A Cost-Analysis of the Mono Study

It's been said you can get your tuition paid if you are hit by a car. But here at Northwestern, you can get enough cash to fund weeks of drinks at Norbucks for one small price: getting mono. Due to a running study about risk factors that may predict Chronic Fatigue Syndrome (CFS) after mono, students are getting paid for contracting the disease, and subsequently turning it into a running joke around campus.

"It was kind of a joke," said sophomore Maddie Jarrard, who participated in the study last year. "There have been times when my friends have had mono and they're enjoying their drink or something and I'm like, 'Hey you wanna pass that over here, give me some money?'"

These kinds of jokes stem from a paid research study on campus conducted by Dr. Ben Katz of the Department of Pediatrics at Northwestern. Participants fill out three questionnaires – approximately 5-10 minutes each – and donate a blood sample for the first part of the study, for which they are paid $60. Students who later develop mono may return for the second phase of the study and do so again six months later for part three – and they will earn $100 each time.

Infective mononucleosis, or mono for short, is usually caused by the Epstein-Barr virus and includes symptoms like fever, headaches, fatigue and sore throat. Called "the kissing disease" because it spreads through the sharing of saliva, mono will infect 95 percent of people by their late 30s, though they may not show symptoms. About 5 percent of students will develop mono during college, according to Katz.

The study's goal is to be able to predict which young adults will develop CFS – lingering fatigue often accompanied by lightheadedness or dizziness when active, sensitivity to light and sound, slow thinking and other symptoms – after having mono, as early as possible. While about 10 percent of people with mono will develop CFS, experts do not know what causes it, though it often follows a disease like mono.

For helping scientists research the illness, students could earn up to $260; it's little wonder that jokes like Jarrard's have come as a result of this possibility.

What's it like to have mono, anyway?

The simple answer: not good.

Freshman Maddie Fink had barely been on campus for a day when she was diagnosed with mono. Her symptoms lasted for about a month, forcing her to spend lots of time in her room focusing on recovery.

"My throat was swollen shut so I had to be on steroids so I could eat," Fink said. "I was exhausted, I had a fever for like three weeks, fatigue, all those sorts of things."

While having mono at the beginning of freshman year could make it really difficult to meet people, Fink said that she got lucky because she had made a lot of friends on her pre-orientation trip. Because of that, her female friends came to her in her room, but Fink said she didn't get to meet many guys at the start of the year.

Having mono in college also takes a toll on school work. Fink said mono caused her to struggle in fall quarter.

"I had to drop a class and I really couldn't do anything for a while, so my grades right now are definitely not what they would be if I didn't have mono," she said.

Fink is not alone – freshman Julian Freiberg was diagnosed with mono and strep at the same time. Freiberg suffered from fatigue, chills and a sore throat.

He, too, struggled to keep up with schoolwork despite having mono.

"It definitely made it hard for me to do a lot of the homework and readings when it first happened," Freiberg said. "I can't really work for extended periods of time, which makes it hard to catch up."

Though Fink did not participate in the mono study, and therefore did not get paid, she said that she could not put any dollar amount on the suffering caused by mono.

"It's really not worth it, period," Fink said. "I wouldn't care about any sort of monetary compensation, it just sort of sucked, and I'm happy it's over. I would never want to do that again."

So, should I sign up for the study?

The financial incentive is a major factor in drawing students to the study. For many, getting paid makes it all worth it. The prospect of earning money even pushes some students to step outside their comfort zones.

"Even though I'm pretty afraid of syringes or shots or anything like that, I am a poor child and a sucker for money so I went and got my blood drawn for $60," Jarrard said. "I probably wouldn't have done that if there wasn't that kind of incentive."

Just as no one's going to jump out in front of a moving vehicle to get their tuition paid, students who joke about contracting mono don't plan to actually follow through. It seems the costs of mono heavily outweigh the possibility of $100 in their pocket.

Students say that participation in the mono study is a simple way to help out the researchers and earn some quick money for answering surveys and giving blood. But while the jokes about developing mono on purpose are funny, they should stay as just that – jokes.

"It's a joke that we have, but I don't think I would seriously attempt to contract mono," Jarrard said. "Honestly, I don't think I could handle having mono at school."

However, if a student participating in the research study does happen to get sick, the money they earn can make their situation a little less dismal.

"We don't want people to get sick obviously," Katz said. "But if you get sick, maybe we can learn something, and you'll earn a few dollars."