We live in a microbial world and our immune system learns how to deal with endless varieties of bacteria, fungi, and viruses by encountering them when we are young. (Pavel Burchenko/Shutterstock)
“Eat dirt!” is a phrase I remember well. It was in the title of an article published by Harvard University environmental health professor, Dr. Scott T. Weiss, and it captured my attention while I was learning about an immunological concept known as the “hygiene hypothesis.”
The core of the idea is that we live in a microbial world: an environment full of bacteria, parasites, viruses, and fungi. And that our interactions with these microbes after birth are extremely important to educate our immune systems to function properly. When we are born, our immune systems are still maturing.
I like the way researchers led by microbiologist Sally F. Bloomfield expressed it in their study:
“The immune system is a learning device, and at birth it resembles a computer with hardware and software but little data. Additional data must be supplied during the first years of life, through contact with micro-organisms from other humans and the natural environment.”
The immune system has many potent mechanisms for killing pathogens. It needs to be carefully regulated to ensure it can eliminate dangerous microbes from the body without causing excessive harm to our own tissues. The interactions we have with our environment early in life are essential for our immune systems to learn to differentiate between safe and dangerous disease-causing microbes.
We live in a microbial world, an environment full of bacteria, parasites, viruses, and fungi. (Shutterstock)
To return to the computer analogy, the data that gets uploaded into the software is incomplete. This lack of data can cause the immune system to struggle to differentiate between what is truly dangerous and should be eliminated, and what isn’t dangerous and shouldn’t be responded to. In plain terms, this scenario can promote allergies, asthma, and autoimmune diseases.
Concrete Jungles
Scientists are moving away from using the term “hygiene hypothesis” because it could be misinterpreted as meaning that hygiene isn’t good for a developing immune system. This isn’t true, nor should anybody advocate for actually eating dirt to gain exposure to microbes. Moderation and targeted hygiene would be best.
Societies have also adopted behaviors that limit exposure to microbes. The overuse of antibiotics exacerbates the problem by non-discriminately eliminating good microbes along with bad ones. Specifically, we need to practice proper hygiene in the context of trying to prevent infectious diseases but still allow our immune systems to interact with safe and essential microbes. Many middle-income countries have seen an epidemic of allergic diseases over the past several decades. This is, in part, due to increased urbanization which is akin to living in “concrete jungles” with reduced exposure to the natural environment.
Bloomfield and her team of microbiology researchers provide some suggestions for how to deal with the rise in allergies.
“Evidence suggests a combination of strategies, including natural childbirth, breast-feeding, increased social exposure through sport, other outdoor activities, less time spent indoors, diet and appropriate antibiotic use, may help restore the microbiome and perhaps reduce risks of allergic disease,” they advise.
In short, most COVID-19 policies have maximized the potential for children to develop dysregulated immune systems. As a viral immunologist, I wasn’t overly concerned about this in the early stages of the pandemic when “temporary” measures were put in place to “flatten the curve.”
However, there is cause for concern one year later, after many places in Canada and other countries have spent months in lockdowns or with very limited social contact and activities to prevent the spread of COVID-19.
The youngest among us have had their immunological development compromised for one year and growing. The more immature the immune system is, the more prone it will be to becoming dysregulated during the pandemic.
The policies that have been enacted to help prevent the spread of COVID-19 contradict the recommendations to ensure proper immunological development in children. (Unsplash/Markus Spiske)
For example, the problem would likely be more prevalent in infants than toddlers. Although the human immune system is largely mature by approximately age six, some important components are still developing into adolescence. As such, the only people who can be certain that current isolation policies will have no negative impact on their immune system’s ability to self-regulate are adults.
An unfortunate and under-appreciated long-term legacy of this pandemic will likely be a cluster of “pandemic youth” who grow up to suffer higher-than-average rates of allergies, asthma, and autoimmune diseases. This will hold true for children in all countries that enacted isolation policies.
Interestingly, it has been noted that the new messenger RNA-based COVID-19 vaccines that are packaged inside liposome nanoparticles might be contraindicated for some individuals with a propensity toward severe allergic responses. Ironically, we may be setting up many of our youth to develop hypersensitivities to this vaccine technology when they are older.
Raising children during the pandemic has largely occurred in isolated and sanitized environments that are unprecedented in extent and duration. These kids are at greater risk of developing hypersensitivities and autoimmune diseases than anyone before them. The immune systems of children aren’t designed to develop in isolation from the microbial world, so let’s consider letting children be children again.
Byram W. Bridle is an associate professor of viral immunology at the department of pathobiology at the University of Guelph in Canada. This article was first published on The Conversation.
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