the article seems to be really dismissive about that woman's food preference pretty much to the point that it feels as if she is presumed to be a "fraud" without a formal paperwork confirming the medical necessity.

>I don't think people who chose not to eat gluten get sick from it, do they?

it may as well be that people chose not to eat gluten because they get sick/discomforted to some degree (not necessary full blown celiac) and may be still be searching for the cause (say by the exclusion method) or have already noticed the correlation of the sickness with gluten. We don't know, and i'm not sure that anybody has the right to know as it is her private personal life details. Yet we, at least part of the society, press her to disclose whether she really has a medical condition by de-facto threatening to brand her as a "lady who make a voluntary diet choice" as the GP did.

>No one has asked the crew if they have nut allergies, gluten sensitivity, hypertension, lactose intolerance, or any other kind of dietary restriction. Their culinary options are to stay home in Vladivostok earning nothing, or get on the ship and eat what they are given.

Russia is a bad place to have medical issues. I have no idea how people with digestive issues or any other issues requiring things like special diets survived through the end of 198x - beginning of 199x back then in USSR and those first years after the collapse. I don't remember such people around ... i definitely didn't pay attention.

I think it is a big blessing/achievement that in the West people have that option of following specific diets, be it a strict medical necessity, just a "fad" or something in-between. You never know when you may need that option yourself.

>> Russia is a bad place to have medical issues.

I was thinking about that too. People with (severe) food allergies die from them even in developed countries, where there are laws to protect them and the subject is close to the public's consciousness, e.g. deaths from food alergies make it to the popular press and even become front-page news (as the recent case of a teenager who died on a plane journey after eating a sandwich with sesame seeds from Pret-a-manger in the UK). I'm sure it's much easier for something to go seriously wrong if you live in a society that is completely oblivious to the fact that, for some people, everyday foodstuffs can be lethal.

So maybe the fact that the Russian crew in the article find the idea of food allergies so amusing is not their robust Slav character, but the fact that, well, perhaps because of that character, people with severe food allergies die very early on where they come from.

I know, that sounds a bit horrible to say. Apologies to Russian readers.

WRT Russians and celiac - I know celiac disease is far more common in western Europe than Asia. I'm not sure where Russia fits into this, being in the middle of the two. It's possible they simply don't encounter celiac at the same rate as in the US or western Europe.

No, but there is an overlap that a lot of (but not necessarily all) products with gluten also contain a high amount of FODMAPs. Therefore even people without gluten allergies or celiac disease will see their digestive problems improve through eating gluten free products because they are also usually low in FODMAPS.

Telling those people that gluten isn't the problem doesn't help them, because it doesn't change the fact that they can't eat pizza, bread or pasta.

I know people who have varying degrees of gluten intolerance but not celiac. For most it's in no way life threatening. One experiences bloating and bad gas if he eats a bagel; another has to sit on the pot all day if she accidentally ingests a saltine's worth of gluten; and a couple have conditions in between.

For the latter, avoiding gluten is pretty much a necessity. For the former, it's a choice, but one I can understand asking for some accommodation for.

There are also apparently gluten allergies other than celiac. I know someone who when exposed to gluten gets the sort of reaction that some people do when they eat peanuts - he keeps an epi-pen on hand because if he accidentally ingests some his throat will swell up, airways will shut down, etc.