-Caveat Lector-

Cassava-Dependent Africans Warned of Konzo Disease


Africa News Service
14-APR-99

DAKAR, Senegal (PANA, 04/14/99) - A ranking Nigerian-born toxilogical
researcher, Dr John Tor-Agbidye, Wednesday cautioned Africans in
cassava-dependent zones that they faced the danger of developing spastic
paraparesis or Konzo, arising from high levels of cynide.

The disease, which mainly occurs in areas of low protein intake, attacks the
right and left side of the brain and later causes impairment of the legs.

In an interview with PANA, Tor-Agbidye said that epidemic levels of the
disease had already been recorded in the Democratic Republic of Congo,
Mozambique and Tanzania, where it had affected between 3 percent and 10
percent of the population in some areas.

He was one of the co-presenters at a symposium on nutritional neurotoxity at
the 4th international congress of the Society of Neuroscientists of Africa,
which entered its third day in the Senegalese capital Wednesday.

The scientist said that in malnourished individuals, the disease is sparked by
lack of sulfur amino acids which help to detoxicate the body of cynate, a
by-product of cynide.

According to Tor-Agbidye, who works at the National Center for Toxilogical
Reserach in Oregon, US, konzo strikes people who feed on cassava flour made
from the bitter cassava.

He said cassava growers preferred the bitter cassava because of its higher
yield and resistance to drought and pests. "The problem is that it contains
high levels of cynides to the tune of between 50 and 200 milligrammes per
kilo," he noted.

Tor-Agbidye said that Tropical Ataxic Aeuropathy, a chronic type of the
disease, had hit school children in eastern Nigeria, who were fed on cassava
during the 1967-1970 civil war.

But the disease was less severe because the children were eating other protein
containing foods, he added.

Tor-Agbidye advised people in cassava consuming areas to "adhere to the
traditional methods of processing cassava, includig fermentation for three
days."

Governments also need to encourage people to grow other legumes which can help
in detoxicating cynate within the body.

The scientist conceded, however, that it was difficult for people in food
deficit areas to wait for the cassava to ferment before it is turned into
flour. This was also impossible in times of conflict, as is the case with the
Democratic Republic of Congo.

Meanwhile, another scientist, Dr Peter Spenser, said that unusually high
consumption of the grass pea, scientifically known as "Lathyrus sativus", was
responsible for a disease called "lathyrism", a self-limiting degerative
disorder of the central motor pathway.

Cases of lathyris, usually follow periods of extreme enviromental difficulty,
such as floods or drought or disrupted conditions such as war or famine.

Spencer said that lathyrism has affected humans and animals on at least four
continents, "although one needs to go deep in the countryside to realise its
gravity."

"Today, human cases are present in Africa (Ethiopia, Eritrea), on the Indian
subcontinent (Bangladesh, India and Nepal), in northwestern China and in parts
of Europe (Spain)," he told PANA.

He noted that these peas, of which there are over 500 species, also exist in
Morocco, but "they usually don't cause harm where there is no excessive
consumption."

According to him, lathyrism has clinical similarities to Konzo. "Conceivably,
the two nutritional neurotoxic disorders might share a a common pathogenesis,
namely pertubaryiob of the AMPA-mediated neurotransmission resulting in
neuronal over excitation and degeneration," he said.

By Peter Masebu, PANA Staff Correspondent



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