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The resurgence of Victorian illnesses like gout is a concerning trend that is becoming more prevalent in modern times. Gout, a painful form of arthritis, was historically known as ‘the disease of kings’ due to its association with overindulgence in rich foods and alcohol. However, recent data from NHS trusts in England has shown a significant increase in gout cases, with some areas experiencing a surge of up to 960% in reported cases.

In Liverpool, for example, there were 5,864 cases of gout recorded in 2023, marking a 960% increase from 2019. Other areas like Dorset and South Warwickshire also saw substantial growth in gout cases over the same period. The impact of gout on patients should not be underestimated, as it can cause sudden and severe bouts of pain in various joints of the body.

Gout is caused by an excess of uric acid in the blood, which can lead to the formation of crystals around the joints, resulting in intense pain. It is more common in men and can be triggered by factors such as obesity, alcohol consumption, menopause, certain medications, and underlying health conditions like high blood pressure. The main symptoms of gout include sudden severe joint pain, swelling, and redness over the affected area.

Aside from gout, there has also been a significant increase in malnutrition cases in Liverpool, with a 447% rise in the last five years. Malnutrition, characterized by a lack of essential nutrients, is not the same as starvation and can coexist with obesity, leading to what experts call the ‘hunger-obesity paradox’. The rise in Victorian-era diseases has been linked to the cost of living crisis, which has forced some lower-income families to rely on inexpensive, nutrient-poor foods.

Poor diets, particularly those high in ultra-processed foods, can contribute to malnutrition and other health issues. Ultra-processed foods are low in essential nutrients but high in calories, making them easy to overconsume and leading to weight gain. Individuals and families with limited financial resources often gravitate towards these types of foods, which can have detrimental effects on their health despite being calorie-dense.

In conclusion, the resurgence of Victorian illnesses like gout and malnutrition highlights the importance of maintaining a balanced and nutritious diet. By addressing the root causes of these health issues, such as poor dietary choices and limited access to fresh foods, individuals can reduce their risk of developing these preventable conditions. The key takeaway is to prioritize healthy eating habits and seek support from healthcare professionals to address any underlying health concerns related to nutrition.