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The Mystery Behind a Kazakh Town’s Sleeping Sickness

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In 2013, the residents of Kalachi, a small village in Kazakhstan, began to take to their beds with a mysterious illness. They couldn’t stop falling asleep. When they woke up, often days later, they remembered nothing. Newspapers called it a “sleeping sickness” (unrelated to the African sleeping sickness transmitted by flies) and multiple investigations into the causes—patients’ ages and schedules, the town’s air quality, the food and water people were consuming—turned up nothing. But after years of study, the Kazakh government thinks it has figured out the underlying cause of the outbreak. Maybe.

The first reported case of the sleeping sickness came in 2010, in a neighboring village. In 2013, the mystery took on new urgency as eight different people from Kalachi (a town of just 640) fell asleep over one weekend, unable to stay awake for any longer than it took to go to the bathroom or eat a little food.

When these otherwise healthy adults finally awoke from their trances, they didn’t remember anything that had happened, even the times when they had seemed awake enough to eat or talk or have a cigarette, as BuzzFeed reported during a week-long investigative trip to the region. One man even woke up in the Kazakh capital of Astana, unable to remember being on the plane that brought him there. People felt nauseous and dizzy; they hallucinated, ranting about images only they could see and at times becoming borderline violent. More than 100 people fell ill at some point. Even a cat was affected.

This happened again and again over the course of several months, with waves of residents falling prey to the sickness in the beginning of 2014, then later that spring, then again that summer. The nearby uranium mines were a likely culprit, and scientists tested the earth, water, and local food for radon, a gas known to cause cancer. The air was tested for carbon monoxide. People’s hair and fingernails were tested for radiation. Doctors could find nothing wrong with the patients, and no factors to tie them all together.

Were people being poisoned? Or was it just a case of mass psychogenic illness (essentially mass hysteria), like the “dancing plague” or the numerous population-wide panics throughout history over shrinking penises?

Finally, in the summer of 2015, authorities announced that they had discovered the culprit: high concentrations of carbon monoxide and hydrocarbons coming from the mines caused a lack of oxygen in the air in the area. By the time the announcement came in the summer of 2015, 150 people had already moved away, while another 240 were on a list of people seeking resettlement. Still, a radiologist who had been studying the outbreak told BuzzFeed that the verdict was “only the working theory,” and that researchers were still studying the medical anomaly. In late December of that year, scientists from the National Nuclear Center of Kazakhstan confirmed this explanation.
Most of us know the importance of washing our hands, but we're still pretty clueless when it comes to washing them the right way. As CNN reports, we fall short of washing our hands effectively 97 percent of the time.

That number comes from a new study conducted by the U.S. Department of Agriculture that looked at 383 participants in a test-kitchen environment. When they were told to wash their hands, the vast majority of subjects walked away from the sink after less than 20 seconds—the minimum hand-washing time recommended by the Center for Disease Control and Prevention. Many of them also failed to dry their hands with a clean towel.

The researchers had participants cooking and handling raw meats. Because they didn't wash their hands properly, volunteers were spreading potentially dangerous germs to spice jars 48 percent of the time, contaminating refrigerator handles 11 percent of the time, and doing the same to salads 5 percent of the time.

People who don't wash their hands the correct way risk spreading harmful microbes to everything they touch, making themselves and those they live with more susceptible to certain infections like gastrointestinal illness and respiratory infections. Luckily, the proper hand-washing protocol isn't that complicated: The biggest change most of us need to make is investing more time.

According to the CDC, you need to rub your hands with soapy water for at least 20 seconds to get rid of harmful bacteria. A helpful trick is to sing "Happy Birthday" twice as you wash—once you're finished, you should have passed the 20-second mark. And if your bathroom or kitchen doesn't have a clean towel to dry your hands with, let them air-dry.

After seeing a spider or beetle scurry past you, it’s normal to get a creepy-crawly feeling, even if you know there’s nothing on you. For many people, though, the persistent sensation of phantom insects or parasites crawling underneath their skin—known as formication—is very real, Newsweek reports.

The condition is called delusional infestation, and although cases have been documented around the world, there hasn’t been enough research to determine if it’s a skin condition or psychological disorder. However, two new studies are attempting to shed light on the mysterious ailment that can cause symptoms such as itching, fatigue, joint pain, rashes or lesions, and difficulty concentrating. Some people have reported picking “fibers” out of their skin.

Researchers from the Mayo Clinic and Denmark’s Aarhus University Hospital believe tens of thousands of Americans could have this condition, making it more common than previously thought. Their study, published in the journal JAMA Dermatology, found that people with the condition are often “resistant to medical evidence [showing that there is no infestation] and reluctant to pursue psychiatric evaluation.” Some patients, convinced that they have something crawling underneath their skin, self-harm with tweezers, bleach, or razor blades.

The researchers stopped short of calling it a psychological condition, but they did conclude that schizophrenia, dementia, other psychiatric conditions, and drug use can trigger delusional infestation in some cases, Science News reports.

Another new study, published in the journal Annals of the Academy of Medicine of Singapore [PDF], also seemed to favor a psychological explanation for the condition. The researchers noted that Chinese patients with the condition were treated with antipsychotics, and 10 of the 11 patients with isolated cases of delusional infestation (who had no other underlying disorders) improved with medication.

However, other researchers have drawn different conclusions, arguing that the condition is the skin's response to “tick-borne pathogens” typically associated with Lyme disease. The condition has gone by several names over the years, including Morgellons disease—a term coined in 2004 by a medical researcher and mother who says she found “fibers” on her young son’s skin after he kept scratching at the "bugs" he claimed were there. Regardless of the origin, what's clear is that the condition has very real consequences for those who suffer from it, and more research is needed to find suitable treatments.

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