The Parkinson’s Plan: A New Path to Prevention and Treatment

In this prescriptive guide, neurologists Dorsey and Okun (Ending Parkinson’s Disease) explain the latest research concerning Parkinson’s, a neurodegenerative disease that causes tremors and stiffness, and detail steps for risk reduction. The disease has become “disturbingly common,” according to the authors, who argue that genetics alone aren’t to blame: “rather, chemicals in our food, water, and air have created this largely man-made disease.” To address the “Parkinson’s pandemic,” they present a four-part road map using the acronym PLAN. They urge prevention of the disease through bans on harmful chemicals, like the pesticide paraquat, which has been strongly linked to Parkinson’s; learning more about the disease through increased funding for research into its causes (scientists believe it could start in the nose or gut); amplifying patients’ voices so care models can be constructed to adequately meet their needs; and navigating new treatments, such as electrical stimulation, behavioral interventions, and over-the-counter medications that can be repurposed for Parkinson’s patients. In addition to outlining this detailed plan for the country at large, the authors clearly articulate what individuals can do to reduce their risk, like washing produce, filtering water, and avoiding certain dry cleaning chemicals. Readers interested in both public policy and individual risk mitigation will find Dorsey and Okun’s program accessible and inspiring. (Aug.)