Filed under: Daily Kos, Emergency, Flu, Flu Wiki, Government, Health, Pandemic, Plague, Preparedness, Religion, Society, Survival
One of the ‘front page’ writers at Daily Kos is very much concerned about public health issues, and preparations for a pandemic or other public health emergency. He’s also one of the people responsible for the Flu Wiki. He had a good post up today at dKos about how this issue is playing out in the current presidential election. In the discussion of that post, there was one comment in which the author said this:
Our Emergency Rooms are in Chaos Now …
…without a pandemic.
We are in no way prepared for anything out of the normal. Republican misrule has mazimized corporate profits in medicine while minimizing social welfare benefits. Unprofitable activities like emergency preparedness have gone wanting.
If we have a pandemic, pray hard.
I am not a person of faith. I don’t write about that much here, though if you follow any of my links over to UTI, you’ll certainly see what I have to say about religion there. So the thought of praying for help in a pandemic would never occur to me – I would much rather do something practical to prepare for such an emergency, like getting our hospitals ready.
And I don’t think that the author of that comment is saying that we should only rely on prayer – just expressing some exasperation with the current situation, the current mindset about what role hospitals play in our society. Daily Kos is, after all, a blog devoted to electing progressive democrats and pushing liberal values like a good universal health system.
Anyway, first consider how prepared you are for a possible pandemic, earthquake, whatever. Personally. You have to take responsibility for yourself and your family. As I have written before, there are a lot of good resources with excellent information on what steps you can take to insure your own survival in an emergency. And then investigate what steps you can take to help your local government, your community, to better prepare. It is a very complex problem, and they will likely welcome your help. This will be a step I will likely be looking into in the future, now that our care-giving responsibilities are done and I am recovering.
If prayer is important to you, then by all means, pray. But that shouldn’t stop you from doing what you can to also prepare in more tangible ways.
Jim Downey
Filed under: Astronomy, Fermi's Paradox, General Musings, Government, ISS, NASA, NYT, Predictions, Preparedness, Press, Science, Science Fiction, SETI, Society, Space, UFO, Uncategorized
Yesterday I wrote a somewhat snarky post at UTI about the Vatican’s Astronomer giving his official blessing (almost literally) to the notion that alien life – even intelligent alien life – probably exists in the universe, and that this was not at odds with Catholic doctrine. A friend this morning sent me a link to this 1996 article in the New York Times:
Does the Bible Allow For Martians?
WOULD the discovery of life on Mars be a blow to the idea of biblical creation? Should the knowledge of alien organisms shatter faith in a God who was supposed to have created heaven and earth and life in a week?
As it turns out, biblical creationists have been touting the existence of aliens for years — and Mars itself has featured prominently in their scenarios.
Ronald Numbers, a professor of the history of science at the University of Wisconsin at Madison and the author of ”The Creationists,” a history of this movement, was himself raised in a fundamentalist Seventh Day Adventist community where belief in life on Mars was no big deal.
According to the Bible, Mr. Numbers explains, Satan and his cohorts were thrown out of heaven, so the question arises: Where did they go? At his high school in rural Tennessee, Mr. Numbers was taught by his teacher, who was also a Seventh Day Adventist, that they were hurled to Mars. The famous Martian canals were cited as evidence of this habitation.
In turn, that article was mention by another NYT piece yesterday (also sent by my friend) which discussed the Vatican’s stance on alien life. And in it, this is mentioned:
On Monday, Mike Foreman, a mission specialist during the recent Shuttle Endeavor voyage, expressed confidence in the notion, saying “it’s hard to believe that there is not life somewhere else in this great universe.”
Today, TDG also noted that another Endeavor crew member agreed, with this news item:
Astronauts who returned recently from a Space Shuttle mission said on Monday that they expected alien life would be discovered.
“Life like us must exist elsewhere in the universe,” Takao Doi, who had been on a 16-day Endeavour mission to the International Space Station, told reporters in Tokyo.
Mr Doi and his colleagues denied seeing anything that proved the existence of extraterrestrial life forms, but said the scale of the solar system and beyond had impressed upon them the possibility of alien life.
Of course, also in the news just about everywhere is that the British government is in the process of releasing their UFO files, gathered by the Ministry of Defense. As I quoted in my UTI post yesterday:
LONDON – The men were air traffic controllers. Experienced, calm professionals. Nobody was drinking. But they were so worried about losing their jobs that they demanded their names be kept off the official report.
No one, they knew, would believe their claim an unidentified flying object landed at the airport they were overseeing in the east of England, touched down briefly, then took off again at tremendous speed. Yet that’s what they reported happened at 4 p.m. on April 19, 1984.
The incident is one of hundreds of reported sightings contained in more than 1,000 pages of formerly secret UFO documents being released Wednesday by Britain’s National Archives.
And naturally enough, lots of people are just certain that whatever is in those files isn’t the *actual* truth, because you just can’t trust any government with this stuff. As noted (again, via TDG) in this post by UFO investigator Nick Redfern which pre-dated the recent release of documents:
Yes, the Government knows something. It may actually know quite a lot. Perhaps (although I seriously doubt it) it knows everything. But the idea that it (as a unified body) has any interest in telling us the truth, purely because we go knocking on its doors, loftily demanding to be let in on the secret, is self-deluded, ego-driven yearning of a truly sickening “I want to believe” nature.
Call me a cynic, but if the government reveals the truth about UFOs to us, you can guarantee it will be a lie. And it will probably be a lie designed to scare the shit out of us and ensure that we surrender more of our freedoms and rights to old men who wear suits and lack souls. And still the real secret will remain hidden – either in the pages of some hefty classified file or in a cryogenic tank deep below Wright-Patterson Air Force Base. Maybe…
OK, I’ve written before about news related to SETI, because it ties in directly with Communion of Dreams. But why mention these reports and comments? Why get into the whole woo-woo land of UFOs?
Well, as I said over a year ago when French government made their UFO files available:
A staple of Science Fiction has always been the question of how humanity will deal with the discovery that we are not the only sentients in the universe. It is, of course, the main theme of Communion as well, and while I am somewhat ambiguous about what exactly is “out there”, I make no bones about the fact that they exist, and have even visited our neighborhood (hence the discovery of the artifact on Titan being central to the book).
Honestly, one of my greatest fears is that before I can get Communion published, we may indeed have such proof, and will get to see just exactly how that plays out in the public sphere. My own private suspicion is that it will not go well.
And I can’t help but wonder what is behind this sudden upsurge in scientists, astronauts, and even religious leaders commenting about how they are sure that there is alien life, possibly even intelligent alien life, “out there.” Sure the UFO community has always been convinced (it sort of goes with the territory), and vocal. But why this interest being expressed from so many other sources? I may have been snarky at UTI, but I do have to wonder whether or not there isn’t some larger agenda being played out here before our eyes. Certainly, were I in a decision-making position in government and we had conclusive and irrefutable proof of extra-terrestrial intelligence, I would advise spending some time ‘preparing’ the public for the release of that information.
Just a thought.
Jim Downey
Filed under: Pandemic, Politics, Predictions, Preparedness, Press, Science, Society
As if my last post wasn’t enough cheeriness for one day, I thought I should also post an update to this post about the outbreak of EV71 in China. From the AP:
China says hand, foot and mouth disease spreading among children
BEIJING – China reported a jump Monday in the number of children sickened with hand, foot and mouth disease, saying more than 9,700 cases have been reported.
* * *
The outbreak is another headache for China‘s Communist government as it prepares to host this summer’s Olympic Games, already tarnished by unrest among Tibetans in western China and an international torch relay disrupted by protests.
WHO’s China representative, Hans Troedsson, said the disease was not a threat to the Beijing Olympics because the disease mostly sickens young children.
Well, I’m glad to know that – can’t screw up our priorities in worrying about kids when there is the Olympics to fret about.
Sheesh.
Jim Downey
Filed under: Emergency, Flu, Flu Wiki, General Musings, Government, Health, NPR, Pandemic, Plague, Predictions, Preparedness, Science, Science Fiction, Society, Survival, Writing stuff
Well, we all will, unless there’s some sort of miracle breakthrough in medicine or technology. But that’s not what I’m talking about. Rather, I’m talking about something anyone who has thought about it much has probably already assumed is true: that in the event of a large-scale pandemic, procedures will be put into effect by medical authorities to determine who will be treated and who will be allowed to die.
This is called triage. And to the best of my knowledge, for the first time such procedures are being publicly put forth as being applicable for all hospitals in the US, in recognition that it is better to have consistent and uniform criteria already in place before a disaster hits. The May issue of CHEST, the peer-reviewed journal of the American College of Chest Physicians (ACCP), today carried a supplement titled Definitive Care for the Critically Ill During a Disaster. From the press release on the ACCP website:
(NORTHBROOK, IL, May 5, 2008)—In an unprecedented initiative, US and Canadian experts have developed a comprehensive framework to optimize and manage critical care resources during times of pandemic outbreaks or other mass critical care disasters. The new proposal suggests legally protecting clinicians who follow accepted protocols for the allocation of scarce resources when providing care during mass critical care events. The framework represents a major step forward to uniformly deliver sufficient critical care during catastrophes and maximize the number of victims who have access to potential life-saving interventions.
“Most countries, including the United States, have insufficient critical care resources to provide timely, usual care for a surge of critically ill and injured victims,” said Asha Devereaux, MD, FCCP, Task Force for Mass Critical Care. “If a mass casualty critical care event occurred tomorrow, many people with clinical conditions that are survivable under usual health-care system circumstances may have to forgo life-sustaining interventions due to deficiencies in supply, staffing, or space.” As a result, the Task Force for Mass Critical Care developed an emergency mass critical care (EMCC) framework for hospitals and public health authorities aimed to maximize effective critical care surge capacity.
So, is this just good public health planning? Well, yes. But it is also very sobering to read the following:
The proposed guidelines are designed to be a blueprint for hospitals “so that everybody will be thinking in the same way” when pandemic flu or another widespread health care disaster hits, said Dr. Asha Devereaux. She is a critical care specialist in San Diego and lead writer of the task force report.
“When”. Emphasis mine. Not “if”. The news report goes further:
Bentley said it’s not the first time this type of approach has been recommended for a catastrophic pandemic, but that “this is the most detailed one I have seen from a professional group.”
While the notion of rationing health care is unpleasant, the report could help the public understand that it will be necessary, Bentley said.
Devereaux said compiling the list “was emotionally difficult for everyone.”
That’s partly because members believe it’s just a matter of time before such a health care disaster hits, she said.
“You never know,” Devereaux said. “SARS took a lot of folks by surprise. We didn’t even know it existed.”
Again, emphasis mine.
I’ve written many times about the possibility of widespread flu or some other kind of pandemic. Partly this is just because such a catastrophe sets the stage for Communion of Dreams. But more importantly – and this is even part of the reason *why* I wrote Communion of Dreams – is that I don’t think that people give this matter nearly enough thought.
It is good to see that the public health authorities are taking this step. And I was heartened to hear about it on NPR as I started to compose this post. Maybe it will prompt people to stop and think for a moment about what they themselves should be doing to prepare for some kind of pandemic or other disruption. Because I bet that almost no one you know is actually ready to ride out such an event – and by the time you hear of a pandemic starting, it will be too late to get everything you will need to increase the chances of you and your loved ones surviving. This is not fear-mongering; this is taking some reasonable precautions – the same sorts of precautions that have lead to the development of this new triage plan. If you want to know more, check out the Flu Wiki (where they also link to this resource).
Yeah, we’re all gonna die. And I can easily imagine disaster scenarios where I would not want to live. But I sure as hell don’t want to die needlessly from something I can avoid, or ride out with a little advance prep.
Jim Downey
Filed under: Flu, General Musings, Pandemic, Predictions, Preparedness, Press, Science, Society, Writing stuff
Communion of Dreams is set in a post-pandemic world, some 40 years after a new flu strain has caused massive death and global disruption.
For the most part, people never really think about the flu or any other virus presenting much of a threat. Partially, this is due to not wanting to think about such things as death. Partially, it is because there really isn’t much in the way of treatment for most viral diseases. As a result, sometimes it is difficult to get much information in the news, unless you really work at it. A good example of this is the recent outbreak of EV71 in China – my wife caught a brief mention of it on the BBC news, told me. I had to really hunt around to find this:
Mass intestinal virus infection up to 1,520, kills 20
HEFEI — A lethal outbreak of intestinal virus in Fuyang City in east China’s Anhui Province has killed 20 children and befallen 1,500 others, the provincial health department said on Tuesday.
Du Changzhi, Anhui Provincial Health Department deputy chief, said the virus, known as enterovirus 71, or EV71, had altogether sickened 1,520 children, claiming 20 lives by Tuesday morning.
Of the sick, 585 had recovered thus far. At present, 412 sick children have remained in hospital for further medical observation. Of the total, 26 are seriously ill.
The Wall Street Journal did have this:
China Suffers HFMD Outbreak
Common Illness Catches Attention Of Global Officials
HONG KONG — A deadly outbreak in eastern China of a common childhood illness that rarely kills people has caught the attention of international health officials.
The outbreak of hand, foot and mouth disease, or HFMD, has killed 20 children in Fuyang, a city in eastern Anhui province, and has affected some 1,200 children altogether, according to the Anhui provincial health department. Of those cases, 341 children are still in the hospital.
A report by the state-run Xinhua news agency late Sunday evening said the outbreak began in early March and cited the city’s health department as confirming that the disease was caused by enterovirus-71, one of several viruses that can cause HFMD.
* * *
China’s Health Minister Chen Zhu visited Fuyang on Saturday, according to the Xinhua report. Chinese health officials at the local level in the past have sometimes played down disease outbreaks early on, only to be caught off guard later.
Indeed. There have been a number of such problems with reporting outbreaks in China, as we saw with the SARS virus in 2003. What this means is that a new virus can get established before anyone really knows what is going on. And that could be really catastrophic in terms of implementing public-health plans to limit the spread of any major new disease.
[Major Spoilers Ahead.]
At the end of Communion, I reveal that the new engineered flu virus which has been released comes from China. I did this for this reason – to draw attention to this very real problem. It’s bad enough that some virus could pop up just about anywhere where there is very little public health infrastructure, and so be missed. That a threat could come, and be intentionally ignored, is really dangerous. You really gotta wonder just what people are thinking when they do this.
Just as you really gotta wonder why such things are not covered in the news, rather than the latest celebrity gossip or outrage.
Jim Downey
You may have heard of the 5.2 quake we had in this area this morning (epicenter about 150 miles from here, I’d guess). I missed that, what with being sound asleep and all. Got people rattled, you might say.
Well, we just had an aftershock here about 45 minutes ago. I was writing an email to a friend at the time, said this:
I think we just had another post-quake shock. Whole house vibrated, and my monitor did a little dance.
Hmm. Should check the USGS and see if they have anything posted yet.
Nope. But I filed a report.
Well, the report is now up: a 4.5 event, according to IRIS. Interesting. That may be the most powerful one I’ve felt.
Lots of people don’t think of the Midwest as being particularly active, seismically (and otherwise). But we’re probably sitting on top of one of the biggest potential disasters when it comes to likely earthquakes: the New Madrid Fault. Hereabouts, people actually worry about this from time to time, though not nearly enough in terms of applying architectural and engineering knowledge to minimize risk. Because that would cost money.
Shocking, I know.
Jim Downey
Filed under: Astronomy, Carl Sagan, Fermi's Paradox, Preparedness, Science Fiction, SETI, Society, Space
Via TDG, a link to “10 Must-Read ‘First Contact’ Novels” by someone who should know: Mac Tonnies of the SETI.com blog.
Man, I just can’t believe that he didn’t list Communion of Dreams. Huh. But then, Contact by Carl Sagan didn’t make it either . . .
Jim Downey
Filed under: BoingBoing, Civil Rights, Emergency, Failure, General Musings, Government, Guns, Health, Politics, Predictions, Preparedness, Press, Privacy, RKBA, Society, Survival, Terrorism, Violence
If you know me at all, from personal experience or just from my writings, you might be a bit surprised to know that when I was a kid I was considered bookish, uninterested in athletics, a bit nerdy. I distinctly remember being pushed to close whatever book I was quietly reading, and to go outside and play ‘like a real boy’.
Why do I mention this? Well, because I have been following with some interest the whole ‘controversy’ around Lenore Skenazy‘s recent column and subsequent news coverage/website devoted to the concept of “Free Range Kids“. In itself, it is fascinating that Skenazy’s ideas have generated this kind of reaction – challenging the prevailing cultural norms about child-rearing and parental control (under the guise of keeping kids safe). Lots of people are saying that it is about time for us to get away from “helicopter parents” who so over-protect their kids that the kids never get any real life experience. Just look at the comments at BoingBoing, on her website, or just about anywhere else – she gets some criticism, but for the most part people are saying either that “it’s about time” or “what’s the big deal – this is how most of the working class folks get along”.
But beyond that, there is something else that comes through: a basic desire for people to have some freedom back, that the whole “security” mindset may have gone too far, that we have gotten well away from our self-professed ideal of being the “Home of the Brave”. I don’t think that this is the least bit surprising, nor that it would show up in these kinds of discussions, because I think that the issues are very closely interrelated.
Let’s talk about Skenazy’s notions again for a moment. Her basic premise is that while we need as parents (and as a society) to take some reasonable precautions, it is also extremely important that kids be allowed to actually experience life outside the purview of parents and other authorities – to have a little room to learn about things like self reliance, independence, and problem solving. Her example is letting her 9 year old son ride the subway in NYC on his own. What happened? I’ll quote from her site:
When I wrote a column for The New York Sun on “Why I Let My 9-Year-Old Take The Subway Alone,” I figured I’d get a few e-mails pro and con.
Two days later I was on the Today Show, MSNBC, FoxNews and all manner of talk radio with a new title under my smiling face: “America’s Worst Mom?”
Yes, that’s what it took for me to learn just what a hot-button this is — this issue of whether good parents ever let their kids out of their sight. But even as the anchors were having a field day with the story, many of the cameramen and make up people were pulling me aside to say that THEY had been allowed to get around by themselves as kids– and boy were they glad. They relished the memories!
And the next paragraph nicely summarizes what the real problem is, as I see it:
Had the world really become so much more dangerous in just one generation?Yes — in most people’s estimation. But no — not according to the evidence. Over at the think tank STATS.org, where they examine the way the media use statistics, researchers have found that the number of kids getting abducted by strangers actually holds very steady over the years. In 2006, that number was 115, and 40% of them were killed.
Now, why do people have the perception that the world is much more dangerous now, when the statistics don’t support that? Hmm. Think about it for half a moment and the answer is obvious: because that is what we are constantly told by the mainstream media, both in news and in fiction. And I’m not just talking about kids being kidnapped, assaulted, or murdered. If it isn’t the government trying to scare us senseless about some new terrorist threat, it is some TV show preying on your fears with murder or deadly ingredients in your food/water. Think of what sells papers and ad-time, and you’ll understand the motivation. It has always been so. But what has changed in the last generation is the absolute saturation that we get from these sources.
I am the first to acknowledge that the world is, indeed, a dangerous place. When I was barely starting adolescence my dad was murdered, and my mom was killed in a car accident, for crying out loud. Sure, neither of those is as bad as the loss of a child, but still. I do take reasonable precautions in going about my life, from trying to watch my diet to getting exercise to carrying a gun (and other safety tools). I use my seat belt and pay attention while driving. But I also live my life – because I know that no matter what, I’m going to die of something someday, and I would much rather enjoy the life I have than live in fear of losing it.
It is simply impossible to live a fully protected life. Just as it is simply impossible to fully protect kids from harm. Furthermore, it is completely counter-productive. In the case of kids, all you are doing is denying them the opportunity to really learn about themselves – the one and only person that they will have to rely on in the future. Kids have to learn to walk on their own. And they have to learn to get up when they fall. Sure, they’ll get hurt. They’ll scrape a knee, maybe get cut, maybe even break a bone. Know what? That’s life. They’ll heal, or learn to deal with it.
That’s harsh, but I am not advocating harshness. I am advocating bravery. Because that is what will come from learning that yes, you will get hurt – but you will recover from it. Yes, life will present problems, but you can learn to overcome them or cope with it. Learning that is liberating, and the sooner someone learns it, the more fully they will enjoy what life they have.
Likewise, in seeking to protect ourselves from threats, we have done nothing but lose our bravery as a nation. And lose our freedoms.
Let the kids range free. And let your own faith in yourself range a little freer, as well.
Jim Downey
(Cross posted to UTI.)
