This edition first published 2019
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Library of Congress Cataloguing‐in‐Publication Data
Names: Torday, John S., author. | Blackstone, Neil W., author. | Rehan, Virender K., author.
Title: Evidence‐based evolutionary medicine / authored by John S. Torday, Neil W. Blackstone, Virender K. Rehan.
Description: Hoboken, NJ : Wiley, 2019. | Includes bibliographical references and index. |
Identifiers: LCCN 2018007720 (print) | LCCN 2018009191 (ebook) | ISBN 9781118838310 (pdf) | ISBN 9781118838334 (epub) | ISBN 9781118838372 (hardback)
Subjects: | MESH: Disease–etiology | Biological Evolution | Disease–genetics | Genetic Predisposition to Disease | Genetic Variation
Classification: LCC QH78 (ebook) | LCC QH78 (print) | NLM QZ 50 | DDC 576.8/4–dc23
LC record available at https://lccn.loc.gov/2018007720
Cover Design: Wiley
Cover Image: Artem_Egorov/Gettyimages
The authors, John S. Torday, Neil W. Blackstone, and Virender K. Rehan, of this book come from different academic backgrounds in developmental biology, medicine, and evolutionary biology, respectively. Together, we have perceived evolutionary medicine much as the parable of the blind men and the elephant. Our goal in writing this book is to provide a more unified view of evolution and medicine in lieu of the fragmented, siloed way in which this information is presently provided. While we may not have entirely succeeded in this goal, the need is clear. As basic science, the lack of an appreciation of a central theory of biology has negatively impacted medicine. As a result, we see more and more medical technology, and the concomitant erosion of the quality of health care – increasing infant mortality, maternal mortality, ventilator‐induced mortality, over‐medication, treatments that merely eliminate symptoms without addressing the ultimate cause of disease.
Much of this failure of medicine is due to the antiquated view that health is the absence of disease, and disease is the absence of health, which derives from the descriptive view of biology as a machine, the whole being equal to the sum of its parts. In contrast to that, the mechanistic evolutionary approach explicated in this book is that health and disease are a mechanistic continuum, offering the opportunity to intervene anywhere along that line of identity both diagnostically and therapeutically, even before the patient is symptomatic, as true preventive medicine, reducing morbidity and mortality. And it should be pointed out that this approach is in contradistinction to the molecular biologic approach currently being implemented, eradicating the cellular communication principles that have facilitated vertebrate evolution, lumping the genetic elements together without consideration of their functional biologic context. That overly reductionist approach has culminated in a reductio ad absurdum. This situation must be rectified in order for medicine to become predictive, not just correlative and associative, other than in the case of infectious diseases, surgery, and trauma. Having completed the book, we hope that the reader will come to share this viewpoint.