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What’s in a (disease’s) name?

Introduction

  • Diseases named after geographical locations (toponymous diseases) can lead to misinformation, stigma, and racial prejudice.
  • Examples: Spanish flu, Delhi boil, Madura foot, West Nile Virus.

Relevance : GS 2(Health)

Historical Example: Spanish Flu Misnomer

  • The 1918-1920 influenza pandemic was called Spanish flu, despite not originating in Spain.
  • Reason: Spain, being neutral in World War I, had a free press that reported on the disease openly, unlike countries involved in the war.
  • Impact: 500 million people affected, 20+ million deaths, yet the name wrongly associated the disease with Spain.

WHOs Intervention in Disease Naming (2015 Onwards)

  • WHO mandated scientific names instead of geographical references.
  • Example:
    • Zika Virus: Originally named after the Zika forest (Uganda), causing Congenital Zika Syndrome.
    • Monkeypox → Mpox: Renamed due to racist and stigmatizing language.

The Trichophyton Indotineae Controversy

  • A new fungal species causing severe, drug-resistant ringworm infections was named Trichophyton indotineae.
  • Objections:
    • Indian & international dermatologists (from 14 countries) opposed it.
    • Named by Japanese researchers based on cases found in India and Nepal, though origin is still unknown.
    • Pejorative connotations and violates WHO’s naming guidelines.
    • The fungus has spread to 40+ countries, proving its non-localized nature.
  • Impact:
    • Inaccurate name blames a region without scientific basis.
    • Hinders global cooperation in medical research.

WHO’s Guidelines & Renaming Practices

  • WHO renames diseases to avoid controversy and correct unethical attributions.
  • Example:
    • Reiters Syndrome → Reactive Arthritis (due to its namesake’s Nazi affiliations).
  • WHOs disease naming considerations:
    • Scientific appropriateness
    • Pronounceability across languages
    • Avoiding geographic/zoological references
    • Historical retrievability

Need for Responsible Disease Naming

  • Naming should aid scientific progress, not politicize diseases.
  • Microbes do not respect borders, but stigmatization divides people.
  • Unified, scientific naming fosters global cooperation in disease prevention and treatment.

March 2025
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