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The common cold is one of our nastiest nuisances. It may be dangerous
for some, ushering in more profound infections in people with
underlying respiratory and immune disorders. I cannot begin to
imagine how much colds cost us in direct expenses and lost production.
We are, therefore, avid for any news of alleviation. Sadly, vast
multitudes of purported preventives and cures have fizzled. Only
chicken soup has stayed the course.
Then came a study suggesting that alcohol may reduce susceptibility
to the common cold. What could be nicer than a wee dram to make
winter more bearable?
The research was done at the Medical Research Councils Common
Cold Unit in Salisbury, England, by members of that unit and of
the MRCs Addiction Research Unit, and by investigators from Carnegie
Mellon University in Pittsburgh, Pennsylvania, and the University
of Wales College of Cardiff. It sought, under controlled conditions,
to test the view that both smoking and drinking increase susceptibility
to viral infections. Instead, while smoking was indeed incriminated,
consumption of alcohol was found to reduce the risk of infection,
particularly among nonsmokers.
The experimental procedure is reminiscent of work done by Louis
Pasteur over a century ago. Pasteur, tired of hearing his mother
admonish him not to get his feet wet lest he catch le rhume or,
worse, la grippe, kept one-half of a flock of chickens warm and
dry, but forced the rest to stand around in their bare feet in
cold water. He sprayed both groups with cold viruses. Each group
contracted the same number of colds. So much for Pasteurs mothers
advice! (It is not recorded whether any of the chickens smoked.
It is certain that none were in contact with wine until in the
pot.)
The Medical Research Council studied 154 men and 263 women, all
healthy volunteers, who were between 18 and 54 years of age. Pregnant
women were excluded.
The subjects were given nasal drops containing one of several
cold viruses (rhinovirus types 2, 9 or 14, respiratory syncytial
virus, or coronavirus 229E). Some were given saline as controls.
They were quarantined from two days before until seven days after
the viral exposure. The study was conducted in the usual "double-blind"
fashion to ensure objectivitythat is, neither the subjects nor
their examiners knew who got what. Measured results included recovery
of viruses from subjects (evidence of active infection), measurements
of virus-specific antibody levels (indicating an immune response
to a recent infection), and examination for evidence of clinical
infections (colds). These meticulous investigators went so far
as to weigh daily mucus production.
As expected, cigarette smokers had increased risk of infection
and increased symptoms if infected.
The authors were surprised to discover alcohol consumption to
be associated with reduced risk of infection. Moreover, this observed
benefit was dose related: each increase in drinking, up to three
or four per day, was associated with a decreased risk of illness.
The benefit of drinking was modified by smoking. Smokers derived
little if any benefit from drinking. Nonsmokers who did not drink
experienced nearly the same frequency of infections as did smokers.
As nonsmokers consumed more alcohol, their risks progressively
diminished. There was suggestive evidence that drinkers actually
became infected, but that they resisted the viral attack, and
so remained well.
No one has any sound theory explaining alcohols protective effects
(which appear not to discriminate among various beverages). It
is established that chronic heavy drinking may adversely affect
a number of bodily functions related to immunity. Moderate drinking
has no such effect. Conjectures of the MRC researchers include
possible limitation of viral replication or of the inflammatory
process by alcohol.
Others speculate that antioxidant properties of the polyphenolic
flavonoids suspected of protection against heart disease and cancer
might also be operative against infections. This could not apply
to all beverages, for beer and wine, red wine in particular, is
relatively rich in these compounds, but spirits ( with the exception
of cask aged spirits) contain little, if any.
To my knowledge, information of interest on interrelationships
of alcohol and viral infections have been limited to two reports,
both thus far unsubstantiated and of uncertain import. Wines and
spirits, but not beer, consumed with raw oysters contaminated
with hepatitis A were associated with a reduced risk of infection.
Alcohol appeared to speed the replication of the human immunodeficiency
virus of AIDS in vitro (in laboratory test tubes). This has no
relevance to catching the disease.
The take-home message about colds is clear: drink moderately;
dont smoke cigarettes. And chicken soup wouldnt hurt. But I must
caution against relying upon alcohol as prophylactic or curethe
data remain ambiguous and the prospective consequences possibly
mixed.
Harvey Finkel is Clinical Professor of Medicine at The Boston
University Medical Centre, and Chairman of the Committee on Health
for The Society of Wine Educators. |