Usog
Encyclopedia
"Usog" or balis is a topic in psycho-medicine in Filipino Psychology (but considered just as a Filipino
Philippines
The Philippines , officially known as the Republic of the Philippines , is a country in Southeast Asia in the western Pacific Ocean. To its north across the Luzon Strait lies Taiwan. West across the South China Sea sits Vietnam...

 superstition in Western Psychology) where an affliction or psychological disorder is attributed to a greeting by a stranger, or an evil eye
Evil eye
The evil eye is a look that is believed by many cultures to be able to cause injury or bad luck for the person at whom it is directed for reasons of envy or dislike...

 hex
Curse
A curse is any expressed wish that some form of adversity or misfortune will befall or attach to some other entity—one or more persons, a place, or an object...

. It usually affects an unsuspecting child, usually an infant or toddler, who has been greeted by a visitor or a stranger.

In some limited areas, it is said that the condition is also caused by the stranger having an evil eye or masamang mata in Tagalog
Tagalog language
Tagalog is an Austronesian language spoken as a first language by a third of the population of the Philippines and as a second language by most of the rest. It is the first language of the Philippine region IV and of Metro Manila...

, lurking around. This may have been influenced by the advent of the Spaniards who long believed in the mal de ojo superstition.

Once affected, the child begins to develop fever
Fever
Fever is a common medical sign characterized by an elevation of temperature above the normal range of due to an increase in the body temperature regulatory set-point. This increase in set-point triggers increased muscle tone and shivering.As a person's temperature increases, there is, in...

, and sometimes convulsion
Convulsion
A convulsion is a medical condition where body muscles contract and relax rapidly and repeatedly, resulting in an uncontrolled shaking of the body. Because a convulsion is often a symptom of an epileptic seizure, the term convulsion is sometimes used as a synonym for seizure...

s. Supposedly, the child can be cured by placing its clothing in hot water and boiling it. In most other places, to counter the effects of the "usog" the stranger or newcomer is asked to put some of his or her saliva
Saliva
Saliva , referred to in various contexts as spit, spittle, drivel, drool, or slobber, is the watery substance produced in the mouths of humans and most other animals. Saliva is a component of oral fluid. In mammals, saliva is produced in and secreted from the three pairs of major salivary glands,...

 on the baby's abdomen, shoulder or forehead before leaving the house. The newcomer then leaves while saying: "Pwera usog... pwera usog..." The saliva is placed on the finger first, before the finger is rubbed on the baby's abdomen or forehead. The stranger is never to lick the child. The practice is that the stranger or visitor is asked to touch his or her finger with saliva to the child's body, arm or foot ("lawayan") to prevent the child from getting overpowered ("upang hindi mausog").

Possible scientific explanation

One theory explains usog in terms of child distress that leads to greater susceptibility to illness and diseases. There are observations that a stranger (or a newcomer or even a visiting relative) especially someone with a strong personality (physically big, boisterous, has strong smell, domineering, etc.) may easily distress a child. Thus, the child is said to be "overpowered" or nauusog and thus may feel afraid, develop fever, get sick, etc.

In usog, the child's distress is the consequence of the child's failure to adapt to change. It is, in medical terms, the consequence of the disruption of homeostasis through physical or psychological stimuli brought about by the stranger. Technically, the condition results from the child-environment interaction that leads the child to perceive a painful discrepancy, real or imagined, between the demands of a situation on the one hand and their social, biological, or psychological resources on the other. The stressful stimuli to the child may be mental (stranger is perceived as a threat, malevolent or demanding), physiological (loud and/or high-pitched voice of the stranger that is hurting to the child's eardrum; strong smell of the stranger that irritates the child's nasal nerves), or physical (stranger has heavy hands or is taking up too much space).

The stranger's act of gently placing his finger with his saliva to the child's arm, foot, or any particular part of the child's body, could make him more familiar to the child, and thus, reduce if not remove the stress. As the stranger keeps gently saying, "Pwera usog... pwera usog...," the child is made to feel and assured that he means no harm. The usog is said to be counteracted because the child is prevented from succumbing to an illness since the child is no longer in distress. Children or even adults who are shy or have weak personalities are more susceptible to usog in accordance with observations and theory. Some have observed that at times even praising a shy child by a visiting relative caused an usog.

The saliva from the stranger, granted that he or she is healthy and consistent with his or her oral hygiene
Oral hygiene
Teeth cleaning is part of oral hygiene and involves the removal of dental plaque from teeth with the intention of preventing cavities , gingivitis, and periodontal disease. People routinely clean their own teeth by brushing and interdental cleaning, and dental hygienists can remove hardened...

, is relatively clean and contains enough antimicrobial
Antimicrobial
An anti-microbial is a substance that kills or inhibits the growth of microorganisms such as bacteria, fungi, or protozoans. Antimicrobial drugs either kill microbes or prevent the growth of microbes...

 compounds such as lactoferrin
Lactoferrin
Lactoferrin , also known as lactotransferrin , is a multifunctional protein of the transferrin family. Lactoferrin is a globular glycoprotein with a molecular mass of about 80 kDa that is widely represented in various secretory fluids, such as milk, saliva, tears, and nasal secretions...

, lactoperoxidase
Lactoperoxidase
Lactoperoxidase is a peroxidase enzyme secreted from mammary, salivary, and other mucosal glands that functions as a natural antibacterial agent. Lactoperoxidase is a member of the heme peroxidase family of enzymes. In humans, lactoperoxidase is encoded by the LPO gene.Lactoperoxidase catalyzes...

, and secretory immunoglobulin A
Immunoglobulin A
Immunoglobulin A is an antibody that plays a critical role in mucosal immunity. More IgA is produced in mucosal linings than all other types of antibody combined; between three and five grams are secreted into the intestinal lumen each day....

 which can help clear pathogens from the child and benefit the child against infection. Furthermore, human saliva has opiorphin
Opiorphin
Opiorphin is an endogenous chemical compound first isolated from human saliva. Initial research with mice shows the compound has a painkilling effect greater than that of morphine. It works by stopping the normal breakdown of enkephalins, natural pain-killing opioids in the spinal cord...

, a newly researched pain-killing substance. Initial research with mice shows the compound has a painkilling effect of up to six times that of morphine. It works by stopping the normal breakdown of natural pain-killing opioids in the spine, called enkephalins. Opiorphin in human saliva is a relatively simple molecule, and the child's immune system may trigger a biochemical cascade
Biochemical cascade
A biochemical cascade is a series of chemical reactions in which the products of one reaction are consumed in the next reaction. There are several important biochemical cascade reactions in biochemistry, including the enzymatic cascades, such as the coagulation cascade and the complement system,...

 (complement system
Complement system
The complement system helps or “complements” the ability of antibodies and phagocytic cells to clear pathogens from an organism. It is part of the immune system called the innate immune system that is not adaptable and does not change over the course of an individual's lifetime...

) to produce other stress-reducing compounds.

Usog can also, though less commonly, affect adults, and it may induce vomiting and stomach ache rather than fever. Supposedly, it can be prevented by stopping a stranger or visitor from greeting the person.

Unlike "lihi
Lihi
In the Philippines, lihí is a condition in which a pregnant woman craves strongly for something, usually food, and is a concept universal to Filipinos. Almost all mothers of any race experience lihí. A stereotypical food that is craved for by mothers experiencing this is sour mango with bagoong...

", however, usog is not yet medically accepted. More than the superstitious folks, researchers dealing with Filipino Psychology say they have observed this phenomenon with regularity and suggest that this be added to the Psychiatric Disorders Handbook DSM-V.
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