Tag Archives: pandemic

coronavirus 2020!

I try not to write a lot about fast-moving current events because anything I write will be instantly outdated (I’m writing this on the morning of March 1, 2020). But here are a few thoughts I have and things I am reading on the subject.

First, I plan to pay attention and do whatever the health authorities suggest I do. “Health authorities” means the CDC, my state health department, and my county health department. These sources aren’t infallible. Already, it appears the CDC could have used a test from the World Health Organization to monitor for the virus here, but they thought they knew better, dropped the ball completely, and there has been no monitoring. That means it could already be spreading undetected and the chance to contain it to just a few people could be lost. There is also concern about budget cuts to pandemic preparedness and public health in general by the Trump administration, and interference by political appointees and industry lobbyists. Despite all this, “the authorities” have the most expertise and are the most reliable source of information available. I have added these three sources (the CDC, my state and county health departments) to my Twitter feed. (I almost never use Twitter, but I do find it useful in a fast-moving situation like a snowstorm or oil refinery or power plant disaster – the first of which, there have been zero this winter and the second and third of which, there have been two, quite recently and quite close to my house.)

I have a decent backlog of food in my house and am trying to add a little extra. If “the authorities” tell me to keep my children home from school or myself home from work, I plan to do it. If they don’t I don’t plan to. I just hope the people who keep the water, power, gas, and communication systems running continue to go to work. An extended quarantine could be different from a fire, flood, or hurricane in this way, but of course it would be much longer. The CDC has not given any guidance on cabin fever, which can be an extraordinarily debilitating illness among children and their caregivers in confined spaces.

I wondered what powers the federal, state, and local authorities actually have and what the break down is between them. This Bloomberg article talks about that a little.

That’s in part because the president clearly has the power to declare a national health emergency and start ordering quarantines. This power comes from Congress, and is conferred on the president by the Robert T. Stafford Disaster Relief and Emergency Assistance Act. As the name suggests, this is the same law that lets the president declare disaster relief emergencies. President Donald Trump invoked this power in late January, when he declared a public health emergency and ordered the quarantine of Americans returning from areas of China where Covid-19 had already spread. Quarantines can also be authorized by the surgeon general, who is specifically given that power by federal law.

Bloomberg

The article says that local jurisdictions pretty much have to do what their state authorities tell them to do. The CDC can’t actually commandeer state officials, but that states can choose to place their officials under CDC direction, and they most likely would. So effectively, there really is a chain of command from top to bottom.

By definition, a quarantine limits the freedom of movement of people who are completely innocent of any wrongdoing to serve the overall good of avoiding more infections. Supreme Court doctrine directs that essentially all our individual liberties can be suspended if the government has a compelling interest to do so and if its measures are narrowly tailored to achieving that end. Slowing a pandemic is a textbook example of a compelling state interest; and quarantine is presumably the narrowest available method to do so in the middle of an outbreak.

Local police would seem to have the authority to enforce a quarantine, but how strictly they might do that and whether citizens would be able to challenge that on legal grounds has not been fully tested. I note that during “mandatory” hurricane evacuations, local police departments generally don’t drag people out of their homes against their will. Of course, in that situation they are just putting themselves and their families at risk, not others. If someone was walking down a busy street wearing a suicide vest, of course the police would shoot that person because they are a danger to others.

October 2019 in Review

Most frightening and/or depressing story:

  • A third of all of North America’s birds may have disappeared since the 1970s. (Truth be told, it was hard to pick a single most depressing story line in a month when I covered propaganda, pandemic, new class divisions created by genetic engineering, and nuclear war. But while those are scary risks for the near future, it appears the world is right in the middle of an ongoing and obvious ecological collapse, and not talking much about it.)

Most hopeful story:

  • I’ll go with hard shell tacos. They are one of the good things in this life, whether they are authentic Mexican food or “trailer park cuisine” as I tagged the story!  

Most interesting story, that was not particularly frightening or hopeful, or perhaps was a mixture of both:

  • A list of “jobs of the future” includes algorithms, automation, and AI; customer experience; environmental; fitness and wellness; health care; legal and financial services; transportation; and work culture. I’ll oversimplify this list as computer scientist, engineer, doctor, lawyer, banker, which don’t sound all that different than the jobs of the past. But it occurs to me that these are jobs where the actual tools people are using and day-to-day work tasks evolve with the times, even if the intended outcomes are basically the same. What might be new is that even in these jobs, you need to make an effort to keep learning every day throughout your career and life if you want to keep up.

There will still be openings for evil HR cats.

how bad would a flu pandemic be?

This episode of the Science Vs. podcast dramatizes what a global flu pandemic could look like? The good news? that the most plausible scenario might kill “only” 2% of the world’s population. That means you might survive. But hospitals would be overwhelmed, the economy would be devastated, and some people you know and love would almost certainly be dead.

bacteria, viruses, and fungi, oh my!

In the category of new diseases to worry about, and just in case you have not yet perused the latest issue of the Journal of Fungi, Candida auris is a really dangerous yeast fungus making the rounds in hospitals.

On the Origins of a Species: What Might Explain the Rise of Candida auris?

Candida auris is an emerging multidrug-resistant yeast first described in 2009 that has since caused healthcare-associated outbreaks of severe human infections around the world. In some hospitals, it has become a leading cause of invasive candidiasis. C. auris is markedly different from most other pathogenic Candida species in its genetics, antifungal resistance, and ability to spread between patients. The reasons why this fungus began spreading widely in the last decade remain a mystery. We examine available data on C. auris and related species, including genomic epidemiology, phenotypic characteristics, and sites of detection, to put forth hypotheses on its possible origins. C. auris has not been detected in the natural environment; related species have been detected in in plants, insects, and aquatic environments, as well as from human body sites. It can tolerate hypersaline environments and higher temperatures than most Candida species. We explore hypotheses about the pre-emergence niche of C. auris, whether in the environmental or human microbiome, and speculate on factors that might have led to its spread, including the possible roles of healthcare, antifungal use, and environmental changes, including human activities that might have expanded its presence in the environment or caused increased human contact.

African swine fever

A nasty virus called African swine fever has spread from pig farms in Africa to China.

The number of pigs China will fatten this year is predicted to fall by 134 million, or 20%, from 2018—the worst annual slump since the U.S. Department of Agriculture began counting China’s pigs in the mid-1970s. While the pig virus doesn’t harm humans even if they eat tainted pork, the fatality rate in pigs means it could destroy the region’s pork industry.

the Nipah virus

One of the public services I provide is to bring you new diseases to worry about. Just in case Ebola is not horrifying enough (and with apologies to anyone who has been personally touched by it), there is concern about a new disease originating from human-wildlife contact as tropical forests are encroached on, in this case in Bangladesh.


Nipah virus encephalitis is one of eight diseases that the World Health Organization (WHO) has identified as epidemic threats in need of prioritization. The list includes Ebola, SARS, Zika, and an as-yet unknown affliction referred to as “Disease X.” All eight have been prioritized because of their inherent epidemic potential, and also the fact that there are currently insufficient measures in place to prevent them…

Because bats typically live in large colonies and roost in close proximity to one another, microbes are easily passed among members of the group. While virus numbers are typically kept in check by each bat’s immune system, when an animal is stressed, its defenses can become compromised. Much as a cold might make us cough and sneeze, a bat’s weakened immune system can cause the animal to shed viruses into its surroundings through saliva, urine, and feces…

The symptoms of the disease are now well documented, although they vary considerably from patient to patient and strain to strain. While some infected humans are completely asymptomatic, most initially develop symptoms including fever, headaches, vomiting, and sore throat. Some develop acute respiratory infections in the early stages of the disease; others never do. After a few days to a couple of weeks, many patients start to exhibit more serious signs of encephalitis—dizziness, drowsiness, altered consciousness, and other neurological changes. Within another day or two, the disease often progresses to coma, then death.

2018 in Review

Most frightening and/or depressing stories:

  • JANUARY: Cape Town, South Africa looked to be in imminent danger of running out of water. They got lucky, but the question is whether this was a case of serious mismanagement or an early warning sign of water supply risk due to climate change. Probably a case of serious mismanagement of the water supply while ignoring the added risk due to climate change. Longer term, there are serious concerns about snowpack-dependent water supplies serving large urban populations in Asia and western North America.
  • FEBRUARY: Cape Town will probably not be the last major city to run out of water. The other cities at risk mentioned in this article include Sao Paulo, Bangalore, Beijing, Cairo, Jakarta, Moscow, Istanbul, Mexico City, London, Tokyo, and Miami.
  • MARCH: One reason propaganda works is that even knowledgeable people are more likely to believe a statement the more often it is repeated.
  • APRIL: That big California earthquake is still coming.
  • MAY: The idea of a soft landing where absolute dematerialization of the economy reduces our ecological footprint and sidesteps the consequences of climate change through innovation without serious pain may be wishful thinking.
  • JUNE: The Trump administration is proposing to subsidize coal-burning power plants. Meanwhile the long-term economic damage expected from climate change appears to be substantial. For one thing, Hurricanes are slowing down, which  means they can do more damage in any one place. The rate of melting in Antarctic ice sheets is accelerating.
  • JULY: The UN is warning as many as 10 million people in Yemen could face starvation by the end of 2018 due to the military action by Saudi Arabia and the U.S. The U.S. military is involved in combat in at least 8 African countries. And Trump apparently wants to invade Venezuela.
  • AUGUST: Noam Chomsky doesn’t love Trump, but points out that climate change and/or nuclear weapons are still existential threats and that more mainstream leaders and media outlets have failed just as miserably to address them as Trump has. In related news, the climate may be headed for a catastrophic tipping point and while attention is mostly elsewhere, a fundamentalist takeover of Pakistan’s nuclear arsenal is still one of the more serious risks out there.
  • SEPTEMBER: A huge earthquake in the Pacific Northwest could be by far the worst natural disaster ever seen.
  • OCTOBER: The Trump administration has slashed funding to help the U.S. prepare for the next pandemic.
  • NOVEMBER: About half a million people have been killed in Iraq, Afghanistan, and Pakistan since the U.S. invasions starting in 2001. This includes only people killed directly by violence, not disease, hunger, thirst, etc.
  • DECEMBER: Climate change is just bad, and the experts seem to keep revising their estimates from bad to worse. The Fourth National Climate Assessment produced by the U.S. government is not an uplifting publication. In addition to the impacts of droughts, storms, and fires, it casts some doubt on the long-term security of the food supply. An article in Nature was also not uplifting, arguing that climate change is happening faster than expected due to a combination of manmade and natural trends.

Climate change, nuclear weapons, and pandemics. If I go back and look at last year’s post, this list of existential threats is going to be pretty much the same. Add to this the depressing grind of permanent war which magnifies these risks and diverts resources that could be used to deal with them. True, we could say that we got through 2018 without a nuclear detonation, pandemic, or ecological collapse, and under the circumstances we should sit back, count our blessings, and wait for better leadership. And while our leadership is particularly inept at the moment, I think Noam Chomsky has a point that political administration after political administration has failed to solve these problems and this seems unlikely to improve. The earthquake risk is particularly troublesome. Think about the shock we felt over the inept response to Katrina, and now think about how essentially the same thing happened in Puerto Rico, we are not really dealing with it in an acceptable way, and the public and news media have essentially just shrugged it off and moved on. If the hurricanes, floods, fires and droughts just keep hitting harder and more often, and we don’t fully respond to one before the next hits, it could mean a slow downward spiral. And if that means we gradually lose our ability to bounce back fully from small and medium size disasters, a truly huge disaster like an epic earthquake on the west coast might be the one that pushes our society to a breaking point.

Most hopeful stories:

I believe our children are our future…ya ya blahda blahda. It’s a huge cliche, and yet to be hopeful about our world I have to have some hope that future generations can be better system thinkers and problem solvers and ethical actors than recent generations have been. Because despite identifying problems and even potential solutions we are consistently failing to make choices as a society that could divert us from the current failure path. And so I highlighted a few stories above about ideas for better preparing future generations, ranging from traditional school subjects like reading and music, to more innovative ones like meditation and general system theory, and just maybe we should be open to the idea that the right amount of the right drugs can help.

Fossil fuels just might be on their way out, as alternatives start to become economical and public outrage slowly, almost imperceptibly continues to build.

There is real progress in the fight against disease, which alleviates enormous quantities of human suffering. I mention AIDS, diabetes, and Alzheimer’s disease above. We can be happy about that, of course. There are ideas about how to grow more food, which is going to be necessary to avoid enormous quantities of human suffering. Lest anyone think otherwise, my position is that we desperately need to reduce our ecological footprint, but human life is precious and nobody deserves to suffer illness or hunger.

Good street design that lets people get around using mostly their own muscle power. It might not be sexy, but it is one of the keys to physical and mental health, clean air and water, biodiversity, social and economic vibrancy in our cities. Come to think of it, I take that back, it can be sexy if done well.

Good street design and general systems theory – proof that solutions exist and we just don’t recognize or make use of them. Here’s where I want to insert a positive sentence about how 2019 is the year this all changes for the better. Well, sorry, you’ll have to find someone less cynical than me, and/or with much better powers of communication and persuasion than me to get the ball rolling. On the off chance I have persuaded you, and you have communication and/or persuasion super powers, let me know.

Most interesting stories, that were not particularly frightening or hopeful, or perhaps were a mixture of both:

Whatever else happens, technology and accumulation of human knowledge in general march on, of course. Computer, robotics, and surveillence technology march on. The human move into space is much slower and painful than many would have predicted half a century ago, and yet it is proceeding.

I’ll never drop the waterless sanitation thing, no matter how much others make fun of me. It’s going to happen, eventually. I don’t know whether we will colonize Mars or stop defecating in our water supply first, but both will happen.

The gene drive thing is really wild the more I think about it. This means we now have the ability to identify a species or group of species we don’t want to exist, then cause it not to exist in relatively short order. This seems like it could be terrifying in the wrong hands, doesn’t it? I’m not even sure I buy into the idea that rats and mosquitoes have no positive ecological functions at all. Aren’t there bats and birds that rely on mosquitoes as a food source? Okay, I’m really not sure what redeeming features rats have, although I did read a few years ago that in a serious food crunch farming rats would be a much more efficient way of turning very marginal materials into edible protein than chicken.

The universe in a bottle thing is mind blowing if you spend too much time thinking about it. It could just be bottles all the way down. It’s best not to spend too much time thinking about it.

That’s it, Happy 2019!

new hope in the fight against AIDS

From Bloomberg: New drugs mean not only that AIDS can be effectively managed in people that already have it, but that the risk of transmission can now be very low in people taking the drugs. Some drugs even have a strong protective effect for people who have not been exposed but are considered at risk of exposure. According to this article, eradication of the disease now seems possible for the first time.

Trump and the next pandemic

Add to the stupidity of the Trump administration slashing funding to prepare for and respond to the next deadly pandemic outbreak. These are the unwanted border crossings we should actually be worried about, and by helping people in countries where diseases are breaking out we could also be protecting ourselves.

The investments made after the 2014 Ebola crisis have been slashed in recent proposed federal budgets from the Centers for Disease Control, the agency that works to stop deadly diseases in their tracks, and the U.S. Agency for International Development, which responds to international disasters, including the Ebola outbreak. Moreover, Timothy Ziemer, the top White House official in charge of pandemic preparedness, has left his job, and the biosecurity office he ran was summarily disbanded

Perhaps most terrifying, difficult to treat and highly fatal strains of H7N9 avian influenza are spreading throughout China.

This strain of bird flu causes rapid respiratory illness with associated multiorgan dysfunction that’s easily spread by a small droplet. That’s why it’s so difficult to control and why recurrent epidemics continue to crop up: There have been five epidemics of H7N9 since 2013 in China alone, the most recent between the fall of 2016 and fall of 2017. Across these epidemics, among the 1,565 confirmed cases, about 40 percent of infected individuals died.