Skip to content

Everyone has millions of microbes living in complex communities in their sinuses. All these hundreds of species of bacteria, fungi, and viruses are the sinus microbiome or sinus microbiota. In addition, some (many?) people also have tiny organisms called archaea living in their sinuses.

What are archaea? Archaea are single-celled organisms that lack cell nuclei, and have a unique cell wall membrane. Very little is known about them, what their role is in the sinuses (that is, what are they doing there?), how do they interact with the host (the person), and whether their presence is beneficial or not.

There are only a few studies looking at archaea in humans, and while very little is known, the current view is that there are no known harmful archaea ("archaeal pathogens or parasites").

In a 2019 study, French researchers found archaea in the sinuses of 9 of their patients with chronic sinusitis - and therefore thought they were linked to disease. But unfortunately they didn't look to see if archaea are also found in the sinuses of healthy persons, thus there wasn't a comparison group. They found methanogenic archaea (the only microorganisms able to produce methane) in these nine patients, and they thought that the archaea were contributing to or causing the chronic sinusitis.

The Methanobrevibacter species they found were  M. smithii, M. oralis, and M. massiliense, of which 2 have been found in dental plaque and periodontitis lesions, and one is a gut methanogen. [Note: This means it is found in the gut and is methane producing - but that doesn't mean it is harmful.]

Finally, a more recent and comprehensive study looked at archaea and bacteria in the sinuses of both healthy persons and those with chronic sinusitis. University of Auckland researchers found that only 6 out of 70 persons (both healthy and with sinusitis) had archaea in the sinuses, and they were very low in numbers and in diversity. In those with archaea, there was a lot of variation between people. They did not see any archaea associated with chronic sinusitis.

Archaea found were from Euryarchaeota, Thaumarchaeota, and Methanobrevibacteriaceae phyla.

One can only wonder what the archaea are doing in the sinuses in those with them. Especially, as the researchers point out that archaea are characterized by a unique cell wall membrane that "assists survival in extreme conditions such as hydrothermal vents, salt lakes, anoxic and highly acidic or alkaline environments". Also, that recent studies suggest that the human immune system recognizes and can be "activated" by archaea.

Archaea. Credit: Wikipedia

Finally, studies also mention that archaea are resistant to many antibiotics (because of lack of peptidoglycan in their cell wall). It is unknown how this influences their role (if any) in human health and disease.

As you can see, much is unknown right now. Even how many people have archaea in their sinuses, and what kinds of archaea. Stay tuned.

Article by B.W. Mackenzie et al in Frontiers in Cellular Infection and Microbiology: A Novel Description of the Human Sinus Archaeome During Health and Chronic Rhinosinusitis

Earth. Credit: Wikipedia

Today is Earth Day, a good day to reflect on the state of the Earth. Our home. Think about the tremendous amount of air pollution in the air we breathe, of which two pollutants of concern are ozone and fine particulate matter.

The American Lung Association released its annual State of the Air 2021 report. Unfortunately, it reports that more than 40% of American (over 135 million people) are living in places with unhealthy levels of ozone or particle pollution.

Air pollution has all sorts of negative health effects (e.g. effects on brain, heart disease, premature death) The report also points out that the burden of living with the unhealthiest air is not shared equally by everyone. A report finding: “People of color are over three times more likely to be breathing the most polluted air than white people.”

On the other hand, things would be even worse without the fifty year old Clean Air Act (passed in 1970, signed into law by President Nixon). The air quality data used in the report is collected at official monitoring sites across the United States by the federal, state, local and tribal governments. Note that wildfires added to levels of air pollution. It's not just industry, power plants, and vehicles.

Which cities in the US have the worst forms of air pollution? Los Angeles remains the city with the worst ozone pollution in the nation. Fairbanks, Alaska is currently the metropolitan area with the worst short-term particle pollution for the first time. And Bakersfield, California returned as the most polluted for year-round particle pollution (for a second year in a row).

Are you wondering about the ozone and particle pollution in X, Y, or Z locations? Go check out the report. Just keep in mind that it is NOT looking at specific chemical emissions in the air, but only 2 things: ozone and fine particulates.

Short summary, from The Hill: Shocking new study finds 4 out of every 10 Americans live in areas with unhealthy air pollution

Easy to read, with lots of links. From the American Lung Association: State of the Air 2021

The report's 25 most polluted cities for ozone and particulate matter: Most Polluted Places to Live

Syringe. Credit: Wikipedia

Some people get a large red rash on their arm after the first Moderna vaccine dose, and it is being called "COVID arm". It generally appears a few days after the shot, generally occurs in the arm that received the shot, and it goes away in less than a week. It occurs rarely - in under 1% of the people getting the first dose, and even less frequently (0.2%) after the second dose.

It is considered harmless - a hypersensitivity rash. Someone getting the rash after the first dose should get the second dose. In other words - everything is OK, and you can definitely proceed with the second vaccine shot.

You can take antihistamines if needed (if the rash is itchy).

The New England Journal of Medicine recently published a letter and photos about this rash - Delayed Large Local Reactions to mRNA-1273 Vaccine against SARS-CoV-2. Some patient photos of the rash:

Credit: New England Journal of Medicine

From the CDC page: If you get a rash where you got the shot

CDC has learned of reports that some people have experienced a red, itchy, swollen, or painful rash where they got the shot. These rashes can start a few days to more than a week after the first shot and are sometimes quite large. These rashes are also known as “COVID arm.” If you experience “COVID arm” after getting the first shot, you should still get the second shot at the recommended interval if the vaccine you got needs a second shot. Tell your vaccination provider that you experienced a rash or “COVID arm” after the first shot. Your vaccination provider may recommend that you get the second shot in the opposite arm.

If the rash is itchy, you can take an antihistamine. If it is painful, you can take a pain medication like acetaminophen or a non-steroidal anti-inflammatory drug (NSAID).

Pregnant women now have another reason to try to limit exposure to flame retardants while pregnant - having higher levels of flame retardants in their blood during pregnancy is associated with an increased risk of preterm birth.

Nearly 100% of North American women have flame retardants  such as poly-brominated ethers (PBDEs) in their bodies, which can be measured in their blood. Unfortunately they are  hormone (endocrine ) disruptors, and they are also very similar in structure to thyroid hormones. Flame retardants have a number of harmful health effects during pregnancy.

A team of NY and California researchers checked the level of one type of PBDE in the blood of 3,529 pregnant women in the first trimester of pregnancy. They found that those with the highest levels (above 4 nanograms per milliliter of blood) had a higher incidence of preterm birth. But if they had levels below that there wasn't an increased risk of preterm birth.

Flame retardants are all around us (e.g. synthetic carpeting, upholstered furniture), but they migrate out of the product, and so get into us. Yes, they are in our household dust. There are ways to minimize exposures - for example, check carpeting, sofa, and upholstered furniture labels, and only buy those products free of flame retardants. See tips on how to lower your exposure to harmful chemicals.

From Medical Xpress: Exposure to flame retardants early in pregnancy linked to premature birth

Expectant women are more likely to give birth early if they have high blood levels of a chemical used in flame retardants compared with those who have limited exposure, a new study finds. ...continue reading "High Flame Retardant Levels During Pregnancy Linked to Preterm Birth"

It's official! The Food and Drug Administration (FDA) says there is no evidence that COVID-19 is transmitted by food or packaging. This means that the last holdouts can stop washing and disinfecting their food (remember those scary instructional videos last spring?). Whew!

This opinion has international consensus. For example: the International Commission on Microbiological Specifications for Foods (ICMSF)External Link Disclaimer, stated: “Despite the billions of meals and food packages handled since the beginning of the COVID-19 pandemic, to date there has not been any evidence that food, food packaging or food handling is a source or important transmission route for SARS-CoV-2 resulting in COVID-19."

The FDA stresses that COVID-19 is a respiratory illness that is spread from person to person through the air - through droplets or aerosol transmission.

From the medical site Medscape: FDA: COVID-19 Not Transmitted by Food or Packaging

There is no evidence you can catch coronavirus through food or food packaging, the FDA and other government agencies said Thursday.  ...continue reading "COVID-19 Is Not Transmitted By Food Or Packaging"

Many grocery stores now offer several brands of organic milk and eggs. But faced with choices, how do you choose the best organic brands? That is, how do you know which brands really follow organic practices, and which are factory farms playing at sort-of organic?

Meat and dairy products labeled "organic" can be vastly different in how the animals were raised, and whether they truly are organic. This means that they also have nutritional differences (e.g. in beneficial fatty acids), differences in whether the animals were organic from birth, what kind of food they ate, did the animals spend time outside, and what was given to the animals. Yes, there are big loop holes (which Big Agriculture actively lobbies for and follows).

This also explains why factory-farm organic foods are typically much cheaper than  organic foods from small farms or cooperatives. The small farms are being squeezed out. Organic is more than just being antibiotic and pesticide free. You get what you pay for!

There are two main things you can do: 1) buy organic foods from smaller farms, especially local farms,  and 2) look at ratings of organic food brands and buy the better, more reputable ones. But keep in mind that all organic brands are better than non-organic foods (which contain pesticides and drug residues).

COMPARING ORGANIC BRANDS:

1) An excellent resource is the Cornucopia Institute. (cornucopia.org) They have Scorecards that rate and rank different types of organic food (dairy, poultry, cereal, etc). They do research and investigations, and act as a watchdog organization for organic agriculture in North America.

If you look at their Organic Dairy Scorecard, you will see that organic factory farms score poorly (Horizon, many store brands such as Costco and Shoprite). There are many great organic  brands available nationally (e.g. Organic Valley, an independent cooperative of organic farmers that carries dairy products, eggs).

2) The Organic Eye (organiceye.org) is an investigative organization that is monitoring the "increasingly corrupt relationship between corporate agribusiness and government regulators" and how this is weakening organic food standards. See some of their work on the News page, including several videos called "Kastel's Kitchen" where Mark Kastel discusses and compares high integrity organic brands with factory farm organics, and also fraudulent organic foods from China.

According to Mark Kastel (in the videos) some very good organic brands are: Seven Stars yogurt, Hawthorne Valley, Eden Foods, Nature's Path cereals, Dr. Bronner soaps, Pure Indian Foods, Sno Pac Products (frozen vegetables and berries), and Frontier Co-op (herbs, spices, extracts). On the east coast Stonyfield Farms gets its milk from organic family farms (good!). Many store brands don't reveal where they get their organic milk, but many (most?) get it from huge factory farm Aurora Dairy, which has been the subject of investigations.

If you want to be truly depressed about Earth's future, reading a recent article by an international group of scientists will produce feelings of horror, anxiety, and helplessness. Even the title was bleak: "Underestimating the Challenges of Avoiding A Ghastly Future".

They laid out in depressing detail how life on Earth and its future is far, far worse than we realize. It's all due to our inability to come to terms with and take action on biodiversity loss (massive species extinctions!), increasing population and consumption, and climate change. Which is accelerating and getting worse year by year.

The 17 scientists reviewed more than 150 studies to produce a summary of the state of our natural world. They stress that environmental conditions in the future on Earth will be far worse than we generally realize. The loss of biodiversity, the accelerating climate change in the coming decades, along with ignorance and inaction, is threatening the survival of all species, including humans.

The bottom line: We  (governments, individuals, corporations, industries) must all take action now to avoid the worst case scenarios, including extinction of our species. As the researchers said: "The science underlying these issues is strong, but awareness is weak."

A good discussion of the article results, including what must be done. Some excerpts from The Conversation: Worried about Earth's future? Well, the outlook is worse than even scientists can grasp

Anyone with even a passing interest in the global environment knows all is not well. But just how bad is the situation? Our new paper shows the outlook for life on Earth is more dire than is generally understood.  ...continue reading "The Future Of Life On Earth Does Not Look Good"

It's getting hotter! NASA (National Aeronautics and Space Administration) just released a short dramatic video stating that 2020 tied 2016 for the warmest year on record. They also released an article pointing out that while the last few decades have shown a "dramatic warming trend", the last seven years have been the warmest seven years on record.

The NASA video (under 1 minute):

It is expected that Earth's temperature will continue increasing (climate change!), and that records will continue to be broken. Rising temperatures are resulting in a loss of sea ice, sea level rise, longer and more intense heat waves, shifts in plant and animal habitats, etc. Temperatures are increasing due to human activities, specifically emissions of greenhouse gases, like carbon dioxide and methane.

Are humans up to the challenge of climate change? We have no choice.

It turns out that people experiencing a major depression have differences in their gut microbiome (community of microbes) when compared to healthy people who are not depressed. A persistent and prolonged period of extreme sadness or depression is called a major depressive disorder (MDD).

A team of researchers (in both China and the US) analyzed stool samples from 311 people  with either MDD or healthy and not-depressed (the control group). They used modern genetic sequencing to see what microbes were in the stools. They found differences in 47 bacterial species, 3 bacteriophages (a virus that infects bacteria), and 50 fecal metabolites - which suggested to the researchers that depression is characterized by gut microbiome problems (it's imbalanced or out of whack).

There actually was a "signature composition" of gut microbes in the depressed persons, all of whom were unmedicated. They found higher levels ("increased abundance") of 18 bacterial species in people with MDD (mainly belonging to the genus Bacteroides) and 29 were less common (mainly belonging to Eubacterium and Blautia), when compared to healthy persons.

The researchers point out that other studies also find the gut microbiome to be imbalanced in MDD, and there are animal experiments showing that the gut microbiome has a role in causing MDD (e.g. transplanting gut microbes from a depressed person into a rat results in the rat exhibiting depressive behaviors).

Excerpts from The Scientist: Distinct Microbiome and Metabolites Linked with Depression

The human gut microbiome is a world in miniature, populated by a chatty community of bacteria, viruses, fungi, and protozoa nestled within various gastrointestinal niches. Over the past decade, researchers have linked disturbances within this complicated microbial society to a variety of diseases. Major depressive disorder (MDD) is one such condition, but the studies have been small and the findings imprecise.   ...continue reading "Gut Microbiome Is Altered In Persons With Major Depression"

It is shocking that the same virus can result in the majority of people with COVID-19 having minimal or no symptoms, but others really suffering or even dying from it. We now know that after developing a COVID-19 infection, some people seem to be ill with symptoms for weeks and even months. This has been referred to as "long-COVID" or "long-haul COVID".

How frequently does this occur? The UK Office of National Statistics (ONS) is looking into this issue, and currently estimate that: 1) About 1 in 5 respondents testing positive for COVID-19 exhibit symptoms for a period of 5 weeks or longer, and  2) About 1 in 10 persons testing positive for COVID-19 exhibit symptoms for a period of 12 weeks or longer. (That's a lot!!!)

Using data from the ONS Infection Survey on hundreds of thousands of people in the UK, the report found that during the last week of November 2020 about 186,000 people in England were living with Covid-19 symptoms that had persisted for between five and 12 weeks. The most commonly reported symptom was fatigue, followed by a cough, headache, loss of taste, loss of smell, sore throat, fever, shortness of breath, nausea, diarrhea, and abdominal pain.

Coronavirus emerging from cells.

The CDC (Centers for Disease Control and Prevention) also discusses "long-term effects of COVID-19" on its web-site. They mention the most common long-term symptoms as: fatigue, shortness of breath, cough, joint pain, chest pain, but also list other symptoms such as "brain fog" (difficulty with thinking and concentration), intermittent fevers, headaches, and also less frequent more serious long-term complications (e.g. kidney injury, inflammation of the heart muscle).

The good news is that people generally report slow improvement over time. There are now popular support groups on Facebook (e,g, Survivor CorpsCovid-19 Support Group (have it/had it), Long Covid Support Group, and Long Haul Covid Fighters). Fiona Lowenstein started a Covid-19 support group (Body Politic Covid-19 support group) for people living with the virus. Medical centers that are treating long-term COVID symptoms (e.g. NYU Langone).

Another helpful source of information is Paul Garner, professor of infectious diseases at Liverpool School of Tropical Medicine. He has documented his battle with long-term Covid-19 symptoms in the British Medical Journal blog (also June 23 follow-up), and the need for "pacing" during recovery to prevent relapses. [twitter.com/paulgarnerwoof?lang=en ]

We are still in the early days of understanding COVID-19 and its effects. A year ago we were only aware of an emerging virus in China. And now it's global pandemic.