[HN Gopher] Deadly fungi are an emerging microbe threat
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       Deadly fungi are an emerging microbe threat
        
       Author : laurex
       Score  : 105 points
       Date   : 2021-05-21 17:37 UTC (5 hours ago)
        
 (HTM) web link (www.scientificamerican.com)
 (TXT) w3m dump (www.scientificamerican.com)
        
       | edejong wrote:
       | Radiolab published a podcast about it in 2020:
       | https://www.wnycstudios.org/podcasts/radiolab/articles/fungu...
        
       | blueblisters wrote:
       | In India, Mucormycosis, a rare fungal infection is being seen in
       | patients recovering from Covid-19. It has been declared an
       | epidemic I believe. Doctors believe that high blood sugar and an
       | indiscriminate use of steroids to reduce Covid-19 inflammation is
       | linked to the spread.
        
         | sdljfjafsd wrote:
         | This isn't surprising to me. In India a lot of state
         | governments are sending covid pill packs to citizens which
         | really don't do anything for covid and contain things like
         | hydroxychloroquine, remdesivir, zinc, other steroids, and other
         | blood thinners.
         | 
         | even the AIMS protocol doesn't recommend against drugs and
         | techniques that the rest of the world has rejected almost a
         | year ago. My partner treats covid in the US and has been doing
         | consults to patients in India. Most of their work is telling
         | patients to ignore the pills their doctors or government has
         | been sending, although they rarely listen.
         | 
         | I wouldn't be surprised if a large chunk of the covid negative
         | or mild covid population is on steroids.
        
           | nojokes wrote:
           | Systemic corticosteroids are strongly recommended for
           | patients by WHO. I see from here
           | https://www.indiatoday.in/coronavirus-
           | outbreak/story/remdesi... that also budesonide is recommended
           | for patients with mild symptoms and the usage of is backed up
           | by recent studies.
           | 
           | I do not think that the problem is steroid usage by itself
           | but depressing lack of even basic hygiene even in hospitals.
           | 
           | PS. Blood thinning is standard procedure in COVID-19 care for
           | many hospitals, dunno how reasonable at home without any
           | tests. Remdesivir is injected, I do not believe that it is
           | distributed. Perhaps you meant ivermectin?
        
       | woeirua wrote:
       | You should be _much_ more concerned about bacteria developing
       | antibiotic resistance. While fungi are undoubtedly evolving
       | quickly and may one day pose a risk to us, the devil we know is
       | already working very quickly to overwhelm our best medications.
       | And we know that without those medications millions per year will
       | die.
       | 
       | But I'm not that worried about antibiotic resistance, because
       | there are many ways to skin a cat. MRNA vaccines, bacteriophages,
       | targeted antibiotics, nanotech, etc all offer us ways to break
       | free from the natural arms race that we're in right now.
        
         | matheusmoreira wrote:
         | We've got a lot of pharmacological weapons suitable for use
         | against bacteria. For fungi we have azoles, amphotericin B...
         | That's pretty much it.
         | 
         | My microbiology professor used to be terrified of these things.
         | Probably still is.
        
           | MrMan wrote:
           | There is a new third class of anti fungals
        
         | mrweasel wrote:
         | The issue with fungi is that we have so litte efficient
         | medication. What little we do have is slowly being render
         | useless by its overuse in agriculture.
        
       | alea_iacta_est wrote:
       | Gotta keep the plebs scared or they may start asking questions...
        
         | Red_Leaves_Flyy wrote:
         | One can do both. Even an uneducated poor grunt like me can
         | simultaneously worry about novel diseases and the countless
         | corrupt machinations at play the world over.
        
         | ryanmarsh wrote:
         | Eat the bugs, live in the pod
        
         | phaemon wrote:
         | What great questions have you asked?
        
         | bigbillheck wrote:
         | Don't misunderestimate fungus, buddy:
         | http://www.fao.org/agriculture/crops/rust/stem/rust-report/s...
        
           | alea_iacta_est wrote:
           | And meteors, and murder hornets, and rip current, and sun
           | flares, and cholesterol, and lightnings, tornados, straight-
           | line wind, fast food, microwaves... and ... and ...
           | 
           | "Every man dies. Not every man really lives" - William
           | Wallace
        
             | dkarras wrote:
             | ...and gubmint. hell yeah, let's go rob a bank. you in?
        
             | bigbillheck wrote:
             | Puccinia and other crop diseases have historically led to a
             | lot more human deaths than any of those other things put
             | together.
        
       | devops000 wrote:
       | It will be the new COVID?
        
       | trey-jones wrote:
       | Wait, I thought it was prions. See?
       | https://news.ycombinator.com/item?id=18648043
        
         | pmlnr wrote:
         | prions are one of those things I wish I never started reading
         | about. It's like reading about Lovecraftian gods when you know
         | there's nothing that could protect you if it hits you.
        
         | masklinn wrote:
         | Por que no los dos?
         | 
         | But really the potential of prions is so bad if they _could_
         | realise it we'd already be done for, they'd be a homogenising
         | swarm.
         | 
         | Fungi though, fungi already do a lot, and they're as
         | ridiculously varied and flexible as they've been neglected. The
         | next zoonotic threat being fungi makes a lot of sense, and it
         | sounds rather bad.
        
         | matheusmoreira wrote:
         | Prions are dangerous but unlike fungi they remain rare.
         | Mercifully.
        
         | Red_Leaves_Flyy wrote:
         | >fallingknife on Dec 10, 2018
         | 
         | >Infectious disease is one area where fear of the unknown is
         | rational. We don't just need to defend against existing
         | diseases, but also diseases yet to emerge.
         | 
         | Sage wisdom shared a mere year before the covid outbreak.
        
       | some_account_ wrote:
       | In related news, there has been a recent outbreak in India of
       | deadly "Black Fungus" in Covid patients.
       | 
       | https://www.theguardian.com/global/2021/may/11/what-is-the-d...
       | 
       | https://en.wikipedia.org/wiki/Mucormycosis
        
         | [deleted]
        
       | throw0101a wrote:
       | I for one welcome our new Cordycep Overlords:
       | 
       | * https://thelastofus.fandom.com/wiki/Cordyceps_Brain_Infectio...
        
       | actinium226 wrote:
       | "I have lived through many great tragedies in my life, and some
       | of them actually happened"
       | 
       | Mark Twain
        
         | allturtles wrote:
         | https://quoteinvestigator.com/2013/10/04/never-happened/
        
         | na85 wrote:
         | I don't understand the relevance of this quote.
        
           | jcelerier wrote:
           | Cataclysmic events are very often reported by newspapers, but
           | in practice only a few are actually cataclysmic
        
             | [deleted]
        
           | [deleted]
        
         | tbwriting wrote:
         | Imagine posting this in 2018 under an article about
         | coronaviruses in bats.
        
           | acheron wrote:
           | Or in 2002 or 2011 about coronaviruses or in 2015 about ebola
           | or in 2009 about swine flu or or or...
           | 
           | You don't get credit for predicting 10 of the last 1
           | pandemics.
        
             | AlotOfReading wrote:
             | Ebola and H1N1 were both epidemics. The former wasn't a
             | pandemic and the latter didn't kill that many people in
             | hindsight, but they were most definitely epidemic in large
             | communities.
        
               | MaxBarraclough wrote:
               | With the disclaimer that I'm not an expert: Also, ebola
               | didn't just fizzle out of its own accord, its spread was
               | halted by a concerted, and brave, effort. Medics died
               | fighting that epidemic. I suspect it could have been
               | orders of magnitude more lethal had it been handled less
               | effectively.
        
           | actinium226 wrote:
           | Yes, exactly, _some_ of them actually happened!
        
       | everdrive wrote:
       | Are they becoming deadlier? Or, did they just rise higher in the
       | list by virtue of the fact that other threats were mitigated.
        
         | shoto_io wrote:
         | Might be also be attributed to attention bias. Interest in
         | fungi steadily grew -in my perception at least- over the last
         | years.
        
         | ipsum2 wrote:
         | > That mutual coexistence is now tipping out of balance. Fungi
         | are surging beyond the climate zones they long lived in,
         | adapting to environments that would once have been inimical,
         | learning new behaviors that let them leap between species in
         | novel ways. While executing those maneuvers, they are becoming
         | more successful pathogens, threatening human health in ways--
         | and numbers--they could not achieve before.
         | 
         | Still early stages, but signs point to fungi becoming deadlier.
        
           | bdamm wrote:
           | It's a bit of creative writing, mostly. Fungi evolve, that's
           | what they do. And they evolve very rapidly. They also have
           | great staying power, with spores that have covered every
           | square millimeter of the earth pretty much for the entire
           | history of life on earth. You're breathing some in right now.
           | 
           | Animals evolved warm-bloodedness partly to improve resistance
           | to environmental fungi. Meanwhile, insects (bees, ants,
           | others) actually farm fungi as part of their food and for
           | defense. This all points to a really profound and fundamental
           | fact: We have been co-existing with fungi every second of
           | every person's entire lives.
           | 
           | If fungi are killing more people, it's because people have
           | changed, not the fungi.
        
             | eloff wrote:
             | Was with you up to:
             | 
             | > If fungi are killing more people, it's because people
             | have changed, not the fungi.
             | 
             | That's an overreach. It could be either or both. Obviously
             | fungi are evolving rapidly as you yourself point out.
        
             | [deleted]
        
             | Dotnaught wrote:
             | >Animals evolved warm-bloodedness partly to improve
             | resistance to environmental fungi
             | 
             | I was listening to a podcast recently that discussed how
             | human average body temperature has been declining in recent
             | years while heat tolerance of fungi has been rising (thanks
             | to the climate). The result is that our bodies are less
             | capable of preventing fungal infections through heat and
             | fungi can be pretty deadly if unchecked.
        
               | everdrive wrote:
               | That's pretty interesting. Are there any guesses as to
               | why body temperature is declining?
        
               | Dotnaught wrote:
               | It was a Radio Lab (Fungus Amungus): https://www.wnycstud
               | ios.org/podcasts/radiolab/articles/fungu...
               | 
               | The theory is that in wealthy countries with good public
               | health, there's less need to maintain a high body
               | temperature to fend off threats. The show said that human
               | body temperature "has been steadily declining for decades
               | at a rate of, like, .05 degrees Fahrenheit per decade."
               | (though not in less developed countries)...average is
               | said to be more like 97.5 degrees.
        
               | edejong wrote:
               | Here is my hypothesis. Our body temperature is expensive
               | and evolutionary not 'stable'. In the past, it would make
               | sense that in environments with lower bacterial threats,
               | the group would select for lower body temperature in
               | order to preserve energy.
               | 
               | In order to do that, individuals with too low a body
               | temperature would be removed from the group due to
               | infections. This would create a balanced system between
               | body temperature (energy expenditure) and bacterial
               | immunity.
               | 
               | With the development of antibiotics, this changed. The
               | previous bottom of the group is not culled anymore,
               | removing the barrier of the imbalance. Therefore, the
               | group is 'safely' selecting for lower body temperatures.
        
               | kk58 wrote:
               | Interestingly in Ayurveda this is called kapha dominant
               | body and it occurs when eats a food heavy in kapha heavy
               | foods like sweets, dairy, cheese
               | 
               | So it's possible this reduction reflects a change in our
               | diets
        
               | Enginerrrd wrote:
               | My money is on the same endocrine disupters that are
               | lowering testosterone levels, lowering sperm counts, and
               | likely increasing obesity issues.
        
               | edejong wrote:
               | You probably want to link the podcast: https://www.wnycst
               | udios.org/podcasts/radiolab/articles/fungu...
        
               | [deleted]
        
               | matheusmoreira wrote:
               | > human average body temperature has been declining in
               | recent years
               | 
               | What? More details and citations are needed.
        
               | ipsum2 wrote:
               | Why not Google it yourself? The first few results:
               | 
               | https://www.sciencedaily.com/releases/2020/10/20102817143
               | 2.h....
               | 
               | https://med.stanford.edu/news/all-news/2020/01/human-
               | body-te...
               | 
               | https://www.scientificamerican.com/article/are-human-
               | body-te...
        
               | matheusmoreira wrote:
               | Because I'm not the one who claimed body temperatures
               | were decreasing.
        
               | ipsum2 wrote:
               | If I claimed that it was raining in San Francisco right
               | now, do I need to provide a weather report, or would you
               | be able to find it yourself?
        
               | matheusmoreira wrote:
               | I wouldn't even have replied to your post had you claimed
               | that.
        
         | tbwriting wrote:
         | 15th paragraph:
         | 
         | > Not all of our vulnerability is the fault of medicine
         | preserving life so successfully. Other human actions have
         | opened more doors between the fungal world and our own. We
         | clear land for crops and settlement and perturb what were
         | stable balances between fungi and their hosts. We carry goods
         | and animals across the world, and fungi hitchhike on them. We
         | drench crops in fungicides and enhance the resistance of
         | organisms residing nearby. We take actions that warm the
         | climate, and fungi adapt, narrowing the gap between their
         | preferred temperature and ours that protected us for so long.
        
       | a3w wrote:
       | Take over the world as: bacteria, easy. Virus, easy, but a little
       | random. Fungi? Now the player needs to start thinking. Source:
       | Plague Inc.
        
       | Alex3917 wrote:
       | Discussed previously on HN:
       | https://news.ycombinator.com/item?id=5995095
       | 
       | Where commenters of course insist that fungi can't develop
       | resistance to anti-fungals, and fungal infections aren't
       | dangerous in the first place.
        
       | antiviral wrote:
       | Fungi can be very potent. There is a form of fungi called
       | Cordyceps that invade the brains of ants and change their
       | behavior in a way that increases its spread. Here's a clip by
       | Attenborough explaining it best:
       | 
       | https://www.youtube.com/watch?v=XuKjBIBBAL8
       | 
       | They even made a movie about this jumping to humans called "The
       | Girl with all the Gifts"
        
         | eloff wrote:
         | It's David Attenborough.
        
         | ctoth wrote:
         | Reminds me of this fantastic short novel:
         | https://news.ycombinator.com/item?id=27238610
        
         | [deleted]
        
         | lifty wrote:
         | They also made a video game inspired by it, called The Last of
         | Us. One of my favorite games.
        
         | tonyhb wrote:
         | This is where the inspiration for The Last of Us came from.
         | 
         | Another form of this is in Cicadas:
         | https://www.npr.org/2021/05/18/997998920/the-fungus-thats-ma...
         | 
         | The fungi is essentially a cicada STD which eats at their
         | bodies.
        
           | astrange wrote:
           | Mammals are much more resistant to parasites though - we have
           | better immune systems, a high internal body temperature, and
           | don't use pheromones. All of those are essentially there to
           | prevent fungi from mind controlling us.
        
       | Yuioup wrote:
       | Oh what now
        
         | bmitc wrote:
         | A film by Adam Curtis about how all of us have become Richard
         | Nixon.
         | 
         | https://www.youtube.com/watch?v=fxV3_bG1EHA
        
           | pkdpic_y9k wrote:
           | Love it, the mans brain is made of solid gold dogecoin tesla
           | NFTs as always.
           | 
           | But these shorter Adam Curtis vids have always confused me a
           | bit. Are they just parts of longer documentaries that Ive
           | never come across or does he sometimes produce these things
           | to be under 10min? Were these aired on the BBC in between
           | other programs or something?
        
           | foobiekr wrote:
           | I believe this is extracted from "The Trap."
        
       | qart wrote:
       | Drug resistant microbes are getting bred by Indian pharma
       | factories [corrected from "pharmacies"] through their own
       | carelessness [1]. I think it's high time WHO or some such agency
       | got more powers to penalize the perpetrators beyond the
       | jurisdiction of the country. If these bugs start in one place,
       | people on the other side of the globe get affected quickly too.
       | At the moment, it seems that the best the west can do is not buy
       | from factories that pollute. But this measure is insufficient.
       | 
       | [1] https://www.youtube.com/watch?v=H9EJuAU2Un4
        
         | ozborn wrote:
         | The article was about fungal infections, not bacterial
         | infections. In both cases the amount of both antibiotics and
         | anti-fungals used by humans is small relative to their use in
         | agriculture. That may be an easier place to start, although it
         | doesn't preclude sanction against whatever bad practices are
         | described in your linked video (didn't watch).
        
           | qart wrote:
           | The video is about effluents form the pharma industry. The
           | scale dwarfs any abuse by both human patients and animal
           | farming. I have modified my comment above because I had used
           | the wrong word.
        
           | nightwing wrote:
           | The only effective way to reduce use of anti-fungals in
           | agriculture is to develop new resistant varieties of plants,
           | but that is sadly blocked by people unreasonably fearing gmo.
        
         | [deleted]
        
       | brundolf wrote:
       | Tell me when I need to actually do something about it. Until
       | then, I have better things to spend my mental energy on.
        
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