
Richard Collins: Leeches suck — which can be handy at times
Napoleon was 'a martyr to the piles'. Swollen veins in his 'back-passage' may have denied him victory at Waterloo 210 years ago this month. Martyn Linnie, in his Unnatural History of Animals , just published, devotes a chapter to the great emperor's anal challenge... and the creepy-crawlies which supported him on the fateful day.
Bonaparte delayed the start of the famous battle. Hostilities should have commenced at 6am but it was almost noon when they got underway. Was the Emperor waiting for the weather to improve, or did he just feel unwell? He had suffered a severe attack of piles the previous day. Did thrombosed haemorrhoids render mounting his horse too painful? Was he therefore unable to ride out and study the lie of the land as he always did prior to a battle?
It was believed, back then, that illness resulted from imbalances in the body's 'humours'. Blood levels had to be kept in harmony with those of the other bodily fluids. To restore equilibrium a patient was 'bled'. Although this had been an accepted medical technique for 2,000 years, it usually did more harm than good. Blood-flow could be difficult to control during, or following, surgery. Using leeches to suck out blood reduced the risk of haemorrhage.
His military surgeon thought that the swelling in the great man's rectal veins needed to be reduced, so an emergency response team of crack medicinal leeches was called in. Twenty-five of the saviours were applied to the imperial perineum on the day preceding the battle.
The leech, related to the earthworm, has a sucker at its rear end with which it propels itself through water and locks onto a host. The proboscis, up front, has sharp tooth-like appendages, which seek out exposed flesh and make an incision. A Dracula-style blood-sucking orgy follows. Leech saliva contains anaesthetics, anticoagulants and substances to increase blood-flow. The parasite can stay in place for days in a passionate embrace with its host, gorging itself until its swollen body can't take in any more.
Trekking in the jungles of Borneo, many years ago, I tried exchanging body fluids with a leech. These blood-suckers were a notorious pest there. Oddly, however, none of them latched on to my calves or thighs. Prime Irish blood, it seemed, was not to their liking. I put one of them on the soft underside of my arm, hoping to see it perform. But, alas, to no avail — 'he was despised, despised and rejected'. There are many species of leech. Had I picked a benign one?
The Unnatural History of Animals: Tales from a Zoological Museum by Martyn Linnie
Ireland, according to Dr Martyn Linnie, was the first country in Europe in which, through over-exploitation, the medicinal leech became extinct. We still have another dozen or so freshwater species here and some salt-water ones as well. None is harmful to humans. Leeches, with their rich biochemical armoury, still play a role in surgery. A protected species in Europe, they are reared now on leech farms.
If Napoleon had won the crucial battle, would we be celebrating the pivotal contribution a humble creepy-crawly made to European history?
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Irish Daily Mirror
20 hours ago
- Irish Daily Mirror
Chikungunya virus symptoms, spread and what to know as 7,000 infected in China
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The Journal
a day ago
- The Journal
Daughter of Waterford woman who died from bowel cancer calls for lower screening age
NOELLE DROHAN WAS never really one to complain, or even draw attention to herself. She was a trained accounts technician, and she worked in the garage across the road from her family home in Dungarvan, Co. Waterford, but her daughters say that her main occupation 'was as a always mam'. 'She put myself and my sister first, always, and I suppose she was like a lot of Irish women in that sense,' Niamh Drohan said. Niamh is 34, and just over a year ago, her mother died with colorectal cancer. Throughout her mum's cancer journey, from the first GP visit over worrying symptoms, to after the diagnosis point, Niamh always had the sense that Noelle was holding information back; that the outlook was much worse than what she was saying. Noelle was 55 when she died on 21 July 2024, she was 53 when she first went to the GP. 'My mam was a really private person, she probably suffered in silence for a really long time before she sought out medical attention. She was incredibly unlucky with her health; I was living in Cork and my sister was living in Dublin for the last few years, and it seemed like every time we were back home, she wasn't well in some way,' Niamh said. Niamh said that when she went home to visit she would notice digestive aids around the house, and that her mother's health seemed to have visibly deteriorated. 'Afterwards, when the reality of the situation was clear, she told me that at that time, it was taking her an hour to get dressed in the mornings. She'd put her leggings on and then have to lie down for half an hour, before she could put her t-shirt on,' Niamh said. In February 2023, after several GP visits, Noelle was sent for a full blood panel test. 'They found that her white blood cell count was on the floor, and she was sent to the hospital immediately,' Niamh said. Noelle underwent chemotherapy treatment and appeared to respond well to it during that year, but when Niamh went home for Christmas, she noticed that her condition had seriously deteriorated. 'At that time, she wasn't fully telling me what was going on, but at that time I was crying on the phone to my friends saying, 'I swear to god I think she's dying,' and they didn't know what to say. Noelle's condition worsened to the point that it was clear to her family that her cancer was terminal. 'She came home for the last time in June, and she had a walker to help her get around. At that stage the cancer had spread extensively, even to her spine,' Niamh said. Advertisement Her mam's passing in July 2024 was devastating to her. 'Of course, she was my mam, so I'd say this, but she really was so maternal with everyone,' Niamh said. Afterwards, Niamh started putting together a picture of their family's health history. Her grandmother had passed away with colorectal cancer at the age of 63, so she realised that there was potentially a genetic factor at play. 'I started looking into the latest reports around colorectal cancer in Ireland and in the world, and I saw that there is an increasing prevalence of colorectal cancer cases in people who are well under the screening age, so it made me start to think that the screening age itself in Ireland should be lowered from 59 to 50, because that is what it is the UK, and in other countries around the world,' Niamh said. Niamh is encouraging people to participate in HIQA's consultation programme for increasing the age range for colorectal screening in Ireland. It's understood that currently, the uptake for the colorectal cancer screening programme is at 46%, which is well below the participation for the other national cancer screening services. Just last week, the Health Information and Quality Authority launched a public consultation assessment as it is in the process of looking into lowering the age of the BowelScreen programme to people aged 50-54 in Ireland. Colorectal cancer, which is also referred to as bowel cancer, refers to cancer that occurs in the colon and rectum. It is the second most common cancer in men and the third most common cancer in women in Ireland It is the third leading cause of cancer-related deaths in Ireland. The screening process is fairly simple, at first it involves an at-home test which is intended to detect hidden blood in a person's stool, and if that is detected, they are sent for a colonoscopy. Similar to the cervical cancer screening programme, it can detect early health indicators and early intervention can prevent a person's cancer from developing to a more serious stage. Dr Máirin Ryan, the deputy CEO of HIQA, said that the HSE already has a commitment in place to expand colorectal cancer screening to people aged 55-74, as currently the service is only totally in place for people aged 59 to 69, although the expansion of the age range is already underway. 'The services required for screening are under pressure to meet existing demands. Significant investment and planning would be required to ensure the necessary resources are in place to support a potential future extension of the BowelScreen programme,' Dr Ryan said. To participate in the public consultation, visit the HIQA site here. *Bowel cancer and colorectal cancer are interchangeable terms. Readers like you are keeping these stories free for everyone... A mix of advertising and supporting contributions helps keep paywalls away from valuable information like this article. Over 5,000 readers like you have already stepped up and support us with a monthly payment or a once-off donation. 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Irish Independent
a day ago
- Irish Independent
Research reveals impact of Great Famine on survivors' height
The research, from Queen's Business School in Belfast and Edinburgh Business School, examined the impact of one of the defining events in Irish history. It found that in some regions the survivors' average adult height was comparable to – or even slightly greater than – that of individuals born before or after the Famine. Around one million people died from starvation or disease in the Famine from 1845 to 1852. A stunting of height is usually associated with malnutrition and disease. The study used the historical data of 14,500 individuals, with different exposures to famine conditions and drawn from two prisons, in Dublin and Tipperary, born before, during and after the Famine. The findings have been published in Economic History Review, coinciding with the 180th anniversary of the beginning of the Famine. The study revealed that individuals born during the Famine exhibited reduced health outcomes. This effect dominated in areas with low famine mortality, such as Dublin. With the weakest succumbing to disease and starvation, this left the healthiest to survive It also showed that those who survived the Famine were, on average, the taller, more robust individuals. Areas most affected by the Famine, such as in Tipperary, saw an increase in average societal health for survivors. Dr Chris Colvin, of Queen's Business School, said: 'Individuals born in severely affected regions such as Tipperary exhibited no evidence of stunted growth, indicating that the Famine disproportionately eliminated the most vulnerable. 'In contrast, stunting is observed only in areas with lower excess mortality such as Dublin, where selective pressures were weaker. 'With the weakest in society succumbing to disease and starvation, this left only the healthiest to survive into adulthood. They grew up to be significantly taller than average.' Professor Eoin McLaughlin, of Edinburgh Business School at Heriot-Watt University, said: 'This research reshapes how we understand the long-term effects of humanitarian disasters like famines. 'By distinguishing between scarring – lasting damage to survivors' health – and selective mortality, it challenges simple assumptions that crises always leave a uniformly weakened population.'