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  February 25, 2005


smallpoxJust to make my point from yesterday's post about the need for the media to make important things interesting, this week's New Yorker features a lengthy explanation of the history, threat, and measures to contain the Avian Flu. At time of writing, the full text is not online, but this excellent interview with the article's author Michael Specter is. Although, for the reasons I explained yesterday, you should read the entire article, here are a few excerpts to tease you::

The strain that killed an 11-year-old Thai girl last September is different; in the past two years, it has caused the deaths of hundreds of millions of animals in nearly a dozen Asian countries. No such virus has ever spread so quickly over such a wide geographical area. Most viruses stick to a single species. This one has already affected a more diverse group than any other type of flu, and it has killed many animals previously thought to be resistant: blue pheasants, black swans, turtledoves, clouded leopards, mice, pigs, domestic cats...The virus also kills people -- so far forty-two have died, including thirteen Vietnamese since Christmas, 3/4 of all known avian flu infections -- an ominous mortality rate...

A pandemic is the viral equivalent of a perfect storm. There are three essential conditions, which rarely converge, and they are impossible to predict. But the requirements are clear. A new flu virus must emerge from the animal reservoirs that have always produced and harbored such viruses -- one that has never infected humans and therefore one to which no person would have antibodies. Second, the virus has to actually make humans sick (Most don't). Finally, it must be able to spread efficiently -- through coughing, sneezing, or a handshake...

It's hard to overstate the damage that the death of sixty million chickens has caused to Thailand's national psyche. Until last year, it had been the world's fourth largest exporter of poultry...The FAO estimates that 200 million farmers in the region keep an average of 15 birds each -- most prone to infection from migrating fowl on the Siberia-China flyway...Most of the [Thai] flocks have been killed. The government of Thailand compensated the farmers, but the money didn't make up for their losses, or persuade them to change methods. It's hard to change the habits of a nation, especially when it costs a great deal and may be futile...

During most flu seasons, as many as 20% of the American population becomes infected, about 36,000 die, and more than 200,000 are admitted to hospitals...Because this virus evolves so quickly, an annual flu shot is at best a highly educated bet on which strain is most likely to infect you...Ex-H&SS secretary Tommy Thompson cited a potential epidemic of Avian Flu as one of the greatest dangers facing the US...At least 180 million people would die in a pandemic of similar severity to the 1918 outbreak.

These viruses almost always appear in the most densely populated parts of densely populated third world countries, which is why Hong Kong has featured so prominently in the enormous but uphill battle to try to identify, contain and vaccinate against them. But as a Thai public health officer said "We are certainly better than we ever were at detecting viruses, but we are also much better at spreading them."

As the online interview explains, the efforts of public health officers are all focused on trying to eradicate these viruses or inoculate humanity against them. Good doctors, everyone, doing their best to treat the symptoms of the illness and ignoring its cause. Viruses (like smallpox), bacteria (like anthrax) and prions (like Mad Cow) are nature's way of saying Slow Down -- there are too many of you, with inadequate biodiversity, living too close together for the good of the whole life organism that is Earth. Nature has been wired for billions of years to counter excessive growth of any species because that is the best way to optimize the overall health of the planet.

But, of course, no health official who wants to keep his job would dare say that all efforts are futile -- indeed, worse than futile, because they just prolong and worsen the inevitable "correction" to restore natural balance. Don't expect the WHO or the CDC to stand up and say:

We need to reduce and reverse human population growth rates quickly and drastically, and spread out, and stop sending animals across borders, and stop crossing borders ourselves if we don't have to, and stop narrowing the global diversity of foods we eat to such a few homogeneous varietals of each crop and animal, and stop keeping animals penned up in large numbers in close quarters pumped full of antibiotics and hormones and soaked in other antibiotics, and stop poisoning the air and the water and the food we eat with stuff that makes everyone sick and weakens our immune systems, and stop swallowing antibiotics when we don't need them.

After all, that would be heresy, outrageous, an insult to human pride and ingenuity, against the will of God, and a denial of our manifest destiny. But this is the obvious, and the only sure way to prevent pandemic. The only real question is whether we will be smart enough to realize it, and do something about it, before nature gets tired of waiting and does what she must.

12:24:55 PM  trackback []  comment []


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