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Gulf War Syndrome: Is It a Real Disease? asks a recent headline in the New York Times. This question--are certain diseases real?--lies at the heart of a simmering controversy in the United States, a debate that has raged, in different contexts, for centuries. In the early nineteenth century, the air of European cities, polluted by open sewers and industrial waste, was generally thought to be the source of infection and disease. Thus the term miasma--literally deathlike air--came into popular use, only to be later dismissed as medically unsound by Louis Pasteur.

While...

In myriad ways, humans have gradually tailored their world to meet immediate material needs. In so doing, we have, in the minds of many, systematically altered a formerly hospitable environment into one more ambiguous in its effect on the human organism. Just as environments have adapted in response to human activity, so too is the human body now, in turn, forced to adapt to these altered conditions. Today, mysterious illnesses, from chronic fatigue to Gulf War Syndrome, meet us at every turn. Yet even as an increasing number of people attribute ailments to environmental problems, the...

Gulf War Syndrome: Is It a Real Disease? asks a recent headline in the New York Times. This question--are certain diseases real?--lies at the heart of a simmering controversy in the United States, a debate that has raged, in different contexts, for centuries. In the early nineteenth century, the air of European cities, polluted by open sewers and industrial waste, was generally thought to be the source of infection and disease. Thus the term miasma--literally deathlike air--came into popular use, only to be later dismissed as medically unsound by Louis Pasteur.

While...