Lindenbaum 1979: Kuru Sorcery Research among the Fore by Sherley Lindenbaum in the 1960s in South Fore, Papua New Guinea First: psychosomatic phenomenon, directly associated with the threat of fear of what was believed to be an attack of sorcery. Later: Kuru is a slow virus infection spread by the ingestion of human flesh. CJD is a clearly defined neurological disease cased by a PRION, was thought o be a slow virus infections KURU is an indigenous explanatory framework for symtomps of trembling, laughing, strange behaviour, Kuru is caused by malevolent activities by Fore sorcerers Kuru means “trembling of fear” symptoms: loss of balance, incoordination, ataxia, slurng of speech, ataxic eye movements, tremor, initial shivering, involuntarily body movements, then motoric incapacity, death in about 1 year laughing disease FORE KINSHIP SYSTEM • • • • • • • Bilateral, horizontally, only 2 generations deep, open, social Kuru was thought to be hereditary till anthropologists analysed Fore kinship system brother-sister bond very strong, husband-wife bond loose “Fagina” with whom you shared food, fluid kin, dependent on movement “Nagaya” age mates, had strong priority over the brother, died and were buried together “Waboli” warrior mates ”Nagkwa” Namesakes: life time bondage SORCERY IN KURU • Sorcerer required body part (nail, clothes, blood feces) 1 • • burying of body parts and pit toilets were common to prevent sorcery healers’ method: bloodletting THEORY OF ENDOCANNIBALISM • • • • • 1960s: wild animal became rare, led to cannibalism, women ate the brains which were infected Kuru was considered sorcery, therefore bodies were eaten Bodies of sick people were not consumed Beth Conklin 2001: CONSUMING GRIEF analysed reasons for cannibalism ( psychoanalytic approach) 2 Kannibalismus in der prähistorischen Forschung Heidi Peter-Röcher 1994 Universitätsforschungen zur prähistorischen Archäologie In Kommission bei Dr. Rudolf Habelt GmbH, Bonn. first studies in 1957 by D.C. Gajdusek, received Nobel Price in 1976 incubation time: 4 – 20 years disease: death in 3-9 months first hypotheses: Infection through endo-cannibalism, while preparing the flesh, contact with infectious brain substances. infection with kuru virus was most probably through cuts in the skin or from nose picking, eye rubbing or mucosal injury. Cannibalism was never observed, the photos taken by Gajdusek showed pork meat. Among the fore: children of both sexes and mainly women were affected. Unusual demographic profile as since 1950s number of diseases were less and less, both sexes were affected. R. Glasse did ethnographic research in the same region from 1961-63. He also confirms cannibalism among the Fore without ever having witnessed the event. At that time Kuru was not associated with cannibalism, but he noticed that the South fore were not engaged in cannibalism (p209) Peter-Röcher argues that at that time apparently cannibalism was constructed to suit the kuru disease image. It was common in entire Papua New Guinea to deal with dead corpse and take out the buried skulls, which was practised mainly by women. (208) According to Peter-Röcher it was enough to deal with the dead corpses in an unhygienic way to be infected. It was observed that the fore never washed their hands after dealing with corpses. 3 Cannibalism is not necessary to explain the infection. It is apparently a construct of the ethnologists and perhaps their (male?) informants. (210). Kuru: the old epidemic in a new mirror IN: Microbes and Infection Volume 4, Issue 8 , July 2002, Pages 875-882 Lev G. Goldfarb 2002 The kuru epidemic lasted almost a century; it started in 1901–1902, reached epidemic proportions in the mid-1950s, and disappeared in the 1990s. Kuru is the prototype member of a group of disorders known as transmissible spongiform encephalopathies (TSEs) or prion diseases. Creutzfeldt–Jakob disease is a variant of Kuru. The kuru epidemic in the Eastern Highlands of New Guinea took the lives of 3000 individuals; more than 80% of the known kuru fatalities were recorded in a limited area populated by the Fore people. 200 new cases annually by the mid-1950s no individual born after 1960 has ever developed kuru. by the late 1950s, cannibalism was completely abandoned, and exposure to kuru infectivity ceased. breakthrough in studies of kuru was the demonstration of its transmissibility to experimental apes and other animals extremely long incubation time, relatively slow disease progression, absence of inflammatory pathology, and an always fatal outcome. 4 Currently known transmissible spongiform encephalopathies (TSEs) include: sporadic, familial and iatrogenic Creutzfeldt–Jakob disease (CJD); Gerstmann–Sträussler–Scheinker disease (GSS); fatal familial insomnia (FFI); and variant Creutzfeldt–Jakob disease (vCJD). The critical event in the pathogenesis of TSE is believed to be a conformational switch in the normal cellular prion protein (PrP-c), a predominantly -helical molecule, into its pathogenic isoform PrP-sc that is rich in -sheet structures, partially protease-resistant and Infectious. Until recently, kuru was the only example of oral transmission occurring in humans. The latest TSE member, vCJD linked to consumption of contaminated beef from animals incubating bovine spongiform encephalopathy, has a phenotypic similarity to kuru . These two disorders are expected to share other basic disease mechanisms. Therefore, the results of extensive kuru studies can be used in current attempts to curb and eliminate the epidemic of vCJD in Great Britain and other European countries. Historic background of the kuru epidemic Eastern Highlands Province of New Guinea Fore is one of the groups, a Stone Age culture that, until the 1950s, practiced endo-cannibalistic consumption of dead kinsmen as a rite of mourning. Early anthropological studies were conducted in 1951–1952 and 1952–1953, at which time the presence of kuru in this area was first observed The Fore always believed that kuru was one kind of sorcery (among 34 other variants) To induce kuru, the sorcerer had to obtain some object intimately associated with the victim. He then placed the object with pieces of bark and leaves in a bundle and buried the bundle in boggy ground. The sorcerer returned 5 intermittently to beat the bundle, and with each beating, it was believed, the illness intensified. How exactly kuru first appeared in the Fore people is unknown. The most likely possibility is that the kuru epidemic started with a single individual who died of sporadic CJD and was then consumed by tribesmen in the traditional ritual cannibalism fashion. THE HINDU Online edition of India's National Newspaper Thursday, Apr 24, 2003 http://www.hinduonnet.com/seta/2003/04/24/stories/2003042400030200.htm Were we cannibals long ago? DID MAN ever eat man? He eats just about every form of life — fungus, bacteria, plants, insects and animals in water, land or air. Is there a biological difficulty about it, or is it a cultural restriction? Many animals do it, some of them eating their own young. Alex Pacheco, the Chairman of People for the Ethical Treatment of Animals, writes that he had seen starving dogs eat their own kind. In the book "Chimpanzee Politics: Power and Sex among the Apes", authors Frans de Waal and Desmond Morris claim that the great apes too practice cannibalism, albeit less frequently. Did evolution equip us to eat other men, and culture stop it? Historical accounts on cannibalism are not clear, since they are invariably mixed with prejudice, self-aggrandisement of the colonial and religious or cultic pronouncements. Columbus chronicled that he encountered a man-eater tribe called the Caniba in the Caribbean, and that gave us the term cannibal. It is not clear whether the caniba really ate their fellow men, or whether this was an allegation by an unfriendly neighbouring tribe. In any event, Pope Innocent IV decreed it to be a sin, which led Queen Isabella to order the Spanish colonialists to legally enslave natives thought to be cannibals. This provided the licence, plus the economic interest, to the colonists in making such allegations and conquer territory. A dispassionate and unprejudiced history of cannibalism is hard to come by. Whenever someone in history reported that they saw men eating human flesh, it was not clear whether it was because of lack of any other food, or done in a more token or ritualistic manner for cultural, religious or medicinal purposes. The fierce Bhairavas of Tantrik Hinduism seem to engage in it, using blood and certain other parts ceremonially. Medieval European medicine men prescribed blood and certain other parts of the human body as cures for epilepsy, porphyria, and arthritis. And the tribe called Fore in Papua New Guinea, chronicled to be man-eaters, appear to do so as part of a religious ritual. The Nobelist Dr. Carleton Gajdusek, who studied a particularly deadly form of brain disease called Kuru among the Fore people, kept a detailed dairy on his visits and stay there. He found that the family and neighbours of a dead Fore ceremonially chewed on the dead person's brain in order to ensure a safe after-life for the deceased. Not studying a practice in context and in detail can lead one to jump into conclusions that would support preconceived notions. 6 It is thus not clear whether the practice occurred due to biological demands of hunger, or cultural reasons. I should like to believe the latter, at the risk of being thought of as a wimp with a notion in mind. But it now transpires that there may be a biological disadvantage or risk in at least certain types of this practice. Dr. John Collidge of University College London got together with colleagues in Western Australia, and Goroka in Papua New Guinea, to study genetic aspects of the `cannibalistic' practice of the Fore people. Kuru is a brain disease, a neurodegenerative disorder that wastes the affected person horribly the equivalent of Scrapie in sheep and the Mad Cow Disease of cattle. Dr. Gajdusek showed that this occurs due to a "slow acting virus" that was present in the flesh of the deceased. It has now become clear that the pathogen is not a DNA virus nor an RNA virus, but actually a malformed miniature protein called a prion (named so, to sound similar to `virion' for a virus). Misfolded prions act as seeds or nuclei, forcing other, native prions, also to misfold and clump together into fibrous masses which kill brain cells. The Cruetzfeldt- Jacob Disease (CJD) is thought to be caused in a similar manner, as are Scrapie and Mad Cow Disease. A normal protein in the nervous system, called Prp-C loses its normal shape in the disease, turning into a misfolded wrongly-shaped form, termed Prp-Sc. This sets out a chain reaction, recruiting more and more of normal Prp-c, misfolding and aggregating it into an insoluble Prp-Sc. Insoluble like the scales in a coffee kettle, or plaque formed on teeth, this is called the amyloid plaque, and causes brain cells to misfire and die. Collidge and group focused on the gene (called PRNP) that codes for the prion protein in humans and went over to Papua New Guinea to study the PRNP profile of the Fore people. Kuru no longer affects them, because of a ban on `cannibalism' imposed by the Australian authorities there in the 1950s. Collidge decided to look at the PRNP genes in elderly Fores who had practised the ritual before the ban, and in young Fores who had never done it. For comparison, the PRNP gene profiles of `control' populations from Japan, India, Sri Lanka, Africa, Europe and Colombia were also studied. The idea was to compare the gene sequences and mutations, so that the genetic aspects of Kuru could be understood. The approach here is similar to a similar analysis done on CJD patients earlier. In that instance, it was found that the people carrying two identical copies of the gene for the prion protein (PRNP) are more susceptible to developing CJD than those who carry two unmatched variants. This mismatch seems to protect people against the disease. When the gene sequences were compared, now for Kuru, Collidge found that all ethnic groups carried two unmatched variants of the prion gene. The fact that the variants are so widespread suggests that they have been conserved throughout human history. Based on further comparisons, and comparison with the chimpanzee DNA, the scientists estimate that the variants in the gene arose about 500,000 years ago, during the era of prehistoric ancestors of us modern humans. For most genes, one variant is beneficial for fitness more than the other. The less beneficial disappears over time. Thus, there is a selection pressure due to adaptation. Among Fore, the number of women carrying one copy of each variant (heterozygotes) instead of two copies of one or the other, was particularly high. This suggests that having one copy of each variant protected many members of the Fore tribe against Kuru. This is what Collidge refers to as "balancing selection". Some genes are selected thus, the haemoglobin gene being an outstanding example. One variant of the globin gene causes sickle cell anaemia in a person who carries two copies of it (one from each parent), but the variant persists because it protects against malaria if it is coupled with another variant. But the fact that prion gene variants persist in humans across the world suggests that prion diseases were widespread in early human history. The group also suggests that frequent epidemics of prion disease caused by cannibalism in ancient humans would explain 7 existence of protective gene signature ( variant pairing) among today's humans. This is perhaps why, of the 50 million people in England, only 134 fell victim to the Mad Cow Disease, eating prion-contaminated beef; so says Dr Simon Mead of Prion Unit of MRC England, who worked with Dr Collidge. So, was cannibalism prevalent in ancient human history? Collidge thinks so, and Dr. Tim White of the University of California Berkeley says archeological evidence might support the idea. But anthropologists are not convinced and argue that evidence from their field is lacking. We have to wait more in future to know what we did in the past. D. Balasubramanian dbala@lvpeye.stph.net 8