Cover Page

Evidence‐Based Evolutionary Medicine

John S. Torday

Departments of Pediatrics
Obstetrics and Gynecology
David Geffen School of Medicine
University of California – Los Angeles, USA; &
Evolutionary Medicine Program
Department of Ecology and Evolutionary Biology
University of California – Los Angeles, USA

Neil W. Blackstone

Department of Biological Sciences
Northern Illinois University
DeKalb, IL, USA

Virender K. Rehan

Professor of Pediatrics
David Geffen School of Medicine
University of California – Los Angeles, USA; &
Chief, Division of Neonatology
Harbor-UCLA Medical Center
Torrance, California, USA


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Preface

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.