Epilepsia Verminosa*

Epilepsy is a major public health threat in the developing world, with much higher prevalence and incidence rates than those observed in developed countries. At present, one of the most common causes for epilepsy worldwide is the parasitic worm, Taenia solium, and the associated neurocysticercosis (NCC) that may often result from this infestation. Worm infestation was already recognized as a cause of epilepsy by the middle of the 18th century. Helminths and their effects on health were a daily medical concern in the 18th and 19th centuries with prevailing views ranging from the beneficial effects of the presence of adult worms in the gut, to considering them as culprits for a wide variety of diseases. A number of cases followed longitudinally by various nineteenth-century French physicians showed that there was good reason to believe that the verminous influence on seizures was real, as the expulsion of the T. solium often coincided with a notable amelioration of symptoms. Several theories were proposed to account for how the worms could lead to Epilepsia nervosa, including notions of competition for nutritional resources between the host and the parasite, and irritation of the medulla and of peripheral nerve endings predisposing to epileptiform episodes. Recently, after almost a century of quiet, interest in the neurological effects of helminths has been rekindled, due in part to the growing number of cases in the United States with NCC-related neurological disorders. In this article, we review the history of our understanding of the relationship between seizure disorders and parasitic worms, and we relate this history to contemporary epidemiologic and public health issues in developing countries.     

Kennedy's China

Book reviewed:
Noam Kochavi. A Conflict Perpetuated: China Policy during the Kennedy Years.     

The Dynamics and Interactions Between the President's and the Public's Civil Rights Agendas: A Study in Presidential Leadership and Representation

Past research views presidents as reactive and minor actors in the civilrights policy process. However, that research has focused solely on the latter stages of the policy process. This report views the president's role from an agendasetting perspective. A content analysis reveals that presidents lead public opinion on civil rights, but that the public has little impact on the president's civil rights agenda. The distinction between discretionary and required agenda items explains this asymmetry between the president and the public in civil rights policymaking. A fuller notion of policymaking that includes all stages of the process, from agendasetting to implementation and evaluation, is required to understand the role of the president in civil rights policymaking and leads us to revise the perception that presidents play reactive and minor roles in civil rights policy.     

The global circulation of Marxist perspectives on the national question: Borochovism at the service of the Eritrean cause

In 1979, a group of activists belonging to the EPLF (the Eritrean People's Liberation Front) came across a materialistic interpretation of the national question, which was penned at the turn of the century by one Dov Ber Borochov (1881–1917), a Russian–Jewish intellectual who was a leading ideologue of Marxist Zionism. Among the fruits of this encounter was a book advocating the Eritrean people's right to self-determination. Owing to developments in the Soviet Union and Marxist circles in the 1920s, Borochov's works were all but ignored throughout the remainder of the century. How, then, did a Spanish translation of his treatise, Nationalismo y lucha de clases (known in English as The National Question and Class Struggle), find its way into the hands of Eritrean nationalists? Furthermore, against the backdrop of Moscow and Havana's open support for Ethiopia, what attracted these Eritreans to the thought of an obscure Marxist–Zionist intellectual?