In fatal infectious diarrhea, is there a self-inflicted wound?

It has always amazed me how some people eat contaminated food and are hardly affected, while others end up dying. Death is clearly NOT caused by the common denominator, the biological contaminant.

I have attributed death to deficiencies in stomach acid (poor acid production, the taking of antacids, or direct or indirect acid blockers), to a meal with low fat, to immunosuppression, to under-developed immunity (in the very young), poor competition by limited or unbalanced intestinal flora (often due in part to a chronic course of antibiotics), generally poor health, etc.

But another thought, another deficiency, self-inflicted: poor hygiene. Those who end up dying may have re-ingested excreted bacteria and toxins. Perhaps this bio-amplification is almost a necessary precondition for fatality.

When the very young die following (not because of) bacterial infection, it is almost always blamed on under-developed immunity. How about an additional factor of bio-amplification in this group? Is there a well-defined group with poorer hygiene in general than the very young? Another factor: this group puts its contaminated hands in its mouth more than any other.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s