In 1944, the Nazi occupation of Holland caused a brutal famine. And thanks to her we discovered celiac disease

The history of wheat is the history of civilization. To be more precise, this cereal is linked to the change from Paleolithic to Neolithic societies, the first complex societies, in 8,500 BC. C. The flowering of our species came thanks to its golden seeds. We had to wait almost 10,000 years to verify that this manna, which for many is synonymous with life, for some of us, is synonymous with death.

And, in part, We have the Nazis to thank..

We are in Holland in 1944, in the throes of World War II, and the Wermachtwhich has occupied the country, is fed up with the sporadic rebellions of its native population. The railroad strike carried out by the drivers was reason enough to implement an embargo on food transportation to the northern areas. Survivors interviewed half a century later mentioned how the Hongerwinter or “hunger winter” still sparked flashes of anguish in their minds.

According to reports from the time, in areas such as Amsterdam or Rotterdam the shortage caused rationing of 580 kilocalories per adult per day.

Faced with this situation, and when a crust of bread could be more precious than the family watch, the Dutch began to eat anything. Your tulips also fell into that category.which in addition to being disgusting and having a negligible energy value, were a food source highly discouraged by doctors, since its toxicity was very high. Would the tulip diet be the beginning of poisoning and indigestion for the population? Yes for the majority, but not for one notable group: the patients at the Juliana Children’s Hospital in The Hague.

Discovering celiac disease

A child during Hongerwinter.

Willem Karel Dicke, a pediatrician, had been investigating these “malnutrition” problems that mysteriously attacked the little ones for some time.

In the 1940s, the world average Infant mortality for children under five years old was 15%so, although it was a misfortune, the population was more used to losing children than we are now. Many parents would not have the time or the resources to investigate what caused their children’s weakness, nor would they have the considerations to experiment with their diet, much less if that meant removing the most widespread, convenient and cheap product of all, bread.

Although some, the richest, could afford it. For them, the theory of intransigence towards complex nutrients ran at that time, which led to the popularization of the so-called “banana diet”. A regimen that worked, given that this fruit does not contain gluten, but with which adverse effects reappeared in the subjects in their adulthood, as soon as they returned to eating wheat derivatives. As any celiac or person who has lived with one knows, the ubiquity of this product in our pantries is scandalous.

Pediatrician Willem Karel Dicke with one of his patients.

But in the Netherlands of 1944 there were no bananas. Because there wasn’t there was practically nothing. And yet, despite the lower caloric intake in which society was imbued and the toxic effects of tulips, a good percentage of the children in his hospital felt better than months before. While people were dying in the streets, some children saw how their limbs were getting fatter, their bellies were deflating, and their skin was glowing.

If before that episode one in three children with suspected celiac disease died at that time in the Netherlands, the winter of hunger meant that that percentage would fall to zero.

What came next is the mere work of field observation. Dicke spent the next few years testing on selected patients. different cerealsmeasuring the weight, growth, general health of the subjects as well as the levels of fat absorption from their feces. By 1950 he was able to publish his findings, which had determined that the cause of “celiac symptoms” came from wheat and rye flour. And no, it had nothing to do with complex nutrients, as had been assumed until then.

“Koiliakos,” that mysterious condition that humans had identified in some children since Ancient Greek times and that intrigued pediatricians for millennia, finally had a name and diagnosis.

His research earned him a candidacy for Nobel Prize in 1962, but died weeks before the ceremony could take place. Since it is an award that is not offered posthumously, Dr. Dicke missed his chance to go down in the history books in this way. Celiac disease continues to be one of the conditions with the most complex diagnosis, since it is confused with other types of digestive pathologies and its effects manifest in the strangest ways. Without going any further, neurogluten studies How gluten intolerance is behind autism, Parkinson’s or depression.

We also do not know how many people suffer from it, and although its existence was known in the 1950s, its diagnosis rate may continue to be lower than the real rate. Today in developed countries there is talk of between 1 and 2% of people with celiac disease and recent epidemiological studies suggest that the disease is possibly ten times more common than it is diagnosed. The percentage of celiacs continues to grow at 15% every year.

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