Jeez. My post got deleted by some error. But somehow I saved it in my MSN message history folder. Don't even ask me why it's there, but it is. And I'm thankful. I almost cried when I thought I had to reconstruct the whole post by memory. Ok, er go watch
this. It's a video I made on marasmus.
"I am not afraid to keep on living;
I am not afraid to walk this world alone"
-Famous Last Words, by My Chemical Romance.
How many children suffering from marasmus can echo these words? Precious few.
Simplistically, marasmus is basically the severe lack of protein in the diet, mainly affecting children under 1. Children over 18 months are generally affected by another form of this called kwashiorkor.
Marasmus usually affects children in less developed countries, where the main source of nutrition after being weaned off mother's milk, is starchy vegetables. A child suffering from marasmus may lose up to 80% of the normal weight for that height. The effects are horrifying to look at, often with rather shocking nightmarish images of muscle wastage and emaciation, the effects mostspectacularly observed around the buttocks and the thighs, where the loss of adipose tissue in these normal areas of fat deposits is rather severe. I covered a few of these images quite briefly in the video I made; so do watch the video please.
I suppose the first step in solving this problem, would be first to raise awareness. I mean, how many people actually know what marasmus is? I certainly didn't, until I was tasked to research on deficiency diseases extensively. AHA - And that is where we come in, the four of us, to promote awareness of the various types of deficiency diseases that we seldom hear or come across in our lives, and we want to create an intellectual and interesting awareness of these diseases through blogging so that others can be informed of such calamity that happens around the globe. (wahaha thank you Mr Jo!)
I believe after seeing images of these children, or reading about the effects; the question present in most minds would be how to rectify the problem. As I've mentioned above, this problem is caused when babies are weaned off their mother's milk, and fed starchy vegetables instead. Thus they suddenly lack the amino acids present in breast milk. I suppose then, logically, to rectify this problem, it would suffice to provide proteins for these children, where the method would have to be feasibly possible, bearing in mind the number of children present in the third-world countries, and cost effective.
I wonder if providing insulin doses for these children would be possible. The basic research I did on Wikipedia seems to point towards this. Insulin has effects on fat metabolism and it changes the liver's activity in storing or releasing glucose and in processing blood lipids, and in other tissues such as fat and muscle. Insulin is also quite a small protein molecule, in fact, it could be classified as a peptide. So I suppose theoretically this would aid in the speed of which it could diffuse into the body system, warranting a shorter recovery period.
Since insulin is used medically to treat diabetes, it might be possible side effects could occur. However, banking on the same fact, since it is already used medically to treat diabetes, and at least 171 million people worldwide suffer from diabetes (according to figures by the World Health Organization), it should be commercially produced, thus available in large numbers. A problem with this solution, however, would that it would be quite cost ineffective.
I wonder then, if it's possible to have banana plantations in these third world countries. Proteins make up about 1% of a banana's nutritional values. Bananas are also non-seasonal crops, and are available all year round in tropical areas. Additionally, since the third-world countries are found mainly in the central-African area, according to a map I found on Wikipedia, I suppose it would be quite possible to induce the cultivation of bananas. (The green areas show high human development, the yellow medium human development and the red, low human development.)
I guess. Because aha.
Bearing in mind my weak grasp of geography, I have found another map on Wikipedia to be a visual aid to show you where exactly the tropics would be. Linking the two maps, we can see the developing nations in Africa would fall in the red-tinted zone of the tropics, and more importantly,
be ideal for cultivating bananas.
Am I brilliant, or am I brilliant?
Plant bananas to cure marasmus victims. I do suppose it sounds a little silly at the moment, perhaps it'll only work as a short-term cure. But maybe someday, someone somewhere will think of the same idea as me, propose it to the world, and win a Nobel Prize like that guy Muhammed Yunus who helped Bangladesh with their Grameen Banking system.
Cultivating banana plantations does sound a whole lot more feasible thanissuing insulin doses out to the young though.
I don't think we see cases of marasmus often in our more developed part of the world , with all the splendour of prepared milk powder formulae. However, Catherine Lim's literature does provide a valuable insight into the olden third-world days of Singapore, where if one had not enough money, babies would be fed
sugar water instead of milk.
Well then, I guess there was an inevitable moderate to high mortality rate, but we have to consider the sizeable amount of babies which did make it to adulthood, despite the severe lack of nutrients. We must see how these babies managed to survive, and put them into the hypothetical theory of helping these marasmus victims.