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A28    SCIENCE
                    Monday 12 august 2019
            When light is lethal: Moroccans struggle with skin disorder



            CASABLANCA,       Morocco                                                                                           time outside.
            (AP) — Determined for her                                                                                           Outside  of  El  Fatoikai's  of-
            7-year-old  son  to  attend                                                                                         fice,  families  coming  from
            school despite a life-threat-                                                                                       all  around  Morocco  sit  in
            ening sensitivity to sunlight,                                                                                      a  waiting  room  eager  for
            Nadia El Rami stuck a deal                                                                                          their  names  to  be  called.
            with  the  school's  director:                                                                                      There  is  a  rumor  about  a
            Mustapha  would  be  al-                                                                                            new XP treatment.
            lowed in the classroom, but                                                                                         The  truth  is,  she  says,  "We
            only  if  he  studies  inside  a                                                                                    only have prevention as a
            cardboard box.                                                                                                      possible  treatment.  These
            Mustapha Redouane hap-                                                                                              children  ...  have  to  avoid
            pily accepted the arrange-                                                                                          even  minimum  sun  expo-
            ment. He knew his mother's                                                                                          sure."  The  main  prevention
            idea  would  silence  the                                                                                           measures: avoiding the sun
            school's  worries  about  his                                                                                       and  wearing  protective
            condition,  a  rare  genetic                                                                                        clothing,  face  shields  and
            disorder  called  xeroderma                                                                                         sunscreen.
            pigmentosum, or XP, which                                                                                           Fatimazehra  Belloucy,  25,
            can  make  sun  rays  and                                                                                           has  dealt  with  skin  cancer
            other  sources  of  ultraviolet                                                                                     and  other  problems  be-
            light  extremely  damaging                                                                                          cause of XP.
            to  the  skin  and  eyes.  The                                                                                      "If  only  people  made  it
            disorder is more common in   In this Wednesday, July 24, 2019 photo, Mohammad, 6, who is affected by a rare disorder called   easier.  Their  words  hurt.  I
            North Africa than much of    xeroderma pigmentosum, or XP, waits with his mother inside a hospital in Casablanca, Morocco.   feel entirely alienated," she
            the world.                                                                                         Associated Press  said,  describing  how  she
            "I hate the sun anyways. It                                                                                         faces  scared  looks  and
            gives  me  blisters,"  he  said,  ments. In Morocco, families  herited, XP is more common  order, said Fatima El Fatoui-  hateful  comments  as  she
            sitting  on  his  mother's  lap,  are also fighting for recog-  in  populations  where  mar-  kai, pediatric dermatology  passes  by.  Her  family  limits
            his  face  covered  with  the  nition, government help —  riage  between  relatives  is  specialist at the Ibn Rochd  interactions  with  her,  fear-
            dark  brown  freckles  that  and the simple right to go  high, Kraemer said. Affect-   University Hospital in Casa-  ful that the disease is con-
            the school director consid-  to school.                   ed children inherit two cop-  blanca.                     tagious.
            ered a distraction to other  The  disorder  affects  about  ies of a mutated gene, one  Without  protection,  few  "No  one  would  take  care
            students.                    1 in 10,000 people in North  from each parent.  A 2016  XP  patients  in  Morocco  of me, so I had to do it my-
            Now  8,  Mustapha  has  al-  Africa  —  more  than  10  Moroccan        government  live  beyond  their  teenage  self," said Belloucy, who re-
            ready had 11 operations to  times  the  rate  in  Europe  study estimates about 15%  years,  El  Fatouikai  said.  It  ceived  her  high  school  di-
            remove cancerous growths  and  about  100  times  the  of  marriages  are  between  is  particularly  challenging  ploma and is now enrolled
            on his skin.                 rate  in  the  United  States,  family members.           in  developing  countries,  in  university.  She  hopes  to
            His  family  is  among  thou-  according  to  Dr.  Kenneth  Living  in  a  country  where  where  an  awareness  of  land work helping with the
            sands  around  the  world  Kraemer,  who  researches  the  sun  shines  year-round  the disorder and access to  disease.
            struggling  with  XP,  and  in-  XP at the U.S. National Insti-  makes them more suscep-  treatments are scarce, and  Most  Moroccan  children
            creasingly  sharing  advice  tutes of Health.             tible  to  skin  cancers  that  in  poor,  rural  communities  with XP don't continue their
            and  seeking  new  treat-    Because  the  disorder  is  in-  can be caused by the dis-  where people spend more  education. q

                                                                      Alaska scientists say polar



                                                                      bear encounters to increase




                                                                      ANCHORAGE,  Alaska  (AP)  es in the fall, scientists said.  Resident  Annie  Tikluk  was
                                                                      — Alaska scientists say the  The  average  duration  of  one  of  the  few  who  en-
                                                                      chances  of  a  polar  bear  the ice-melt season has in-  countered a bear Monday
                                                                      encounter have increased  creased  by  36  days  since  before neighbors scared it
                                                                      after  research  reveals  the  the late 1990s, researchers  off. Her daughter and two
                                                                      bears are arriving on shore  said.                        nieces  were  playing  out-

             In this April 8, 2011, photo provided by the U.S. Geological Sur-  earlier and staying on land  The  bears  are  arriving  "a  side  when  "I  saw  the  bear
            vey, a polar bear walks across rubble ice in the Alaska portion   longer, a report said.  little  bit  ahead  of  sched-  and ran out," Tikluk said.
            of the southern Beaufort Sea.                             Scientists  at  the  U.S.  Geo-  ule,"  said  Todd  Atwood,  a  "The main issue is that bears
                                                     Associated Press   logical   Survey   found  research  wildlife  biologist  in the southern Beaufort are
                                                                      changes  in  sea  ice  habi-  leading  the  U.S.  Geologi-  now using land to an extent
                                                                      tat  have  coincided  with  cal  Survey's  polar  bear  re-  they haven't used it histori-
                                                                      evidence that polar bears'  search program.               cally,"  Atwood  said.  "And
                                                                      use  of  land  is  increasing,  Polar  bears  usually  come  increasing  activities  in  the
                                                                      the Anchorage Daily News  to shore in mid-August, but  Arctic,  particularly  those
                                                                      reported Saturday.           residents  have  reported  related  to  development,
                                                                      The  polar  bears  come  to  sightings  as  early  as  May  the main consideration go-
                                                                      land from the Beaufort Sea  in  Kaktovik,  a  small  town  ing forward is probably go-
                                                                      during the ice-melt season,  about  640  miles  (1,030  ki-  ing  to  be  how  bears  and
                                                                      when the sea ice breaks up  lometers)  north  of  Anchor-  humans  are  sharing  those
                                                                      in the summer and refreez-   age, biologists said.        spaces."q
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