How the pandemic defeated America

‘It is hard to stare directly at the biggest problems of our age. Pandemics, climate change, the sixth extinction of wildlife, food and water shortages—their scope is planetary, and their stakes are overwhelming. We have no choice, though, but to grapple with them. It is now abundantly clear what happens when global disasters collide with historical negligence.

‘COVID‑19 is an assault on America’s body, and a referendum on the ideas that animate its culture. Recovery is possible, but it demands radical introspection. America would be wise to help reverse the ruination of the natural world, a process that continues to shunt animal diseases into human bodies. It should strive to prevent sickness instead of profiting from it. It should build a health-care system that prizes resilience over brittle efficiency, and an information system that favors light over heat. It should rebuild its international alliances, its social safety net, and its trust in empiricism. It should address the health inequities that flow from its history. Not least, it should elect leaders with sound judgment, high character, and respect for science, logic, and reason.

‘The pandemic has been both tragedy and teacher. Its very etymology offers a clue about what is at stake in the greatest challenges of the future, and what is needed to address them. Pandemic. Pan and demos. All people.’

Read here (The Atlantic, August 4, 2020)

Lancet says scapegoating China for pandemic ‘not constructive’

‘Prestigious scientific journal The Lancet has praised aspects of China’s response to Covid-19, while pushing back against political rhetoric blaming the country for the pandemic.

‘An editorial published on Friday for the journal’s latest edition acknowledged that China had been “widely criticised for its role and responsibilities during the pandemic because of censorship, transparency, and human rights concerns”, but said the rest of the world could still learn from its disease control successes.’

Read here (South China Morning Post, July 24, 2020)

Download The Lancet editorial PDF here

Finland’s cautious lockdown vs Sweden’s laidback approach

‘Despite being neighbours with some social similarities, Finland and Sweden adopted vastly different methods in confronting the coronavirus pandemic. Their differing ways of confronting this virulent disease resulted in a wide gap in the number of infections and deaths in both Scandinavian countries. Finland opted for a cautious lockdown; it has reported over 7,300 infections and more than 300 deaths. In contrast, Sweden embraced a laidback attitude; it has now over 78,500 confirmed infections and nearly 5,700 deaths.’

Read here (Aliran, July 24, 2020)

Why has the pandemic spared the Buddhist parts of South-East Asia?

‘Vietnam is the standout: with 97m people, it claims no deaths from covid-19. Thailand, with 70m, has seen just 58 fatalities and no local transmission in over 40 days. Impoverished Myanmar claims just six deaths from 317 cases, while Cambodia (141 confirmed cases) and tiny Laos (19 cases) also have no deaths apiece and no local transmission since April. Compare that with the nearby archipelagic nations of Indonesia (some 68,100 cases and 3,400 deaths) and the Philippines (50,400 cases and 1,300 deaths), where the pandemic still rages.’

Read here (The Economist, July 11, 2020)

WHO promises ‘honest evaluation’ of how world handled COVID-19

The World Health Organization (WHO) said on Thursday it was setting up an independent panel to review its handling of the COVID-19 pandemic and the response by governments. The announcement follows strong criticism by U.S. President Donald Trump’s administration of the global agency’s role in the crisis - though the WHO said the review was not linked to the United States. Former New Zealand prime minister Helen Clark and former Liberian president Ellen Johnson Sirleaf have agreed to head the panel, WHO Director-General Tedros Adhanom Ghebreyesus said.

Read here (Reuters, July 9, 2020)

The national humiliation we need

‘What’s the core problem? Damon Linker is on to a piece of it: “It amounts to a refusal on the part of lots of Americans to think in terms of the social whole — of what’s best for the community, of the common or public good. Each of us thinks we know what’s best for ourselves.”

‘I’d add that this individualism, atomism and selfishness is downstream from a deeper crisis of legitimacy. In 1970, in a moment like our own, Irving Kristol wrote, “In the same way as men cannot for long tolerate a sense of spiritual meaninglessness in their individual lives, so they cannot for long accept a society in which power, privilege, and property are not distributed according to some morally meaningful criteria”.’

Read here (New York Times, July 2, 2020)

Stealth infections

‘From the Black Death to polio, the most dangerous pathogens have moved silently, transmitted by apparently healthy people...

‘It isn’t ‘pandemics’ per se that we need to fear. The concept of being ‘overdue for a pandemic’ actually makes little sense. Pandemics aren’t cyclical, nor are they necessary products of global warming. We are vulnerable to pandemic outbreaks because of our interconnected world, not because there is some mysterious mechanism in the world that’s going to produce them. It takes precise conditions, what we can call ‘disease factories’, to produce pandemics, and these conditions don’t exist until we create them. The 2009 H1N1 influenza pandemic was the product of a disease factory: it most likely sprang out of a giant pig farm in the Mexican state of Veracruz, owned in part by Smithfield Foods, a giant US pig-raising and meat-packing conglomerate.’

Read here (Aeon, June 30, 2020)

World in ‘new and dangerous phase’ of Covid-19 pandemic: WHO

‘The coronavirus pandemic is now in a “new and dangerous phase”, the World Health Organisation (WHO) said on Friday (June 19), with the disease accelerating at the same time as people tire of lockdowns. WHO chief Tedros Adhanom Ghebreyesus urged nations and citizens to remain extremely vigilant, as the number of cases reported to the UN health agency hit a new peak. “The pandemic is accelerating. More than 150,000 new cases of Covid-19 were reported to WHO yesterday – the most in a single day so far,” Tedros told a virtual press conference.’

Read here (Straits Times, June 19, 2020)

US in the spring of the pandemic

‘The gnawing anger beneath the pandemic is that democracy itself is being rewired in our absence. The system has failed us, the system is guaranteed to go on failing us, but while we the people are out of the picture, others are making grand, world-altering decisions. The powerful are rewriting the social contract while we watch TV and console ourselves with booze and simple chores.’

Read here (Le Monde Diplomatique, June 2020)

How the coronavirus compares with 100 years of deadly events (United States)

‘Only the worst disasters completely upend normal patterns of death, overshadowing, if only briefly, everyday causes like cancer, heart disease and car accidents. Here’s how the devastation brought by the pandemic in 25 cities and regions compares with historical events.’

Read here (New York Times, June 10, 2020)

From drug dealers to loan sharks: how coronavirus empowers organised crime

‘At the outset, Covid-19 and the lockdown disoriented organised crime and its activities as much as the rest of us. But organised crime is not only adapting to the present, it is preparing to carve a lucrative future out of the crisis... Disruption to supplies, diversion of police resources and collapsing businesses all create opportunities.’

Read here (The Guardian, June 7, 2020)

Launch of the WHO Academy and the WHO info mobile applications

For healthcare workers: ‘The WHO Academy, World Health Organization’s lifelong learning centre, has launched a mobile app designed to enable health workers to expand their life-saving skills to battle the COVID-19 pandemic. The app provides health workers with mobile access to a wealth of COVID-19 knowledge resources, developed by WHO, that include up-to-the-minute guidance, tools, training, and virtual workshops that will help them care for COVID-19 patients and protect themselves.

Real-time info for everyone: 'WHO will launch the WHO Info app which will give millions of people real-time mobile access to the latest news and developments. WHO has developed the app from the ground up with an intuitive user-interface and a clean, smart design. From the COVID-19 front, the WHO Info app will provide the latest WHO initiatives, partnerships, and to up-to-date information on the race to find medicines and vaccines for fighting the disease. The number of COVID-19 cases, organized by country, and by timelines, are continually updated in the app from the official WHO COVID-19 data streams.’

Read here (WHO, May 13, 2020)

How pandemics end (NYT)

‘Will that happen with Covid-19? One possibility, historians say, is that the coronavirus pandemic could end socially before it ends medically. People may grow so tired of the restrictions that they declare the pandemic over, even as the virus continues to smolder in the population and before a vaccine or effective treatment is found.

“I think there is this sort of social psychological issue of exhaustion and frustration,” the Yale historian Naomi Rogers said. “We may be in a moment when people are just saying: ‘That’s enough. I deserve to be able to return to my regular life”.’

Read here (New York Times, May 10, 2020)

These are the ‘10 plain truths’ about the coronavirus pandemic, according to former CDC Director Dr. Tom Frieden

1. “It’s really bad” in New York City
2. It’s “just the beginning”
3. Data is a “very powerful weapon against this virus”
4. We need to “box the virus in”
5. We must find the balance
6. Protect the “frontline heroes”
7. Protect our most vulnerable people, too
8. Governments and private companies need to work together
9. We must not neglect non-Covid health issues
10. Preparedness is paramount

Read here (CNN, May 6, 2020)

Nurses are playing a crucial role in this pandemic — as always

‘Nursing’s contributions to improving the public’s health during times of crisis dates back to the days of Nightingale, modern nursing’s founder. In 1918 during the disastrous influenza pandemic, nurses were steadfast in modeling the teachings of Nightingale, a staunch supporter of good handwashing, proper sanitation and sound preventive measures. Members of the Visiting Nurses Associations made home visits to patients providing critical nursing care as one of the only treatment measures available during that time. Nurses were vigilant in promoting the benefits of being exposed to fresh air, practicing good hand hygiene and maintaining social isolation while conducting home visits to patients.’

Read here (Scientific American, May 4, 2020)

The Covid-19 riddle: Why does the virus wallop some places and spare others?

This article delves into areas like age, cultural factors, heat and light, and early and strict interventions.

‘Time may still prove the greatest equalizer: The Spanish flu that broke out in the United States in 1918 seemed to die down during the summer only to come roaring back with a deadlier strain in the fall, and a third wave the following year. It eventually reached far-flung places like islands in Alaska and the South Pacific and infected a third of the world’s population.

“We are really early in this disease,” said Dr. Ashish Jha, the director of the Harvard Global Health Research Institute. “If this were a baseball game, it would be the second inning and there’s no reason to think that by the ninth inning the rest of the world that looks now like it hasn’t been affected won’t become like other places.”

Read here (New York Times, May 3, 2020)

Expert report predicts up to two more years of pandemic misery

‘The new coronavirus is likely to keep spreading for at least another 18 months to two years—until 60% to 70% of the population has been infected, a team of longstanding pandemic experts predicted in a report released Thursday. They recommended that the US prepare for a worst-case scenario that includes a second big wave of coronavirus infections in the fall and winter. Even in a best-case scenario, people will continue to die from the virus, they predicted.’

Read here (CNN, May 2, 2020)

It is the math, stupid

‘Every nation is eagerly awaiting to lift its lockdown as soon as there are fewer cases. But when 15 cases become 460,000 in 6 weeks, how is it ok to lift a lockdown when we are down to, say, “only 100 new cases” in a given day? Once again, our human mind is incapable of thinking in exponentials. We will not have learned from history — a history that occurred just two months ago.

‘The real pandemic will start the day we start lifting the lockdown.’

Read here (Center for Inquiry, April 13, 2020)

Video on dynamics of pandemics

“This 8 minute video is more informative than 2 weeks of cable news.” This is one of the comments on this video. It gives a great summary of how pandemics develop so that people can be better prepared for their consequences. It is a useful way to explain the epidemiology of pandemics to a mass audience.

View here

Past pandemics exposed China’s weaknesses: The current one highlights its strengths

‘...[The] audience for Xi’s performance is as much global as domestic. Just as in the past, whether in the time of SARS or of plague, outside observers are assessing China’s governance by its capacity to manage its health. COVID-19 has become an important test for the virtues of authoritarian governance versus those of citizen empowerment. Aware of this high-stakes diplomacy, China is reframing the narrative to emphasize the success of its mass-containment measures and downplay concerns about its initial failures. China has shared its expertise with the European Union, pledged $20 million to the WHO in its fight against the virus, dispatched medical teams and supplies to Iran, Iraq, Italy, and Serbia, and promised to help African countries meet the crisis. All at once, Xi has begun to look more like a global leader committed to health for all...

‘The new coronavirus has revealed a fractured geopolitical landscape and reactivated old arguments about openness and efficiency. The virus has laid bare China’s strongman leadership, but it has also highlighted incompetencies within Western democracies. As governments of democratic states impose sweeping quarantine measures, China is hoping that its draconian style of epidemic management will prevail as the new global norm.’

NOTE: There is a mention Wu Lien-Teh in this story. ‘In 1910, as Qing rule crumbled, the British-educated, Penang-born physician Wu Lien-teh was sent by the Chinese government to curtail the spread of pneumonic plague across Northeast China. He enacted stringent containment strategies based on modern scientific teachings: postmortems, bacteriological investigations, and mass cremations, to name a few. Wu’s program was markedly different from the response to the bubonic plague just two decades prior, when endeavors to halt the contagion were left to local charitable organizations or to the foreign officials who staffed the Imperial Maritime Customs Service with minimal oversight from the viceroy at Canton.’

Read here (Foreign Affairs, March 7, 2020)