Tuesday, December 29, 2020

The family with no fingerprints

 

bbc.comwhy BBC and British rulers missed this  from 1750 to 1947 while taxing  and squeezing money from Indians?

The family with no fingerprints

At least four generations of Apu Sarker's family have an extremely rare condition leaving them with no fingerprints.

The family with no fingerprints

By Mir Sabbir
BBC BengalĂ­, Dhaka

Published

Apu
image captionAt least four generations of Apu Sarker's family have an extremely rare condition leaving them with no fingerprints

Apu Sarker was showing his open palm to me on a video call from his home in Bangladesh. Nothing seemed unusual at first, but as I looked closer I could see the smooth surfaces of his fingertips.

Apu, who is 22, lives with his family in a village in the northern district of Rajshahi. He was working as a medical assistant until recently. His father and his grandfather were farmers.

The men in Apu's family appear to share a genetic mutation so rare it is thought to affect only a small handful of families in the world: they have no fingerprints.

Back in the day of Apu's grandfather, having no fingerprints was no big deal. "I don't think he ever thought of it as a problem," Apu said.

But over the decades, the tiny grooves that swirl around our fingertips - known properly as dermatoglyphs - have become the world's most collected biometric data. We use them for everything from passing through airports to voting and opening our smartphones.

An Indian voter gives her fingerprint as she comes to cast her vote at a polling station during India's general electionimage copyrightGetty Images
image captionA voter in India gives her fingerprint before casting a ballot

In 2008, when Apu was still a boy, Bangladesh introduced National ID cards for all adults, and the database required a thumbprint. The baffled employees did not know how to issue a card to Apu's father, Amal Sarker. Finally, he received a card with "NO FINGERPRINT" stamped on it.

In 2010, fingerprints became mandatory for passports and driver's licences. After several attempts, Amal was able to obtain a passport by showing a certificate from a medical board. He has never used it though, partly because he fears the problems he may face at the airport. And though riding a motorbike is essential to his farming work, he has never obtained a driving licence. "I paid the fee, passed the exam, but they did not issue a licence because I couldn't provide fingerprint," he said.

Amal carries the licence fee payment receipt with him but it doesn't always help him when he gets stopped - he has been fined twice. He explained his condition to both bemused officers, he said, and held up his smooth fingertips for them to see. But neither waived the fine.

"This is always an embarrassing experience for me," Amal said.

In 2016, the government made it mandatory to match a fingerprint with the national database in order to purchase a Sim card for a mobile phone.

"They seemed confused when I went to buy a Sim, their software kept freezing every time I put my finger on the sensor," Apu said, with a wry smile. Apu was denied the purchase, and all the male members of his family now use Sim cards issued in his mother's name.

Amal
image captionAmal Sarker's fingertips, missing the unique patterns found on most

The rare condition likely afflicting the Sarker family is called Adermatoglyphia. It first became widely known in 2007 when Peter Itin, a Swiss dermatologist, was contacted by a woman in the country in her late twenties who was having trouble entering the US. Her face matched the photograph on her passport, but customs officers were not able to record any fingerprints. Because she didn't have any.

Upon examination, Professor Itin found the woman and eight members of her family had the same strange condition - flat finger pads and a reduced number of sweat glands in the hands. Working with another dermatologist, Eli Sprecher, and graduate student Janna Nousbeck, Professor Itin looked at the DNA of 16 members of the family - seven with fingerprints and nine without.

"Isolated cases are very rare, and no more than a few families are documented," Prof Itin told the BBC.

In 2011, the team homed in on one gene, SMARCAD1, which was mutated in the nine printless family members, identifying it as the cause of the rare disease. Virtually nothing was known about the gene at the time. The mutation appeared to cause no other ill-health effects apart from the effects on the hands.

The mutation they were looking for for those years affected a gene "nobody knew anything about", said Professor Sprecher - hence the years it took to find it. Plus, the mutation affected a very specific part of the gene, he said, "which apparently had no function, in a gene of no function".

Once discovered, the disease was named Adermatoglyphia, but Prof Itin dubbed it "immigration delay disease", after his first patient's trouble getting into the US, and the name stuck,

Amal and Apu
image captionAmal and Apu Sarker. "It is not in my hands, it is something I inherited," Amal said.

Immigration delay disease can affect generations of a family. Apu Sarker's uncle Gopesh, who lives in Dinajpur, some 350km (217 miles) from Dhaka, had to wait two years to get a passport authorised, he said.

"I had to travel to Dhaka four or five times in the past two years to convince them I really have the condition," Gopesh said.

When his office started using a fingerprint attendance system, Gopesh had to convince his superiors to allow him to use the old system - signing an attendance sheet every day.

A dermatologist in Bangladesh has diagnosed the family's condition as congenital palmoplantar keratoderma, which Prof Itin believes developed into secondary Adermatoglyphia - a version of the disease which can also cause dry skin and reduced sweating on palms and feet - symptoms reported by the Sarkers.

More testing would be needed to confirm that the family has some form of Adermatoglyphia. Professor Sprecher said his team would be "very glad" to assist the family with genetic testing. The results of those tests might bring the Sarkers some certainty, but no relief from the day to day struggles of navigating the world without fingerprints.

Apu Sarker's younger brother Anu also inherited the rare gene mutation
image captionApu Sarker's younger brother Anu also inherited the rare gene mutation

For the afflicted Sarkers, society seems to be becoming more and more unwieldy, rather than evolving to accommodate their condition. Amal Sarker lived most of his life without too much trouble, he said, but he felt sorry for his children.

"It is not in my hands, it is something I inherited," he said. "But the way me and my sons are getting in all sorts of problems, for me this is really painful."

Amal and Apu recently got a new kind of national ID card being issued by the Bangladeshi government, after presenting a medical certificate. The card uses other biometric data too - retina scan and facial recognition.

But they still can't buy a Sim card or obtain a driver's licence, and obtaining a passport is a long and drawn out process.

"I am tired of explaining the situation over and over again. I've asked many people for advice, but none of them could give me any definite answer," said Apu. "Someone suggested I go to court. If all options fail, then that's what I might have to do."

Apu hopes he will be able to get a passport, he said. He would love to travel outside Bangladesh. He just needs to start his application.

Photographs courtesy of the Sarker family.















Friday, December 4, 2020

DrugBank Online | Detailed Drug and Drug Target Information

 

DrugBank Online | Detailed Drug and Drug Target Information

A publicly accessible pharmaceutical knowledge base used by researchers and health professionals globally. Get info on drugs, drug targets, and more.

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Metformin is an antihyperglycemic agent of the biguanide class ...

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by DS Wishart · ‎2008 · ‎Cited by 2231 · ‎Related articles


Friday, November 27, 2020

 

Covid World Map: Tracking the Global Outbreak

0
500,000 cases
Feb.
March
April
May
June
July
Aug.
Sept.
Oct.
Nov.
7-day average
New cases

Total reported On Nov. 26 14-day change
Cases 61.1 million 573,404 Flat
Deaths 1.4 million 10,674 +21%

14-day change trends use 7-day averages.

The coronavirus pandemic has sickened more than 61,131,200 people, according to official counts. As of Friday morning, at least 1,434,200 people have died, and the virus has been detected in nearly every country, as these maps show.

On Nov. 18, the color scale on the hot spots map was expanded to reflect the new record rates of infection.

Average daily cases per 100,000 people in past week
4
12
20
28
40
68
Few or no cases
Double-click to zoom into the map.
Sources: Local governments; The Center for Systems Science and Engineering at Johns Hopkins University; National Health Commission of the People's Republic of China; World Health Organization.

The coronavirus pandemic is ebbing in some of the countries that were hit hard early on, but the number of new cases is growing faster than ever worldwide, with more than 500,000 reported each day on average.

The table below was recently changed to show the average number of cases per day in the last seven days instead of the total number of cases over the last seven days.


Total
cases
Per 100,000 Daily avg.
in last
7 days
Per 100,000 Weekly cases per capita
Fewer More
Georgia 123,470 3,309 3,656.9 98
Jan. 22
Nov. 26
Georgia heatmap
Serbia 148,214 2,123 6,302.4 90.3
Serbia heatmap
Andorra 6,534 8,485 66.9 86.8
Andorra heatmap
Montenegro 33,316 5,353 534.1 85.8
Montenegro heatmap
Luxembourg 32,873 5,409 518.6 85.3
Luxembourg heatmap
Croatia 119,706 2,927 3,106.7 76
Croatia heatmap
Slovenia 72,682 3,516 1,434.1 69.4
Slovenia heatmap
Lithuania 56,095 2,011 1,895 67.9
Lithuania heatmap
San Marino 1,514 4,481 22.3 66
San Marino heatmap
Austria 270,992 3,063 5,336.4 60.3
Austria heatmap
Weekly cases per capita shows the share of population with a new reported case for each week. Weeks without a reported case are shaded gray.

The virus continues to affect every region of the world, but some countries are experiencing high rates of infection, while others appear to have mostly controlled the virus.

Where new cases are higher and staying high

Countries where new cases are higher had a daily average of at least four new cases per 100,000 people over the past week. The charts, which are all on the same scale, show daily cases per capita and are of countries with at least five million people.

Where new cases are lower but going up

Countries where new cases are lower had a daily average of less than four new cases per 100,000 people over the past week. The charts, which are all on the same scale, show daily cases per capita and are of countries with at least five million people.

Where new deaths are increasing

The charts, which are all on the same scale, show daily deaths per capita and are of countries with at least five million people.

These countries have had the highest growth in newly reported deaths over the last 14 days. Deaths tend to rise a few weeks after a rise in infections, as there is typically a delay between when people are infected, when they die and when deaths are reported. Some deaths reported in the last two weeks may have occurred much earlier because of these delays.

The outbreak was initially defined by a series of shifting epicenters — including Wuhan, China; Iran; northern Italy; Spain; and New York.

Cases worldwide leveled off in April after social distancing measures were put in place in many of the areas with early outbreaks.

But as countries began to reopen in May and June, the United States was unable to contain a resurgence of the disease, making it one of the main drivers of rising case numbers around the world. Many South American countries are also experiencing high rates of infection, and European countries that had severe early outbreaks are seeing a second rise in cases.

New reported cases by day across the world

0
200,000
400,000
600,000 cases
Feb.
March
April
May
June
July
Aug.
Sept.
Oct.
Nov.
7-day average
New cases
Note: The seven-day average is the average of a day and the previous six days of data.

Reported deaths by day across the world

0
5,000
10,000 deaths
Feb.
March
April
May
June
July
Aug.
Sept.
Oct.
Nov.
7-day average
New deaths
Note: Scale for deaths chart is adjusted from cases chart to display trend.

The New York Times has found that official tallies in the United States and in more than a dozen other countries have undercounted deaths during the coronavirus outbreak because of limited testing availability.

Follow our coverage of the coronavirus pandemic here.

United States

The number of known coronavirus cases in the United States continues to grow. As of Friday morning, at least 12,954,300 people across every state, plus Washington, D.C., and four U.S. territories, have tested positive for the virus, according to a New York Times database, and at least 263,300 patients with the virus have died.

Reported cases in the United States

Average daily cases per 100,000 people in the past week

← Fewer
More →
Coronavirus hotspots
Ala.AlaskaAriz.Ark.Calif.Colo.Conn.
Del.Fla.Ga.HawaiiIdahoIll.Ind.IowaKan.Ky.La.MaineMd.Mass.Mich.Minn.Miss.Mo.Mont.Neb.Nev.N.H.N.J.N.M.N.Y.N.C.N.D.OhioOkla.Ore.Pa.R.I.S.C.S.D.Tenn.TexasUtah
Vt.Va.Wash.W.Va.Wis.Wyo.P.R.
Sources: Local governments; The Center for Systems Science and Engineering at Johns Hopkins University; National Health Commission of the People's Republic of China; World Health Organization.

See our page of maps, charts and tables tracking every coronavirus case in the U.S.

After case numbers fell steadily in April and May, cases in the United States are growing again at about the same rapid pace as when infections were exploding in New York City in late March. But the hotspots are now mainly spread across the southern and western parts of the country.

The New York Times is engaged in an effort to track the details of every reported case in the United States, collecting information from federal, state and local officials around the clock. The numbers in this article are being updated several times a day based on the latest information our journalists are gathering from around the country. The Times has made that data public in hopes of helping researchers and policymakers as they seek to slow the pandemic and prevent future ones.

Read more about the methodology and download county-level data for coronavirus cases in the United States from The New York Times on GitHub.

About the data

Governments often revise data or report a single-day large increase in cases or deaths from unspecified days without historical revisions, which can cause an irregular pattern in the daily reported figures. The Times is excluding these anomalies from seven-day averages when possible.