UcMiami
How it is
- Joined
- Aug 26, 2011
- Messages
- 14,196
- Reaction Score
- 47,310
The comparison of an infectious disease to various other causes of death is really meaningless. We think of 911 as a horror and it changed our world in countless ways, but a death toll of 3000 is meaningless when compared to 126,000 killed by the tsunami in the Indian Ocean in 2004 or whatever number you use for the Haitian earthquake in 2010. And as for diseases, heart disease claims 600,000+ in the USA each year followed by cancers at nearly the same number. Accidental death comes in at 170,000 (including DUI and other auto deaths.)
The issue is not that people die, but in how we as a nation and as a world society respond to threats - natural disasters are unpredictable in timing but fairly predictable in a general way. We can choose to change building codes and where we build and live based on the knowledge that hurricanes, tsunamis, earthquakes, and fires will occur with regularity in certain parts of the country and world. We can and do set up early warning systems, monitoring systems, and mitigation systems to try and cope with our expectations.
We can also pass laws and monitor/enforce behavior to try and reduce accident deaths both on roads and in dangerous professions like mining and construction. How successful we are is dependent on both the collective society and the individuals, but we are constantly reviewing and adjusting our responses.
With heart disease, cancer, stroke, alzheimers, and other diseases, we research and educate and improve care - but these are non-infectious diseases, and depend on individual choices and individual bodily systems. We can and do legislate against carcinogenic chemicals as a society, but we cannot generally legislate individual choices.
Infectious diseases are a different beast because they are 'social'. AIDS came upon us in the 70s and completely changed our social lives - but it is a 'simpler' disease to contain the spread of - it required person to person transfer of bodily fluids. Ebola is similar.
Scientist and disease experts have always feared an 'airborne' infectious disease like the 1917-1920 flu because it does not require physical contact to spread. The common flu is bad enough, but we have learned to live with it because it's death rate is very small. And while we allow it to spread through our populations generally unchecked, its rate of spread is pretty small as well. We have had a few scares with 'Swine Flu' and 'Bird Flu' in the last few decades but neither of these proved to be that outlier flu with high mortality rate, and we have become quite proficient in creating vaccines for flu.
Covid 19 is a different beast - even with extraordinary measures taken to reduce the spread of an airborne virus, there are already 1.75M cases in the US and 100,000 deaths (greater in 3 months than any recent 6 month flu season.) The death rate is an order of magnitude greater than standard flu, and the spread rate also appears to be double. Without the extraordinary measures taken for the last three months the picture would be much more grim. A look at what is happening in Brazil where almost nothing has been done may be a window on what the US would look like now without social distancing - the growth of cases and deaths has been exponential and has not yet begun to slow (and those are just the official numbers in a country that may not being honest with their reporting.) And while the world is working furiously, we have never developed a vaccine for this type of virus, and we have yet to find a mixture of medicines that can mitigate the disease when it turns critical in a patient.
The issue is not that people die, but in how we as a nation and as a world society respond to threats - natural disasters are unpredictable in timing but fairly predictable in a general way. We can choose to change building codes and where we build and live based on the knowledge that hurricanes, tsunamis, earthquakes, and fires will occur with regularity in certain parts of the country and world. We can and do set up early warning systems, monitoring systems, and mitigation systems to try and cope with our expectations.
We can also pass laws and monitor/enforce behavior to try and reduce accident deaths both on roads and in dangerous professions like mining and construction. How successful we are is dependent on both the collective society and the individuals, but we are constantly reviewing and adjusting our responses.
With heart disease, cancer, stroke, alzheimers, and other diseases, we research and educate and improve care - but these are non-infectious diseases, and depend on individual choices and individual bodily systems. We can and do legislate against carcinogenic chemicals as a society, but we cannot generally legislate individual choices.
Infectious diseases are a different beast because they are 'social'. AIDS came upon us in the 70s and completely changed our social lives - but it is a 'simpler' disease to contain the spread of - it required person to person transfer of bodily fluids. Ebola is similar.
Scientist and disease experts have always feared an 'airborne' infectious disease like the 1917-1920 flu because it does not require physical contact to spread. The common flu is bad enough, but we have learned to live with it because it's death rate is very small. And while we allow it to spread through our populations generally unchecked, its rate of spread is pretty small as well. We have had a few scares with 'Swine Flu' and 'Bird Flu' in the last few decades but neither of these proved to be that outlier flu with high mortality rate, and we have become quite proficient in creating vaccines for flu.
Covid 19 is a different beast - even with extraordinary measures taken to reduce the spread of an airborne virus, there are already 1.75M cases in the US and 100,000 deaths (greater in 3 months than any recent 6 month flu season.) The death rate is an order of magnitude greater than standard flu, and the spread rate also appears to be double. Without the extraordinary measures taken for the last three months the picture would be much more grim. A look at what is happening in Brazil where almost nothing has been done may be a window on what the US would look like now without social distancing - the growth of cases and deaths has been exponential and has not yet begun to slow (and those are just the official numbers in a country that may not being honest with their reporting.) And while the world is working furiously, we have never developed a vaccine for this type of virus, and we have yet to find a mixture of medicines that can mitigate the disease when it turns critical in a patient.