Slashdot Mirror
The Top Secret Chinese Military Project That Led To a Nobel Prize
HughPickens.com writes: Jeff Guo reports at the Washington Post that development of qinghaosu — or artemisinin — is one of modern China's proudest accomplishments winning a Noble Prize in Medicine this year for Tu Youyou, but it's also a story about Communism, Chairman Mao, and China's return to the world economy. On May 23, 1967, Chinese scientists commenced Project 523, a secret effort that enlisted hundreds of researchers to discover a new malaria drug during the Vietnam War. Although in a better warfare position, the People's Army of Vietnam (North Vietnamese Army) and its allies in the South, Viet Cong, suffered increasing mortality because of malaria epidemics. The project began at the height of Mao Zedong's Cultural Revolution, a brutal time during which academics and intellectuals were murdered, imprisoned, or sent to "reeducation camps" in mass purges.
For doctors and chemists. Project 523 was a lifeline, according to Professor Zhou Yiqing. "By the time Project 523 had got under way, the Cultural Revolution had started and the research provided shelter for scientists facing political persecution." Tu's husband had been banished to the countryside when she was asked to get involved in Project 523. Tu's research project sought to find modern logic in ancient ways, much as the French researchers identified quinine from the bark of the cinchona tree. According to Tu, she and her team screened over 2,000 different Chinese herbs described in old texts, of which about 200 were good enough to test in mice. That's when they hit upon a plant called Artemisia annua: annual wormwood, or qinghao in Chinese. At the time, all of this work remained a Chinese military secret; some of the results were published in Chinese-language journals, but it would be well after the death of Mao Zedong until China would reveal that it had discovered a surprisingly potent new weapon against malaria.
According to Guo the lion's share of the credit rightly goes to Tu and the countless other Chinese scientists who worked on Project 523. But Oxford anthropologist Elisabeth Hsu suggests that the political climate at the time also deserves recognition. Qinghaosu might never have been discovered had it not been for Maoist China's nationalist infatuation with Chinese folk medicine. "It was thus a feature specific to institutions of the People's Republic of China that scientists, who themselves had learnt ways of appreciating traditional knowledge, worked side by side with historians of traditional medicine, who had textual learning," Hsu argues. "This was crucial for the 'discovery' of qinghao."
For doctors and chemists. Project 523 was a lifeline, according to Professor Zhou Yiqing. "By the time Project 523 had got under way, the Cultural Revolution had started and the research provided shelter for scientists facing political persecution." Tu's husband had been banished to the countryside when she was asked to get involved in Project 523. Tu's research project sought to find modern logic in ancient ways, much as the French researchers identified quinine from the bark of the cinchona tree. According to Tu, she and her team screened over 2,000 different Chinese herbs described in old texts, of which about 200 were good enough to test in mice. That's when they hit upon a plant called Artemisia annua: annual wormwood, or qinghao in Chinese. At the time, all of this work remained a Chinese military secret; some of the results were published in Chinese-language journals, but it would be well after the death of Mao Zedong until China would reveal that it had discovered a surprisingly potent new weapon against malaria.
According to Guo the lion's share of the credit rightly goes to Tu and the countless other Chinese scientists who worked on Project 523. But Oxford anthropologist Elisabeth Hsu suggests that the political climate at the time also deserves recognition. Qinghaosu might never have been discovered had it not been for Maoist China's nationalist infatuation with Chinese folk medicine. "It was thus a feature specific to institutions of the People's Republic of China that scientists, who themselves had learnt ways of appreciating traditional knowledge, worked side by side with historians of traditional medicine, who had textual learning," Hsu argues. "This was crucial for the 'discovery' of qinghao."
Experiment 626 is what we are really anxious to hear about.
I am not your blowing wind, I am the lightning.
Government funded secret research to find cures for their own people. This will never happen in the US because of powerful pharmaceutical lobby.
Seriously? In the same summary that describes how the French found quinine from cinchona? In a world where scientists developed aspirin because of people's use of plants for thousands of years? This is hardly unique to China.
It seems like we are at our industrious best when working in concert during a time of great conflict.
Sadly, times of contentment and peace are seemingly less productive. Do we require strife to excel?
Happiness in intelligent people is the rarest thing I know.
Ernest Hemingway
Somebody has to say it, since it's being overlooked in the summary. This project is an outspringing from the Cultural Revolution's 'Barefoot Doctor' movement.
So she "discovers" something that was widely known for, what, 500 years? and she gets a nobel? WTF is this about?
When's her birthday, because being able to sing "Happy birthday to Tu Youyou" is way to awesome to miss.
now that's a story!
I was truly happy when I heard that the Nobel prize had been awarded for the discovery and development of artemisinin. This drug has saved the lives of many.
Sad that substandard preparations of artemisinin has led to spread of resistance in Indochina.
--
virve
Mao Zedong's Cultural Revolution, a brutal time during which academics and intellectuals were murdered, imprisoned, or sent to "reeducation camps" in mass purges.
might never have been discovered had it not been for Maoist China's nationalist infatuation with Chinese folk medicine.
The Chinese nationalists established Taiwan as it is. Only the post-cultural revolution Chinese communists can be said to be nationalists as well.
From TFS: "According to Tu, she and her team screened over 2,000 different Chinese herbs described in old texts, of which about 200 were good enough to test in mice. That's when they hit upon a plant called Artemisia annua: annual wormwood, or qinghao in Chinese."
Yeah, I've already heard from from my crunchy greenie friends about how this "proves" the value of traditional medicine. That one text mentions on herb that worked, and 1,999 texts listed herbs that didn't shows the exact opposite... completely escapes them.
As opposed to Western medicine, where an effective drug is usually discovered within the first couple tries.
I have some actual knowledge about this issue from projects I've worked on.
DDT is excellent in domestic applications (i.e., to house interiors) because it leaves a long-lasting toxic surface when sprayed on walls. Other pesticides such as permethrin are more expensive to use because you have to go back and spray the surfaces of the house several times a year, whereas a DDT application is good for a year or more. This kind of domestic application is especially effective at stopping malaria transmission because the infectious agent (Plasmodium) has no natural focus other than humans.
In fogging applications the impact of the DDT ban is nil; in fact using DDT this way is arguably counter-productive, not even counting downstream ecological effects. The reason DDT is bad for outside applications is the very same reason it's good for interior applications: the durability of the molecule -- or more precisely its breakdown products. DDT is not much more long-lived than malathion or permethrin, it's half-life is about 50 days; but it breaks down through loss of HCl into Dichlorodiphenyldichloroethylene (DDE) which has a half-life of almost six years and does a lot of DDT's residual killing.
Why is long lasting toxicity good for inside pesticide applications and bad for outside applications? Because outside the pesticide doesn't stay put. It washes away into soil and pools of water -- where mosquitoes lay their eggs. Bathing the larvae in sub-lethal concentrations of DDE puts evolutionary pressure on the mosquito population, producing adult mosquitoes who are resistant to DDT. You never want to expose mosquito larvae to pesticides which are used against adults. So for outside fogging applications you want something that'll kill mosquitoes the fog contacts, then breaks down as quickly as possible into something that's non-toxic.
Before you advocate something like the widespread reintroduction of DDT, it would be best if you educated yourself on its effects, methods of application, and side effects. There's a lot of misinformation out there to the effect that DDT is a panacea; it's not. For example I've seen one old toxicology study that is frequently cited by anti-environmentalists as proof DDT doesn't have toxic effects on birds. The flaw with that study, and the reason that they don't have more recent studies to cite, is that question of DDT per se in the environment is moot; it doesn't last long enough to bioaccumulate. It's actually the very long-lasting DDD and DDE breakdown products that are the culprits.
It would be reasonable to reintroduce DDT for domestic applications, provided that we can structure its use so that the effectiveness of the program isn't undermined by DDT that has been stolen and diverted to agricultural use. I can tell you from experience that theft is an enormous problem for teams operating in places that have serious endemic malaria problems.
So it really comes down to this: is the lower cost of DDT offset by the security and audit trail you need to ensure the program's long viability? Either way there's no reason to not eradicate malaria, and we don't need DDT to do it. The cost of eradication is tiny compared to the cost malaria has in economic output, lives shortened, and political destabilization.
Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
Great insight. Well done.
Happiness in intelligent people is the rarest thing I know.
Ernest Hemingway
Given that this research occurred at the height of the Cultural Revolution we need to ask a very serious question about the research protocols- namely what happened after the initial screening with mice? When they went to human trials were they using polital prisoners and exposing them, against their will, to malaria and untested drugs. Given that this research was apparently a priority for Mao, that the scientists involved were doing this to escape being the victims of the Revolution and that there would have been a plethora of prisoners available to be used to advance/"contribute to" the greater good of society there is a very strong likelihood that this research was done with non-consenting participants subjects.
Did the Nobel Committee just award the Medicine prize to a modern-day Josef Mengele ( for those that may not know https://en.m.wikipedia.org/wiki/Josef_Mengele). Yes, this may just be speculation at this point, but this question needs to be answered definitively before she appears on the podium with H.M. King Carl XVI Gustaf.
I should also point out the problem with your graph, which shows an increase in malaria deaths starting around 1972, when the US banned DDT. The problem is that DDT was not banned in the rest of the world in 1972. In fact it has continued to be used in the rest of the world, often with funding from USAID. About five million kilograms of DDT are still used every year worldwide, the bulk of it in India.
The current international status of DDT is that it is banned in signatory countries to the Stockholm convention for all purposes except mosquito borne disease control. This ban is actually beneficial for DDT in malaria eradication, because it reduces the populations of mosquitoes that have become resistant due to agricultural applications. DDT is fully banned in most first-world countries, but they don't need it. They have the resources and sophistication to control malaria vectors with IPM.
So if DDT is legal to use in places that have endemic malaria, why haven't we used DDT to eradicate malaria worldwide? There are several reasons, but the big one is that we haven't made any serious attempt yet to eradicate malaria worldwide with DDT or any other pesticide. People have talked about it, people have advocated for it, but nobody's ponied up the billions of dollars it would take to actually put a program together that could do it.
Funding clearly is the limiting factor in DDT use; most of the countries using DDT today are in subsaharan Africa, but the quantities involved are tiny, sporadic, or both; often amounting to a thousand kilos every couple of years.
Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
They tested 200 out of 2000 - but only one worked. Thus the proper number is 1 of 2000 - a success rate of .05%, not 10%.
I have been a longtime follower of Slashdot and have been posting much as any Slashdotter would, endured both good and bad April Fools' columns, gritted my teeth and clawed my nails through beta, resisted the urge to like it on Facebook, and completely ignored mobile. I guess I am the most loyal follower then. Now, I am challenging the editors.
Here we have a guy who posed the challenge in the form of a question is the lower cost of DDT offset by the security and audit trail you need to ensure the program's long viability? More importantly, just how badly do we WANT to eradicate malaria, when it can affect humans long after the war has ended? Maybe it is not Slashdot's war after all, because this requires some serious journalism, the kind you will find in print: TIME, Newsweek, or Rolling Stone.
Call it kismet, whatever. POP QUIZ: 3 guys walk into a bar, their names "hey!" "Provocateur" and "Slashdot". Lightning flashes; the Dice are rolling. Are the new editors journalists, or mere bloggers?
WARNING: Smartphones have side effects--most of them undocumented.
As opposed to Western medicine, where an effective drug has reached the perfect price point as set by lawyers, insurance companies, pharmaceutical companies, and market droids. That it can heal is a side effect.
WARNING: Smartphones have side effects--most of them undocumented.
No it isn't, if the outcomes remains an additional 500,000 deaths a year in spite of his words.
Those are meme attempts to assuage the mass murderous effect of this ban.
(-1: Post disagrees with my already-settled worldview) is not a valid mod option.
Those are meme attempts to assuage the mass murderous effect of this ban.
The idea that the DDT ban had "mass murderous effects" is itself a meme, and a very recent one, propagated for the specific purpose of discrediting the wider environmental movement and regulations on pollutants. And as the GP made clear, there are very serious practical concerns that are completely ignored by the shills clamoring for widespread DDT use (few of whom had ever expressed concern for the fate of Third World inhabitants until they found a way to blame Rachel Carson).
The criteria was "successful against malaria" - so their value in treating other conditions is irrelevant to determining the success rate against malaria. Either they meet the criteria, or they don't.
I agree - great post.
Please continue reading and posting - you are an asset to Slashdot.
Slashdot's editors won't be winning the NOBEL Prize for Literature anytime soon, clearly...
Artemisia, wormwood, absinthe.
All that is old is new again.
--
Like any other commodity, experience can be purchased.
See my other post on this; under the Stockholm convention DDT is allowed in the control of vector borne diseases and in fact the world uses some five million kilos of the stuff annually on mosquitoes. The reason more isn't used is the places where it would be most useful don't have the money to buy the stuff, cheap as it is. That's what you should be getting in a huff over, not some non-existent ban.
The places that do have bans (like the US and the EU) can afford better solutions.
Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.