Tag Archives: medicine

23andme and the power of information

For a few months now I have been using a genetic testing service called 23andme (Wikipedia).  Their promise is quite simple:

Gain insight into your traits, from baldness to muscle performance. Discover risk factors for 97 diseases. Know your predicted response to drugs, from blood thinners to coffee.  And uncover your ancestral origins.

The process is very straightforward.  After sign up and paying a fee (+ shipping and handling) you get a small plastic tube.  Spit on it, send it via DHL back to their labs in the US and wait to get your results.

You do have to agree to a pretty hefty disclaimer, and there’s a reason for it.  23andme only provide genetic testing and related services and are not a medical services provider.  Furthermore, the information you can gather from this procedure can have profound consequences for you and your family: maybe there’s an inheritable disease doing the rounds in your folks (Alzheimer or Parkison have been thoroughly researched, e.g.), or you discover relatives you didn’t know you have (or indeed, find out you’re not related to who you thought you were).

Once you register you are granted access to their website to familiarize yourself with their interface and the possible results you could get.  Their service is divided into four parts: My Health (genetic disease carriers and drug response), My Ancestry (analysis of X-chromosome and mitochondrial DNA for genetic genealogy), Sharing and Community (“social genetics” features), and 23 and We (voluntary participation in genetic research through surveys).

The most interesting sections for me were the first two.  Regarding health I was able to confirm what I already knew from my family history plus a couple of things that I suspected but I had no certainty about such as the fact that I metabolize caffeine relatively slowly, which explains why I don’t need many cups of coffee to get my “latte high”.

The ancestry bit was also very interesting.  I know a fair amount regarding my ancestry up to my great-grandparents and there are a couple of things I can gather given the areas of Mexico where they come from, but unfortunately doing a full genealogical research European style is out of the question since records in Mexico have been destroyed or lost in the Independence War, the Mexican Revolution and the Cristero War.  What I found was that my mitochondrial DNA (basically my mom’s mom’s almost ad infinitum line) is Mexican Indian from the Pacific Ocean from the Ice Age migrations through the Bering Strait when the Americas was being first populated (phenotype doesn’t equal genotype, my mom looks more Caucasian than I do), while my X chromosome shows Middle Eastern (possibly Jewish or Lebanese) ancestry, which is also consistent with the recently documented migration of Spanish Jews to Northern Mexico to avoid the Spanish Inquisition.  Furthermore, while the majority of my genetic markers are European, I do have a third of Asian/Native American (back to the Bering Strait bit) ancestry plus a smattering of African inheritance.  It all makes relative sense based of what I know of my family’s history.

Basically what I learned in my lessons of Mexican History through high school is not only correct, it shows in me.

Unfortunately 23andme’s reference database is not perfect, but thankfully the Mexican Genomics Institute is doing a very good job in analyzing what people from the Bravo to the Usumacinta Rivers carry in their genes.  All hail Saint Google :).

Through their community features the service calculates other possible genealogical matches (basically people who could be related to you who have also used the service). I’ve found mostly Mexican-Americans (obvious as their service is based in the US and they do not ship to Mexico due to our awesome customs officials) plus a smattering of people with Spanish ancestry and a lone Colombian with (I suppose) Amerindian ancestry.

Then there’s the research bit.  It’s basically a bunch of surveys they use to help in correlating the presence of certain genetic markers with physical or medical traits.  It’s interesting but I haven’t used the service long enough to have my answers help in any medical discoveries.

The only blemish to the whole thing is that we could get test results for my son.  He’s so young that his drool is too diluted (after all the little man is teething), which means they cannot extract enough genetic material for analysis. With the way things are developing, I wouldn’t be surprised if they’re able to do it in a year or two.

All in all, a very interesting experience even if I’m just really getting started.  If you want to know more about factors that could affect your health plus your ancestry and are not afraid of the power of information I truly recommend it. Other services only do one or the other.

Swine flu… epilogue?

After a week and a half of having declared the emergency, everything is slowly going back to normal in Mexico City now that the government has declared that the worst has passed (at least in Mexico itself, as the virus is still being reported in the U.S.). Tomorrow people will go back to work and in a few days schools will reopen.  There are a couple of diplomatic incidents still ongoing, and I for one am not planning to go to China nor Argentina anytime soon (both suspended flights, and Mexicans without symptoms are .

I really hope that the Mexican tourism industry recovers once this emergency is over, as the economic cost of this emergency runs in the billions.  At least it’s not the main news item in international media anymore at the time of writing.

Times of swine flu

New 20 Peso note

Even though the name is rather contentious, it is definitely the main news topic worldwide.   The rate of new cases seems to be going down in Mexico according to the Health Ministry, but there have been more deaths in Mexico and the first one abroad and the disease has spread to more countries, including a suspected case in Finland.  In Mexico City most of my friends and family keep on staying home, and most have already paid a heavy-duty visit to the supermarket.  I certainly hope the situation stabilises before other countries besides Argentina and Cuba suspend flights to the country.

In the cultural reaction front, there is plenty of photoshopped images doing the rounds, and others taken from the scene.  There is now a second swine flu song, the first has been translated to English, and people keep on using humour as a way to cope, especially that now even restaurants in the city are closed (with losses of more than 70 million USD per day).

Continuing with the story

The WHO has raised its alert status to level 4. There have been over 2,300 cases in Mexico now, 700 still in hospital, 150 deceased.  There are confirmed cases in Spain and Scotland, and closer to home suspected cases in Belgium, Sweden, Norway & Denmark.  To make matters even worse, there was an earthquake in Mexico City today, although there is no reports of damages.

Although Mexicans are now starting to sound worried, some still cope by joking.  Some people commented that the earthquake was basically another way of sneezing, and the influenza song now has a video.  People are still staying home, following the instructions of the government, and the school shutdown has been expanded nationwide.  If you speak Spanish, the Mexican Presidency has live video coverage of the situation here.

The reactions to swine flu in Mexico (part II)

Roman Catholic masses were cancelled throughout the city, museums were closed and football matches were played behind close doors (my team, Chivas, tied) to avoid the creation of crowds.  People have been generally very calm from what I understand, stayed home and there is no panic shopping, but the streets are rather empty for a city of over 20 million people (some pictures here).  If you understand Spanish, a great chronicle of the past two days can be found here and here.  The city is not afraid, and people still make fun of the situation from time to time.

Video rentals and video stores were doing brisk business yesterday, and schools are closed until May 6th (May 1st and 5th are holidays anyway).  Military personnel have been handling masks around the city and now everybody is bracing themselves for tomorrow: will people go to work or will they home office (those who can)?

The Finnish media have complained about the slow Mexican response to the outbreak, but they seem to ignore that even the National University (UNAM) doesn’t have the equipment needed to distinguish this new virus from its old, previously known cousins and with the normal flu season just ending, there was no cause for concern.  On the other hand the World Health Organisation has praised the Mexican response.

There are confirmed cases in Mexico, the US, Canada and New Zealand, and suspected cases in France, Spain, UK & Israel (map here).  Deaths have only happened in Mexico, and even there two thirds of the 1200 cases have already been released from hospital.  According to some information in the Mexican media, vaccines don’t work, but antivirals such as Tamiflu do.  Airports haven’t been closed, but there is more stringent screening in Singapore, Hong Kong and Japan from passengers coming over from North America.

There are two different hypothesis of the origin of the virus: one points to it having started in a farm in Texas and then crossed over to the border, the other one points to farms in Perote, Veracruz, Mexico.  None has been confirmed.

If you want to know more in real time, you can follow @Veratect and @zolliker (in Spanish) on Twitter.

The reactions to swine flu in Mexico

Football games cancelled in Mexico City
Football games cancelled in Mexico City

One very interesting consequence of the current situation with swine flu in Mexico (New Yortk Times, BBC, El Universal, Hesari) has been the reaction of the public.  While of course the healthcare system is taking all possible measures and people are worried, quite a few have tended to cope with the situation through jokes (some of a very dark nature). People have started joking about zombies, politics, Hollywood disaster movies or the fact that it seems to be a mutation of bird, swine and human flu.  There’s even a swine flu song…

A selection of tweets below (mostly in Spanish, sorry):

Genomics for the masses.

Basically, by giving a sample of your DNA you can get answers about what is your real risk for heart disease or where did your ancestors come from, for example.  I'm just reading an article in Wired, where they explain how these genetic analysis are available for consumers for 1,000 USD a piece.  Whereas I would definitely like to know this information the consequences of it being available are enormous.  Gattaca anyone?