What you know about dandruff?
What you know about dandruff?
What you know about dandruff?
Dandruff is the most known scalp disease and every one would have suffered from dandruff at one stage or other in their life. The awareness of dandruff is very high in the society as well as the products available for treatment. Since the disease seldom cause mortality and serious morbidity, dandruff got less attention from our health care system.
But today, dandruff is huge business space for FMCG industry. Plenty of antidandruff preparations, anti dandruff agents and naturals, patents are happening every day. If the promise of antidandruff preparations were to be taken in the letter and spirit, dandruff as a disease should have got removed from the medical dictum at least 5 decades ago. But unfortunately, dandruff remains a problem in the society and an excellent money making opportunity to FMCG companies.
Have any one asked why so much of dandruff despite so much of antidandruff products? Is the promise on these products false or products are ineffective? The question will be no. Many FMCG companies are spending on research to validate the product efficacy, then why the problem remains a problem? Some where something is going wrong? Have we understood what is wrong? Possibly our understanding about dandruff.
The popular understanding about the cause of dandruff is about the theory of microbial origin. The commensal flora (normal inhabitant) of the scalp becomes pathogenic in some individuals. Why a normal inhabitant microbes become pathogenic in some not in all. Another contradiction is that all dandruff does not have the microbial association. Unfortunately, the entire wealth of dandruff cause lies in the microbial cause and so is the antidandruff preparations said Dr.Gokulshanar, teaching faculty of Medicine, AIMST University, Malaysia.
Why the dandruff was not understood beyond the matrix of microbes being the cause? May be due the convenience. Making a simple antimicrobial concoction is easy than investing on understanding the science of dandruff. When suitable scientific support become available in some journals, communication to this effect becomes very easy for the antidandruff promoters.
Antimicrobial activity of some agents against the scalp inhabitant microbes does not mean such agents will have potent antidandruff activity. When the microbes play fewer roles in causing dandruff, these agents become burden on the scalp when used.
In reality, scalp ecosystem is highly disturbed by using wide range of antidandruff products with a belief that they are doing great job to the dandruff problem. The treatment is causing greater damage than the disease.
When our understanding and research about a problem is solely aimed for commercial advantage, not only the solution to the problem becomes elusive, the real cause of the problem itself gets distorted. Today, the hypothesis of non microbial cause of dandruff will have no takers. The increased abundance of scalp microbes is a cause or consequence of abnormal scaling, no one has the answer. Industry love to believe that microbes to be the cause for abnormal scaling as it serves the business interest. Further, the scientific community appears to have totally convinced of the microbial cause and never wants to challenge the above concept. All the subsequent research efforts were to prove the above concept than try to see the problem without bias, preformed concept or definition.
Dandruff is an extreme end of physiologic spectrum of scaling may be more due to physiological cause. The physiological cause by and large would settle with age. The sex-age association of dandruff studies clearly proves the above postulate. The scalp microbes do increase in numbers when free scalp cells are available in abundance. This can be a secondary effect. When chemicals like shampoo etc., are used frequently at this stage, an irritant/allergic reaction is possible. This reaction may worsen the situation which is already disturbed and damaged, thus goes the tertiary effect said Dr.Ranjith Mahenderkar, teaching faculty of Medicine, AIMST University, Malaysia.
Our health care system should treat dandruff as 'social menace' or public health problem and a proper research on dandruff needs to be initiated, failing which dandruff remain least understood problem.
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