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Food-aid cereals to reduce neurolathyrism related to grass-pea preparations during famine
Ist Teil von
The Lancet (British edition), 2003-11, Vol.362 (9398), p.1808-1810
Ort / Verlag
England: Elsevier Ltd
Erscheinungsjahr
2003
Quelle
PBSC : Psychology and Behavioral Sciences Collection - Journals
Beschreibungen/Notizen
Neurolathyrism is a spastic paraparesis that can be caused by excessive consumption of the drought-resistant grass pea (
Lathyrus sativus). Devastating neurolathyrism epidemics have occurred during major famine crises in various parts of the world. We investigated in a case-control study the effects of food aid on risk of paralysis. Risk increased with consumption of boiled grass pea (adjusted odds ratio 2·78, 95% CI 1·09–7·13 with cereals; 5·22, 2·01–13·55 without cereal) and raw unripe green grass pea (1·96, 1·16–3·31; p=0·011), but not with the fermented pancake, unleavened bread, and gravy preparations. In a correlational study there was an inverse relation between the number of new cases and the amount of food-aid cereals distributed per person. During famine, cereals and nutritional information should reach people before they have grass pea as the only food.