Monday, February 4, 2019

What Am I Missing?

I humbly ask this question.  What am I missing? 

Tonight I read the press release for the AAAS about the 2019 Scientific Freedom and Responsibility Award, going to two Sri Lankan physicians / researchers that apparently confirmed a deadly causal connection between a kidney disease (Chronic Kidney Disease of Unknown Origin; CKDu) and the herbicide glyphosate. Congrats, congrats!

Wow, I must have missed this.  Certainly a concrete link would be big news, and if AAAS is awarding someone for this research it must have been a prominent publication.  But I scan the literature almost daily and never saw this. 

The names of the awardees seemed strangely familiar.  Then it hit me... this was the 2014 paper where they looked at hard water consumption in Sri Lanka and then suggested a tie between CKDu, heavy metals and glyphosate. The paper presented a hypothesis.  There were no data.  There were no experiments.  It was a decent hypothesis that could be tested. 

At the time the anti-ag-chemistry world lit up in celebration. Finally they had the smoking gun.  I remember this vividly-- only there was no smoke, there was no gun.  It was a hypothesis to test. These folks don't actually read the papers. 

This paper, presenting a hypothesis only, was sufficient to spark a ban of glyphosate in 2015, a move that drew criticism because the ban occurred in the absence of data. Later, reputable scientists would add that the ban threatened food security as farmers were stripped of a helpful agricultural tool, based on a hunch.

The Sri Lankan National Academy of Science made clear statements on the associations, stating that the "research is not conclusive" and "We are not aware of any scientific evidence form studies in Sri Lanka or abroad showing that CKDu is caused by glyphosate." 

The same organization also notes no association between CKDu and cancer, which we'd expect if the herbicide was causing both diseases as some claim. 



Lethal herbicides?  I'm not aware of evidence that supports this conclusion. What's up AAAS?


The researchers are obviously passionate about identifying the source of the problem in this region.  An examination of their later work shows a dedicated inquiry into heavy metals and pesticides that occur in drinking water in agricultural areas, and their association with CKDu.  They also look at the flip side and how access to clean water improves health outcomes. That alone is deserving of some recognition. I also think they would agree with me that the AAAS website was not accurately representing their conclusions.  

Many researchers, including these authors, have examined the connections to heavy metals, particularly arsenic and cadmium (including this work that shows cadmium dose-response), which are present in high levels in CKDu endemic areas, and arise from application of fertilizers and pesticides.   

Their follow up paper added a correlation to the hypothesis by actually examining heavy metals and glyphosate in the urine of a relatively small number of subjects (10 ill, 10 asymptomatic, 10 from another area).  Their conclusion was, "Although we could not localize a single nephrotoxin as the culprit for SAN (Sri Lankan Agricultural Nephropathy), multiple heavy metals and glyphosate may play a role in pathogenesis." 

A case-control study (self-reported health factors) by the same authors in a CKDu-endemic hospital also found statistical associations with application of several different herbicides and insecticides.  There also was association with exposure to a variety of heavy metals in drinking water, especially from abandoned wells.  The authors note that the majority of those answering questions were farmers who don't use personal protective equipment when spraying pesticides. I'm not surprised that they'd have higher levels in their urine. Again, the authors were correct in noting the limitations of the study.

Across all work, these authors rely on statistical associations between agricultural inputs, heavy metals, and CKDu, and a hypothetical "Compound X" that could bind heavy metals and transport them to the kidneys.  They suggested that glyphosate would fit the bill and build survey data that support that association. Cool. Again, a great hypothesis to test, but we have to be careful with interpretations.


The caption says "deadly herbicide called glyphosate" -- again, what am I missing here?


This where AAAS oversteps the data, referring to the herbicide as lethal and deadly.  C'mon AAAS.  If this was Natural News, Green Med Info, The Food Babe, or any other kooky khemistree website then I might understand.  They've been searching to vilify ag chemistries for decades. 

But this is AAAS.  I'm a member.  I'm always in awe at the awardees for their much deserved recognition. 

These authors see a problem in these agricultural regions and are searching for a cause.  Certainly publishing such a hypothesis could bring lots of criticism to the researchers, as well as derision from farmers that rely on agricultural chemistry.  However, I'm not sure how this situation jumps from a statistical association to hard conclusions that rewrite agricultural policy and toxicology-- especially when so many heavy metals levels are also high and associate with the disease (in the same authors' findings).

How does the Sri Lanka situation fit into the wider picture? We  have to remember that Sri Lanka is not the only place that uses glyphosate and there is no reputable mention of CKDu in other populations studied.  There also is the incongruence between this report and other reports on the herbicide's potential as a physiologically relevant heavy metal shuttle at levels found in drinking water. Other analyses of CKDu do not support their hypothesis. 

CKDu sufferers are not reported to also be stricken with Non-Hodgkin's Lymphoma, which a jury of my peers says should be the case. 

Despite all of the questions and shortcomings, we really need to object to the AAAS conclusions of "lethal" and "deadly".  

Or they must have some information I don't have.  

Or does the emperor wear no clothes?  

The bottom line is that the associations are not clear, the experiments to demonstrate strong links are difficult to do, and the multi-factorial nature and genetic/environmental overlays will make such conclusions difficult to discern.  That has been the conclusion of others as well

This will be a very interesting discussion.  I'm glad to stand corrected here.  But I'm afraid that our most esteemed scientific organization just elevated a testable hypothesis to "fact" and I'll spend a lot of time over the next year explaining that the data are just not there (at least at this point) to support that conclusion. 

27 comments:

Unknown said...

The good news is, AAAS is "reassessing" the award after "concerns were voiced by scientists ad members. The award will not be presented next week as planned.

William Pilacinski said...

Another example of politically correct science, which is too common in academic science circles. Three years ago the News section of Science noted an article that appeared in the British Journal of Nutrition with the comment that it "proved" that organic food was more nutritious than conventional, but did not mention that a co-author, Charles Benbrook, is a well known pro-organic and anti-GE activist and that other studies (Smith-Spangler et al 2012; UK Foods Standards 2009) found no difference. AAAS official policy statements support both the safety of GE foods and that global warming is real and due to human activites; however, articles that support global warming are very common in the Science journal whereas those support GE foods are few and far between.

Ena Valikov said...

What you are missing, being a strawberry doctor rather than someone with any training in any field of medicine, never mind a specialty called nephrology, is a whole body of work defining CKDu, of which the study you cite, is just one. You overstep your qualifications away from plant genomics so far, that you appear to qualify for an award yourself--for being science's most infamous narcissist.

Ena Valikov said...

Given that you had no qualms presenting your ex-wife as a registered nurse, when she wasn't one, how long before you offer your services as a kidney transplant surgeon, bonehead ?

Kevin Folta said...

What you are missing Ena, is that anyone with an undergraduate degree can interpret their papers. Maybe you could provide your interpretation as to why their work was of such superlative quality and showed such conclusive outcomes. The problem is that you demean others for not having degrees in medicine. Get off of your high horse. I know that I've had more statistics, experimental design and practice interpreting literature than just about any physician. This groups papers were not challenging. Maybe you could start by discussing how you are convinced that the work shows a conclusion that the herbicide is directly connected to the "deadly" disease. Let's see if you can do that, or if you are just in this for the insults.

Kevin Folta said...

She never misrepresented her credentials and neither did I. She spoke of the importance of skepticism in nursing, something that she truly believes. I wish her success in her nursing career, especially as so many (I believe including you) worked hard to hurt her.

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Every time I see "GMO free" BS, on a product that has precisely zero GM products, I abandon that producer and advise all that I know what fools that corporation thinks that they are.
I despise con men, alas, you seem to tolerate them in your comments area. :/
Yes, I know that you're busy, we all are, but if you need assistance, I or a like minded group of peers can patrol and clean up the spam.
Or do you want to be associated with spammers, who promise literal magical cures for incurable diseases?
And some that were worse.
Your call, doc. Contact me on my personal e-mail, which should be provided via the logon provider, no problem helping out.

Wzrd1 said...

BTW, the link to the award went 403, aka, site doesn't exist.
Perhaps, a compromise? I can think of two nations that could do such an attack successfully, both with rationale to support doing so, but the reasons and rationale are largely classified.

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