygiene_hypothesis

apwell23

my wife couldn't breastfeed because there was no milk production. That's the top recommendation?

Now what will happen to my son?

bell-cot

Reading through the article...you'd almost think that Finland had a bunch of competent, sensible leaders, who actually wanted to improve the long-term health and welfare of their citizens and nation.

Wow.

Might there be any other countries like that? Preferable ones a bit further away from Russia.

procaryote

Sweden, norway, denmark. All slightly further away from russia!

dachworker

Isn't this a bit of fetishization of the white man? Pretty sure all European countries have competent health agencies and AFAIK, the nordic countries do not score particularly well in health care metrics.

pastage

That it is not leaders, these are experts in government agencies that work for the best of the people. The difference is that you have to give them responsibilities and trust them as a society.

SideburnsOfDoom

When experts get heard, then you have competent, sensible leaders.

When leaders say things like "the people of this country have had enough of experts" then you don't. Invoking "the people" like that is another warning sign.

apwell23

usa has a whole agency for it

National Institute of Allergy and Infectious Diseases (NIAID).

edit: to ppl claiming this must be useless because its in usa is incredible ignorant and insulting to ppl who work there. pls do minimum of research before making such statements.

they even have link to their ongoing clinical trials on their website homepage

https://www.niaid.nih.gov/clinical-trials/find-a-clinical-tr...

Etheryte

I'm not sure if the US and public healthcare are a positive word combination exactly. Having an agency doesn't mean the outcomes are good.