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(单词翻译:双击或拖选)
By Melinda Smith
Baltimore, Maryland
05 September 2006
watch report Celiac Disease
For thousands of years, human beings have suffered from a genetic1 disorder2 that has received attention only in the last few decades. The disorder is called celiac disease and it is triggered by eating something as basic as a slice of bread. VOA's Melinda Smith has more on this debilitating3 illness and what is being done to treat it.
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Anna carefully inspects food during her trips to the grocery store
A trip to the grocery store can sometimes take hours for Anna Quigg. She must carefully read the ingredients itemized on the side of the food product, making sure that no wheat, barley4 or rye is used.
"So you definitely know that you can't have soups with noodles in them," says Anna, “but you also have to be careful about soups that have a thicker sauce and some other soups because they often use wheat or wheat flour to thicken them."
These grains contain a protein substance called gluten, a binding5 agent used in everything from soup to ice cream, to ketchup6. Sometimes the clues she looks for are not so clear.
Anna Quigg
"So it would say 'modified food starch7' and you wouldn't know if that was from corn, which would be fine, or if that was from wheat or barley. You'd have to call the manufacturer and find out, and a lot of the times the manufacturer would say, ‘Well, if you give us the barcode on that specific one, I can tell you whether that specific one is okay. But our sources change, and so sometimes we change from wheat to corn.' You know, so then it gets more complicated," explains Anna.
As a teenager, Anna Quigg was diagnosed with joint8 pain, a racing9 heartbeat and severe anemia10. Over time she developed gastrointestinal problems. Mealtime -- especially when away from home -- became an ordeal11 until a friend suggested she be tested for celiac disease.
"You realize over 11 years how you've changed your lifestyle only after you've started feeling better and realized that not everybody goes right home after dinner, and not everybody has to know where all the bathrooms are all the time."
Celiac sufferers often experience diarrhea, weight loss, abdominal12 pain, chronic13 fatigue14 and malnutrition15. The intestine16 is ultimately damaged.
This gluten intolerance is thought to have evolved from the early development of agriculture. It was first recognized in Europe. It has recently been diagnosed in North and South America, India and surprisingly, among a group of Saharan refugees. The "Saharwee", as they are known, did not have the disease until humanitarian17 groups began delivering wheat and other affected18 grains.
Dr. Carlo Catassi
Dr. Carlo Catassi has worked with the "Saharwee." "We found that 5.6 percent of the general pediatric population is infected with celiac disease, one in 18 children, which is a tremendous load of disease, a tremendous burden of disease in this population."
Doctors Carlo Catassi and Alessio Fasano are two of the world's top experts on celiac disease. Their research in Ancona, Italy and at the University of Maryland in Baltimore has focused on potential treatments -- a pill or vaccine19. Dr. Fasano says until either is available, celiac patients have only one option -- a restricted diet.
Dr. Alessio Fasano
"One of the most enjoyable and natural activities of humankind, that is, eating, will become a very time consuming, mental exercise that sometimes can have implications in your behavior,” explains Dr. Fasano, “because that can make you really stressed and depressed20."
A positive diagnosis21 of celiac disease is made from a blood test and possibly a biopsy from the intestine. But it may not be possible to conduct either of these medical procedures in remote areas around the world. In the meantime, celiac experts are warning relief organizations about the risks of sending wheat abroad.
1 genetic | |
adj.遗传的,遗传学的 | |
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2 disorder | |
n.紊乱,混乱;骚动,骚乱;疾病,失调 | |
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3 debilitating | |
a.使衰弱的 | |
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4 barley | |
n.大麦,大麦粒 | |
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5 binding | |
有约束力的,有效的,应遵守的 | |
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6 ketchup | |
n.蕃茄酱,蕃茄沙司 | |
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7 starch | |
n.淀粉;vt.给...上浆 | |
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8 joint | |
adj.联合的,共同的;n.关节,接合处;v.连接,贴合 | |
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9 racing | |
n.竞赛,赛马;adj.竞赛用的,赛马用的 | |
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10 anemia | |
n.贫血,贫血症 | |
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11 ordeal | |
n.苦难经历,(尤指对品格、耐力的)严峻考验 | |
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12 abdominal | |
adj.腹(部)的,下腹的;n.腹肌 | |
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13 chronic | |
adj.(疾病)长期未愈的,慢性的;极坏的 | |
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14 fatigue | |
n.疲劳,劳累 | |
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15 malnutrition | |
n.营养不良 | |
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16 intestine | |
adj.内部的;国内的;n.肠 | |
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17 humanitarian | |
n.人道主义者,博爱者,基督凡人论者 | |
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18 affected | |
adj.不自然的,假装的 | |
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19 vaccine | |
n.牛痘苗,疫苗;adj.牛痘的,疫苗的 | |
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20 depressed | |
adj.沮丧的,抑郁的,不景气的,萧条的 | |
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21 diagnosis | |
n.诊断,诊断结果,调查分析,判断 | |
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