Filed under: Connections, Emergency, Flu, Government, Health, Louis Pasteur, NPR, Pandemic, Plague, Predictions, Science, Science Fiction, Society, Survival, Writing stuff | Tags: blogging, cytokine storm, Ebola, fire-flu, flu, health, influenza, Jason Beaubien, jim downey, Louis Pasteur, NPR, pandemic, Peter Sands, predictions, science, Science Fiction, Spanish flu, St. Cybi's Well, Wikipedia, writing
Last week I wrote the following excerpt from St Cybi’s Well:
Megan came out of the bedroom, dressed, but still toweling her hair. “Done. Bathroom’s all yours. What did the BBC have to say?”
Darnell glanced over at the stereo system, then back to her. “The government is asking people to just stay home if they have any indications of illness. There’s talk of a week-long ‘bank holiday’, so people don’t go in to work or school; we’ll probably hear more about that later today. And there have been more anti-immigrant riots in London and some other places. And not just the so-called ‘Tommys’.”
“People are frightened.”
“Yeah, no surprise.” Darnell nodded at the stereo again. “There was also some science reporting about VCS [Viral Cytokine Syndrome, which is the initial name for the spreading illness] itself. Looks like it is caused by a flu strain which is similar to the 1918 virus, but one which is even more virulent.”
Megan paused, her hands lowered. The towel hung limply by her side. “Didn’t that kill millions, world-wide?”
“Yeah.”
“And this looks to be worse?”
“Yeah,” Darnell repeated. “This seems to spread just as easily, but kills faster. Well, kills healthy adults faster – that cytokine storm thing, which is basically the immune system going crazy, creating high fever and complete exhaustion. Anyone who is young, or old, or otherwise has a compromised immune system, can get the flu and there’s a good chance that they’ll develop pneumonia which can kill them in a week or so without proper treatment.”
“But there are treatments for pneumonia.”
“There are. And even some things that can be done for someone with Cytokine Syndrome, if you get to them soon enough.” He sighed. “But how well do you think the health system here or anywhere will be able to handle such a fast-moving epidemic, particularly if health workers are among the most vulnerable group? Do you remember how devastating haemorrhagic fevers like Ebola have been in isolated areas, because health workers are often among the first victims of the disease? And those require direct contact with bodily fluids … this flu is airborne.”
Today, from NPR’s coverage of a new global health risk report:
Sands says the Ebola outbreak of 2014-15 was a wake-up call. It showed that the world is not prepared to deal with a rapidly spreading disease.
“The alerts were raised too slowly. Local health systems were quickly overwhelmed. The international response was slow and clumsy,” he says. “We lacked many of the medical products we needed, either therapeutic or vaccination or indeed even effective diagnostics.”
* * *
If an outbreak like the Spanish flu of 1918, which killed more than 50 million, were to happen today, the economic damage would be in the trillions of dollars. And the psychological toll could make things worse. Sands says news of a deadly, highly contagious pathogen could prompt people all over the world to panic.
“We are much more connected not just physically but by media nowadays,” he says. “Hearing about and seeing infectious disease outbreaks on TV can spread fear even more rapidly than the disease itself. That in turn can grow changes in behavior and policy which magnify the economic impact.”
*sigh*
Jim Downey
Filed under: Connections, Emergency, Failure, Flu, General Musings, Government, Health, Pandemic, Plague, Predictions, Preparedness, Science, Science Fiction, Society, Survival, Violence | Tags: blogging, Ebola, Elliot Hannon, fire-flu, Foreign Policy, health, influenza, jim downey, Laurie Garrett, pandemic, predictions, science, Science Fiction, Slate, society, St. Cybi's Well, writing
Sorry for my absence here — I’ve been very busy with a another big project, one which I can’t discuss publicly just yet. But soon.
Without wanting to buy-into the complete panic in some corners about Ebola, here are a couple of very sober articles to consider, which are less about the actual disease and more about what such a pandemic does to the society it hits:
Looters Attack Liberia Ebola Quarantine Center, Patients Under Observation Return Home
Battling the deadly outbreak of Ebola in Liberia has been a mammoth task for the country’s government and international aid agencies. Over the weekend combating the virus’ spread got even harder when a quarantine center in Monrovia was attacked, and 17 patients being monitored for possible infection fled the medical facility. The Liberian government initially said all of the patients had been relocated to another facility after the West Point health center was looted on Saturday, but later admitted that 17 patients had gone “back into their communities,” the BBC reports.
And this one from last week:
You Are Not Nearly Scared Enough About Ebola
Attention, World: You just don’t get it.
You think there are magic bullets in some rich country’s freezers that will instantly stop the relentless spread of the Ebola virus in West Africa? You think airport security guards in Los Angeles can look a traveler in the eyes and see infection, blocking that jet passenger’s entry into La-la-land? You believe novelist Dan Brown’s utterly absurd description of a World Health Organization that has a private C5-A military transport jet and disease SWAT team that can swoop into outbreaks, saving the world from contagion?
Wake up, fools. What’s going on in West Africa now isn’t Brown’s silly Inferno scenario — it’s Steven Soderbergh’s movie Contagion, though without a modicum of its high-tech capacity.
And from that second article, more to my point:
I myself have received emails from physicians in these countries, describing the complete collapse of all non-Ebola care, from unassisted deliveries to untended auto accident injuries. People aren’t just dying of the virus, but from every imaginable medical issue a system of care usually faces.
That’s the thing — a pandemic is bad enough in its own right, when a disease such as Ebola has a mortality of more than 50% under the best conditions. Consider how much worse the impact will be once the overall public health system collapses due to the death of doctors and nurses, when deliveries can’t be made to restock supplies, when whole cities are quarantined, when people begin to really panic.
That is the horror of a true global pandemic. Like the one in St Cybi’s Well.
Cheery thought, eh?
Jim Downey
PS: Two other unrelated things I want to mention. The first is thanks to all who participated in Helping Cassandra – you made a real difference. And the second is just to link to a blog post about some black powder shooting I did this past weekend with some very fun historical guns.
Filed under: Connections, Emergency, Flu, Health, Marketing, movies, NPR, Pandemic, Plague, Predictions, Press, Promotion, Publishing, Science, Science Fiction, Society, Survival, Writing stuff | Tags: Audie Cornish, blogging, CDC, Communion of Dreams, Ebola, flu, Guinea, health, influenza, jim downey, Liberia, movies, Nigeria, NPR, pandemic, predictions, promotion, publishing, quarantine, science, Science Fiction, Sierra Leone, St. Cybi's Well, Thomas Geisbert, Washington Post, WHO, writing
That was a fairly common advertising phrase used to promote books and movies back in the day, referencing spectacular murders and crazed drug orgies. Writers/publishers/moviemakers would try and cynically cash-in on the public attention these events generated by getting their books & movies out quickly.
And recently, it’s a phrase which has been haunting me.
I’ve mentioned previously that sometimes it feels like I am being a bit too prescient about our own future in writing about the alternate timeline of St Cybi’s Well / Communion of Dreams. Like I told a friend this morning:
I’ve made the comment a couple of times, but let me reiterate that it is just plain … creepy? … scary? … to be hearing comments from the CDC and WHO about the spread of this Ebola outbreak, and how it is a virus we don’t really have any treatment for, and how quarantines are necessary to try and control it … *ALL* of which could be coming right out of the SCW stuff I am writing about right now. Blimey. It’s seriously playing with my brain a bit.
Well, at least I know that all the ‘news’ stuff in SCW will have the ring of truth to it …
News? Ring of truth? Try this on for size:
CORNISH: How have past Ebola outbreaks ended, and what do you think needs to be done to end this particular outbreak?
GEISBERT: Outbreaks usually end when the public health agencies are able to come in and quarantine the affected individuals, and, you know, eventually the outbreak runs its course, and it’s over. You know, in central Africa these outbreaks have tended to occur in a very defined geographic area – for example, a village. And the public health agencies, like the World Health Organization and humanitarian aid organizations like Medecins Sans Frontieres, have come in, quarantined that area, and the outbreak has been contained. I think what’s been difficult with West Africa is that it’s so widespread, and it’s occurring simultaneously in so many different areas, that you really stretch that experienced resource thin, and so that’s a huge problem.
How bad is the current outbreak?
Bad — very, very bad. It’s concentrated in three small West African states: Sierra Leone, Liberia and Guinea, where reports of Ebola infections first emerged in February. The outbreak has claimed more than 670 lives and, worryingly, infected medical personnel attempting to stop its spread. A prominent Liberian physician died Sunday.
What’s particularly scary, though, was the recent death of a Liberian man in Lagos, the bustling coastal mega-city in Nigeria, Africa’s most populous country. The man, a consultant for the Liberian government, had traveled from Liberia through an airport in Lome, the capital of Togo, before arriving in Nigeria. The hospital where he died is under lockdown, and the WHO has sent teams to Togo and Nigeria.
So, yeah, the phrase “ripped from today’s headlines” has been kicking around in my head entirely too much the last couple of weeks.
Ah, well, maybe that just means that some large publisher or famous director will knock on my door and hand me a very large chunk of money so I can ignore everything else and finish the book in a few weeks …
Jim Downey
Filed under: Amazon, Connections, Emergency, Feedback, Flu, General Musings, Health, Kindle, Marketing, NPR, Pandemic, Plague, Predictions, Preparedness, Promotion, Science, Science Fiction | Tags: Amazon, anthrax, blogging, CDC, CNN, Communion of Dreams, Ebola, FDA, feedback, free, health, jim downey, Kindle, medicine, NIH, NPR, predictions, promotion, reviews, Sarin, science, Science Fiction, serendipity, Smallpox, St. Cybi's Well, WHO, writing
First, thanks again to one and all for helping to make my recent promotion a success! We did finish the weekend with just under 500 total downloads worldwide. Yay!
In addition, there’s a new review up over on Amazon. Here’s how it starts:
A good story, and an excellent first novel.
This kept me interested until it was finally done.
For a first novel it was very good.
There were a couple of awkward sentences I had to re-read, but most books have that.
The plot was good, and different.
I am a bit amused that some people focus in on the “first novel” thing, and sometimes it seems that they feel like they can’t give a 5-star rating just on that basis. But perhaps they’re just trying to be nice in comments. If you have a chance, and haven’t yet done so, please consider posting your own review on Amazon (or elsewhere). Thanks!
There have been a couple of fairly scary pandemic stories in the news lately. One which has gotten a lot of attention is the Ebola outbreak, and how it has spread more than previous outbreaks. One which is even more frightening (to me) is word of an accidental anthrax exposure which went undetected for upwards of a week at a major supposedly secure research lab, the CDC bioterrorism facility in Atlanta. From one article:
Unfortunately, such scenarios are very real threats to not just lab workers but to the general population should a deadly contagion escape undetected the same way the CDC anthrax exposure remained undetected for possibly an entire week. That much time lapse for a deadly viral infection could prove devastating to the world population.
As it turns out, I am right at the point in St Cybi’s Well when first reports of the fireflu outbreak has hit the news. At first it is thought to be a Sarin gas attack at Hartsfield–Jackson International Airport in Atlanta. From the book:
“Jay, I’m here at the Georgia International Convention Center, just west of the airport. Authorities have turned this into something of a command center for the developing crisis, since they have put the entire airport terminal on lock-down.” She was reporting from a large, open room. In the background there was a stage and podium, where a small knot of government officials were standing and taking turns addressing the crowd of reporters and film crews down on the floor in front of them. “As you can imagine, the situation here is very confused at present, with conflicting reports coming from the airport itself about how many people have been injured in the attack, when it likely happened, how it was detected, and what steps are being taken to protect the public. What is certain is that while this airport – one of the busiest in the world – always has a number of arriving and departing flights, that the attack came sometime late at night has meant that the number of victims is much smaller than it could have been. We’re due to receive an update on the situation at 3:00 AM local time, which is in about an hour and fifteen minutes. Back to you.”
Serendipity. Scary, scary serendipity.
Edited to add this tasty tidbit of news which broke just in the last hour:
Smallpox Virus Found in Unsecured NIH Lab
Scientists cleaning out an old laboratory on the National Institutes of Health campus in Bethesda, Md., last week came across a startling discovery: Vials labeled “variola” – in other words, smallpox.
* * *
In a statement Tuesday, the agency said scientists did indeed find smallpox DNA in the vials. Scientists are now testing the sample to see whether any of the is still capable of causing disease. That testing will take two weeks.
The laboratory on the NIH campus had been transferred to the Food and Drug Administration in 1972. It was being cleaned out as the FDA was preparing to move that lab to its main campus.
Yeah baby!
Jim Downey
Filed under: Emergency, Flu, Health, Pandemic, Plague, Predictions, Science, Science Fiction, Society, Survival, Writing stuff | Tags: antibiotics, blogging, Communion of Dreams, fire-flu, flu, health, influenza, jim downey, Keiji Fukuda, plague, predictions, science, Science Fiction, St. Cybi's Well, WHO, writing
30 April 2014 | Geneva – A new report by WHO–its first to look at antimicrobial resistance, including antibiotic resistance, globally–reveals that this serious threat is no longer a prediction for the future, it is happening right now in every region of the world and has the potential to affect anyone, of any age, in any country. Antibiotic resistance–when bacteria change so antibiotics no longer work in people who need them to treat infections–is now a major threat to public health.
“Without urgent, coordinated action by many stakeholders, the world is headed for a post-antibiotic era, in which common infections and minor injuries which have been treatable for decades can once again kill,” says Dr Keiji Fukuda, WHO’s Assistant Director-General for Health Security. “Effective antibiotics have been one of the pillars allowing us to live longer, live healthier, and benefit from modern medicine. Unless we take significant actions to improve efforts to prevent infections and also change how we produce, prescribe and use antibiotics, the world will lose more and more of these global public health goods and the implications will be devastating.”
I thought I had mentioned it here previously, but a quick search didn’t turn up anything: I had originally considered the world-wide pandemic which sets the ‘history’ of Communion of Dreams as being entirely due to an antibiotic-resistant bug (probably the plague). But as I was going through and doing work on the early draft of the book, I decided to change that, since an informal survey among people indicated that it was too “far fetched.” I didn’t think so — as far back as 15 – 20 years ago there were already indications that this was a real threat. But you can’t get too far out ahead of what people think is possible, even when writing Science Fiction, so I went with an influenza virus instead.
And speaking of which, time to get back to writing St Cybi’s Well …
Jim Downey
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So, a week or so ago I linked to a new review of Communion of Dreams which was very positive overall. But the reviewer made a comment which echoes things some other people have said:
Another item that would likely help get this book moving is a different cover. I understand the imagery now that I’ve read the book, but definitely think it will keep hard-core sci-fi fans from buying a copy (and people do judge books by their covers).
Like I said, every so often a comment to this effect will pop up in a review. And I don’t spend much time thinking about it (and I’m not going to change the cover image at this point), but now and then I wonder just what kind of a cover would appeal to ‘hard-core sci-fi fans’ and still make any kind of sense in relation to the story. Maybe some nice images of Saturn or Titan from the Cassini mission? A depiction of some of the spacecraft (which aren’t described in much detail in the book), or perhaps the Titan Prime space station? Go with a charming post-apocalyptic montage of ruined cities and microphotographs of viruses? To me, none of these would fairly represent the story, and to a certain extent would unnecessarily limit the appeal to only ‘hard-core sci-fi fans’.
But I’m curious what others think. So feel free to post a comment here or over on FB. Over even on Amazon, as a comment on an extant review or in new review of your own. In a week or so I’ll go through all the various comments I can find, and pick someone to get a jar of my latest hot sauce (or something else if they don’t want that).
Jim Downey
PS: there’s another new short review up on Amazon you might want to take a look at as well.
