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Immune System Malfunctions Affect Up To 40 Percent Of Global Population

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Immune System Malfunctions Affect Up To 40 Percent Of Global Population

WASHINGTON, July 8 — The immune system is the body’s security detail, a vast network of cells, tissues and organs that patrol for intruders. But like any complex system, it can malfunction in three distinct ways: overreacting, attacking itself, or failing to respond at all. Think of it like a home security system.

Sometimes it’s too sensitive, triggering an alarm for a falling leaf (an allergy). Sometimes it mistakes the homeowner for an intruder and locks them out (autoimmunity).

And sometimes the alarm simply doesn’t sound when a real burglar arrives (immunodeficiency). Allergies represent the most common immune malfunction, affecting an estimated 30 to 40 percent of the global population, according to the World Allergy Organization. These reactions are mediated by IgE antibodies and mast cells, which release histamine.

The practical upshot: for millions of people, everyday substances become biological threats. Pollen is the most widespread offender.

Hay fever, or allergic rhinitis, affects between 10 and 30 percent of adults. Dust mites, pet dander, and certain foods — peanuts, milk, eggs — are also common triggers. In a small percentage of people, between 0.05 and 2 percent of those exposed to allergens, the reaction escalates into anaphylaxis, a severe, life-threatening response that requires immediate epinephrine.

Autoimmune diseases are a different beast entirely. Here, the immune system mistakenly attacks the body’s own cells. There are more than 80 known autoimmune diseases, and they collectively affect about 5 to 10 percent of the global population.

Rheumatoid arthritis alone affects 1 percent of the world’s population. Type 1 diabetes affects about 1 in 300 people by age 18.

Multiple sclerosis affected 2.8 million people globally in 2020. Systemic lupus erythematosus affects 5 million people worldwide. Celiac disease affects 1 percent of the population.

One striking pattern emerges from the data: autoimmune diseases disproportionately affect women, who account for about 78 percent of cases. Researchers are still working to understand why, but the gender gap is one of the most consistent findings in the field.

Immunodeficiency disorders represent the third category of immune malfunction. These can be primary, meaning genetic, or secondary, meaning acquired. Severe combined immunodeficiency, or SCID, affects about 1 in 50,000 to 100,000 births.

Common variable immunodeficiency, or CVID, is the most common symptomatic primary immunodeficiency. The most well-known secondary immunodeficiency is HIV/AIDS. Since the start of the epidemic, 84.2 million people have been infected, with 40.1 million deaths, according to UNAIDS data from 2022.

HIV attacks CD4+ T cells, and without treatment, it leads to AIDS. But there is real progress here.

Antiretroviral therapy, or ART, was introduced in 1996. Since its peak in 2004, ART has reduced AIDS-related deaths by 69 percent. That is a dramatic turnaround for a disease that was once a near-certain death sentence. Consult your doctor for medical advice.

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