Entries in Covid-19 (2)

Thursday
May072020

The Covid Zeitgeist -- The China Syndrome

 

The China Syndrome

Ghosts of Pandemics Past and Affinity for Despotism

(Posted May 7, 2020)

 

They got a wall in China

It’s a thousand miles long
To keep out the foreigners
They made it strong

-- Paul Simon


There’s an old joke about eating Chinese food that says after you’ve had a big meal, you’re hungry again a half hour later. That may be true for us but probably also for them too because the foods they have an insatiable appetite for can literally kill you. Iguanas, koala bears, pelicans, dogs, cats and especially bats. Eating bats is literally batshit crazy and harvesting bat guano (excrement) to diddle around with the viruses in their feces is probably what has put us in the two-month Corona lockdown and corresponding economic meltdown we’ve been suffering from. Covid-19 is far from the first time we’ve taken a lethal hit from China.

The 20th Century saw three flu pandemics (aside from regular, seasonal flus) originating from China. Some suspect that the 1917-1918 pandemic originated here although this can’t be conclusively proven. However, origin of the 1957-58 pandemic was most definitely from East Asia. It killed as many as 116,000 in the US out of a population 174.9 million, or nearly half the size of the today’s US population of roughly 330 million, so the proportion of those who were made ill and who perished was higher compared to today’s Covid-19. The country did not shut down even though the mortality rate was 10-times that of the 2009 Swine Flu.

I vividly recall the 1968-69 Hong Kong Flu. It hit the US in the Fall of 1968 and circulated for nearly two years. The CDC says it was an “avian influenza A virus, (H3N2)” and that killed about 100,000 in the US and a million worldwide. The US population was then 200.7 million. I was 10 in 1968 and my whole family was down with it – both my parents, myself and my younger brother. Things were so bad at home that my maternal grandmother came out to care for us. Most of the fatalities, then as now with Covid-19 were comprised of people over 65. This flu is still around today and has never been cured, just contained. The country didn’t close down even though millions were infected and made sick by it.

In 2009 we had the Swine Flu which was projected to be enormously fatal but ended up burning out earlier than expected. A vaccine was only available after the disease had peaked. From April 12, 2009 to April 10, 2010, CDC estimated there were 60.8 million cases, 274,304 hospitalizations and 12,469 deaths in the United States due to the (H1N1)pdm09 virus. The country did not shut down even though nearly 61 million Americans got sick from it.

Even though none of the aforementioned Asian flu pandemics of the 20th Century killed millions in the US by any stretch of the imagination, US health professionals opted to latch on to hysterical computer models generated in England that estimated 2.2 million people would die here without a national quarantine and lockdown. It was somehow OK for 60 million to get sick from Swine Flu with no media hysterics but not OK for millions to contract Covid-19. Why was that?

Given decades of history on pulmonary and respiratory pandemics and how they were handled here, what was the model our medical, media and political class decided to adopt? Why the Chinese model, of course. Never mind that Chinese infection numbers and information couldn’t be verified and were lied about. Never mind that China, as a totalitarian Communist dictatorship (Communism is self-defined as the “Dictatorship of the Proletariat.”) can forcibly hermetically seal a city of 11 million (Wuhan) with nary a peep of opposition or information leakage from the people; never mind that China has an extensive history of self-serving deceit and boldfaced deception both at home and abroad, never mind that the Chinese Communist Party would be delighted to see the entire economy of The West crippled or destroyed.

Why use tried and true Western models of disease management when we can ape the bat-loving Chinese? Could it be about power? Power is intoxicating and there’s the old adage that “absolute power corrupts absolutely.” Who is power hungry? Let’s start with many scientists who have gotten drunk on being celebrated and venerated on television and online 24/7. Revenge of the nerds here? Then there are the politicians. No politician wants to be held responsible on election day for two million or even 100,000 deaths, so even though there wasn’t a shred of proof that locking down the country would kill the pandemic, they went that route anyway. Then, once in place, it has morphed from “flattening the curve” of an anticipated spike in hospitalizations which might overwhelm the health system to becoming about stopping the virus altogether (for which there is no cure yet for this or the 1968 flu) and then penultimately, particularly among Democratic governors and mayors, implementation of their progressive agenda by executive fiat under the guise of emergency requirements. With people locked in their homes, this effectively squelches opposition. Finally, the Democratic obsession with defeating Trump and regaining control of The White House is so overwhelming that it’s worth any price – even by plunging the nation into a terrible depression, to create an environment where Trump can be turned out of office and stripped of his signature pre-Covid success of a roaring economy. That pleases the Chinese too because Trump had been pressuring them on trade issues.

Places with enough backbone to stick with Western norms have included Sweden, Hong Kong and South Korea. Millions haven’t died as restaurants, parks, schools and offices have remained open. Twelve states in the US didn’t lock down and they’ve been doing just fine. Interestingly, New York State just announced that in a survey of about 1,200 newly admitted patients at over 100 New York hospitals conducted during the first few days of May that fully 66 percent of new Covid patients had been staying at home, not working (only 17 percent) and not using mass transit. Meaning people have been indoors. So how is staying at home indefinitely helpful? Meanwhile Chinese cities are all open for business and millions aren’t dying.

From Forbes magazine: “In addition to [New Yorkers] mostly coming from their homes, surveyed patients were more likely to be over 51 years old, and either nonessential workers, retired or unemployed. 96 percent of the surveyed patients had co-morbidities, which means nearly all had another chronic medical condition prior to catching coronavirus.” We also know that about eight out of ten deaths associated with Covid-19 in the U.S. have occurred in adults ages 65 and older, according to the U.S. Centers for Disease Control and Prevention (CDC) so why are we locking down all the younger people and prohibiting folks to go to parks and beaches where the sunshine (Vitamin-D) and fresh air will do everyone some good if most hospitalizations come from older people who’ve been staying at home? Maybe it’s a form of China envy for the power grab reasons indicated above?

But taking a clear look at today’s China is helpful. Aside from being an incubator for pandemics, China is a country that just last year put one million of their own citizens in concentration camps just because they were Moslems. China is a country that has been brutally suppressing freedom advocates in Hong Kong. China is country that rattles its sabers, missiles, warships and jet fighters every week against democratic Taiwan, threatening to invade and conquer them militarily. China is the main backer of the nefarious regime in North Korea and helps support Venezuela and Cuba among other bad actors. China is a country that essentially relies on the slave labor of untold millions to produce goods at ridiculously low prices so that Western nations can’t compete and then turns Westerners into consumer vassals – making Western nations utterly dependent on them for essentials including medicines and medical supplies, vitamins, clothing, shoes, hardware, electronics, you name it.

To protect America against the evil depredations of despotic regimes such as China and to ensure peace, freedom and stability in the world we must wean ourselves off the teat of cheap (and often shoddily made) Chinese goods even if we have to pay more for them. Make things in America or in allied nations so that we retain our independence on all levels – and one sure way to put us on that path is to send our young people back to work and back to school now so that as a nation we are not bankrupted, enfeebled and ultimately dominated by malevolent dictators.

Friday
Apr242020

The Covid Zeitgeist

 

Mr. Spock gives the Vulcan salute (left) and the Thai “Wai” greeting.

 

Cures for Getting Past Corona

How We Can Live Long and Prosper

(This article was written on April 23, 2020)

 

On countless episodes of “Star Trek” (the original series) the crew of the Enterprise or the population of some distant and exotic planet would find themselves afflicted by some new and heretofore unknown virus or malady that threatens the lives of the crew or even of humanity as a whole. It could be premature and rapid old age, grotesque lesions that drive a man mad, parasites that take over one’s nervous system or even a giant-sized single-celled organism that swallows whole planets. One thing that they all had in common was that a cure would inevitably be found between the fourth and final commercial breaks. There would be much suspense as Dr. McCoy and Mr. Spock brought all their brainpower and computer skills to bear but the cure was a forgone conclusion.

In real life there are very few magic potions or miracle pills. Humanity has made enormous strides in medicine and surgical procedures over the past century – so much so that we routinely see folks living deep into their 90s. When I was a kid, I never saw anyone who was 95, most folks were lucky to get to 75. This is one reason Social Security is tottering on the brink of bankruptcy – people were supposed to retire at 65 and live maybe to 72. The system wasn’t engineered to pay 30 years of benefits. That often four generations of a family can be alive at the same time is probably unprecedented in human history. This is a real blessing, but it also has lulled us into a false sense of physical invulnerability and the chimera of eternal youth.

Prior generations knew and accepted that life was often short and fraught with threats and dangers from all sides. If you were lucky to survive your early childhood, you had to fend off no end of diseases throughout your lifetime – maladies for which there were no cures. Prior generations accepted the risks attendant with daily life and went about their business. They weren’t hysterical people. But in today’s instantaneous nanosecond digital world, that we don’t “have an app for that,” has caused no end of panic worldwide.

Which brings me to the Coronavirus pandemic afflicting most of the world. In 1982 there was a hit song by Thomas Dolby called “She Blinded Me With Science,” (“She blinded me with science and failed me in biology, yeh yeh…”). The woman of Mr. Dolby’s infatuations, Ms. Sakamoto dazzled him with technology so that he was helpless in her hands. Much the same has occurred with our national and local political leaders. Despite the fact that the Chinese insisted that only about 83,000 people in Wuhan had the Coronavirus and only 3,300 died from it (which we now know to have been lies) the scientists across the globe predicted Bubonic Plague-like catastrophic mortalities as it made its way round the world. One study asserted 2.2 million people would die in the US and a half million in the UK. Revised models dropped down to 200,000 in the US, then 100,000, then 85,000 then 61,000.

The initial and ensuing panic prodded our leaders to put the entire country in a lockdown quarantine which has so far resulted in 26 million Americans applying for unemployment benefits as of April 23rd, wiping out all jobs created and gained since the 2008 recession. Whole sectors of the economy have been decimated – travel, hospitality, restaurants, retailers, publishing, sports, oil and energy and even vast swaths of the health and medical establishment with more industries to come. Education has been stopped cold. Mighty industries are dancing on the precipice of insolvency. The shutdown of the most populated parts of the country will end up being from 45 to 90 days depending on where you live. Thousands que-up in lines for boxes of food despite very generous unemployment benefits. The federal government has ramped-up spending to a level that may double the size of the federal budget this year and incur debt and deficits that multiple generations probably won’t be able to repay.

Never in my lifetime have I ever seen anything quite like this, and I’m 61. The very social fabric of our country has been torn asunder with the rationale of “flattening the curve.” Some in the media commentariat have led millions of Americans to believe that “curve flattening” is about saving hundreds of thousands of lives and if we emerge from our hermetically sealed shelters the virus may kill us all. But they’ve not closed down Sweden or Hong Kong and the world didn’t end.

I had occasion to speak with one of my doctors who is one of the top people in his field in the nation. He converses regularly with colleagues of similar stature in other specialties. He told me bluntly that “flattening the curve was about reducing the demand for ambulances, emergency rooms and intensive care facilities and equipment as the virus hit its apex” and not about reducing the number of cases or saving lives per-se. He went on to tell me that as a result of this the disease will continue in our midst probably for the next year and a half in some form or another in varying degrees of severity, with a dip in the late Spring and Summer (owing to the virus not surviving well in the air and on surfaces in intense heat and light) and a resurgence in the late Fall and coming Winter and beyond. He went on to say that “there will be no cure or vaccine for another year, two or three or maybe never” and that “the medical community is looking at Corona in a similar way to HIV/AIDS, in that there is no cure but enough palliative medication and treatments have been developed so that the infection is not lethal.” They hope to accomplish this for SARS-Covid-19 as well so that the most vulnerable people (folks over 65, those with compromised immune systems and other underlying preexisting medical conditions such as diabetes) won’t contract Coronavirus and a death sentence simultaneously.

As it is, the overwhelming number of tragic fatalities from Covid-19 have been for people over 50 with a heavy majority being over 65 and among those, a heavy mortality rate among the obese and people with other existing ailments. More than 95 percent of those testing positive for Coronavirus will survive it, thank God. It’s not going to kill 2 million Americans. Also, most viral epidemics (yes, including the Bubonic Plague and the Spanish Flu Pandemic) do and will burn themselves out eventually which is why we’re seeing a precipitous decline in new hospital and ICU admissions even in our hottest spots.

So where does this leave us? Well, as a society until just recently we’ve been accepting of the fact that not every illness has a cure. We have a flu shot each year, but it’s only 50-60 percent effective so that according to the CDC, between 39 and 56 million Americans will come down with the flu, up to 740,000 people will be hospitalized for it and that between 24,000 and 61,000 of us will die from it each year depending on the severity of the outbreak and the mutation. Heart disease fells 647,000 of us (one of every four deaths).

According to the American Cancer Society, there will be 606,520 cancer deaths in the United States in 2020. The CDC also reports that 83,564 Americans passed from diabetes.  The IIHS reports that 36,560 people died in car crashes in 2018. As of April 23rd, 49,885 of us perished from the Coronavirus. There are no cures for any of these things.

We take risks every day we get up, start the car and go to work; anytime we get on a plane, anytime we eat a fatty steak, delve into a tub of ice cream; anytime we have a drink of alcohol, anytime we cross the street, even anytime we shake hands or kiss someone. As adults we measure the risk-reward ratio for all our actions and decide if it’s worth it. As consenting adults, the government trusts us to live responsibly (or not) and doesn’t dictate that we can’t have that hamburger and wash it down with a pitcher of beer. The government doesn’t legislate our sex lives and doesn’t tell us not to drive because we may, heaven forbid, get into an accident.

So, we’ve “flattened the curve” on Corona to the extent that ERs are sitting empty in much of the country. We’re awash in ventilators. The virus will be with us for a while. The government needs to give us a “get out of jail free card” or release us on parole and let us resume our lives. How do we do this and stay safe? By “turning Japanese.” I used to laugh at all the pictures of Asians teeming together in their blue facemasks every winter. No longer. Many would laugh at their custom of bowing in greeting, but it’s a lot safer than shaking hands. In Tibet folks put their hands over their hearts (like when we say the Pledge of Allegiance) and in Thailand instead of shaking hands, Thais greet each other by putting their hands together in a prayer-like gesture and raising them to a position somewhere between the chest and forehead and then bowing. On “Star Trek,” Vulcans greet one another with their hand raised in that “V” or “W” made popular by Mr. Spock and urging the other person to “live long and prosper.”

That might be the way to go. Masks and gloves when out in public. Initially not cramming together like sardines. Use those new digital laser-like thermometers outside every venue to see if someone has fever. Also, for social distancing in travel, airlines could charge more to keep the middle seats empty. Many would pay for the privilege. Ditto with restaurants charging more for increased space between tables. Theaters and sports stadiums can do likewise, charge a premium for increased space. And we’re going to need more hospitals and more beds permanently, so we won’t need curve flattening.

But we must resume work and life or there will be no point in living because there will be no quality of life. Staying on lockdown will financially bankrupt us individually and collectively, this cannot be sustained. Memo to government: We voluntarily acceded to flattening the curve, now treat us like adults and let life resume. Coronavirus will join the panoply of other risks and dangers that we’ll have to live with each day, but we can’t shut the country down any longer or whenever a lot of people unfortunately get sick. Finally, a financially robust America will be better equipped to handle public health challenges more so than an anemic and bankrupt one.