Filed under: Connections, Emergency, Failure, Flu, Government, Health, NPR, Pandemic, Predictions, Preparedness, Science, Science Fiction, Survival, Travel | Tags: blogging, CDC, Ebola, flu, health, Homeland Security, influenza, jim downey, NPR, pandemic, predictions, science, Science Fiction, St. Cybi's Well, survival, The Atlantic, TSA, WHO, writing
… St Cybi’s Well, what with an incompetent theocratic government in place:
So imagine the scenario. A deadly flu pandemic is beginning in the northeast. TSA agents are asked to report for work in the germ incubators that are airports to keep the transportation system running. And while their bosses in Washington, D.C. can’t supply them with reliably functioning respirators to protect them from infection, they’re keeping thousands that may not work on hand, thinking they may hand them out for “employee comfort,” like security theater karma for those who make us remove our shoes and take our water.
But sadly, scarily, it isn’t. Rather, that passage is from the following news item:
As the Department of Homeland Security endeavors to prevent another 9/11, a terrorist attack that killed nearly 3,000 Americans, it is worth remembering that there are far deadlier threats out there. I speak not of ISIS or Ebola, but the influenza virus. The flu pandemic that began in 1918 killed 675,000 Americans. That is to say, it killed about as many Americans in a couple years as the AIDS virus has in decades. Worldwide, that same flu pandemic killed an estimated 30 to 50 million people. It would take 16,000 attacks like 9/11 to equal that death toll. Those figures powerfully illustrate the case for redirecting some of what the United States spends on counterterrorism to protecting ourselves from public health threats.
Of course, money only helps if it isn’t squandered. Take the extra $47 million dollars that Congress gave the Department of Homeland Security in 2006 to prepare for a pandemic. As a recent Inspector General report explains in depressing detail, a lot of that money was wasted. And one darkly hilarious passage in the audit reveals what may be the most galling example of security theater ever.
But it’s OK, because the rest of the world is ready to step up and fight against a viral threat which could explode into millions of cases in just a few weeks, right?
Two of the world’s top health organizations released predictions Tuesday warning how bad the Ebola outbreak in West Africa could get.
Both the Centers for Disease Control and Prevention and the World Health Organization agree that the epidemic is speeding up. But the CDC’s worst-case scenario is a jaw-dropper: If interventions don’t start working soon, as many as 1.4 million people could be infected by Jan. 20, the agency reported in its Morbidity and Mortality Weekly Report.
Sometimes it feels less like I’m writing a cautionary work of fiction and more like I am looking back and writing an historical account …
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 …
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:
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.
Filed under: Brave New World, Connections, Government, Health, Marketing, Politics, Predictions, Science, Society | Tags: CDC, health, jim downey, politics, predictions, salt, science
<sarcasm> Gee, I’m stunned </sarcasm>:
In a report that undercuts years of public health warnings, a prestigious group convened by the government says there is no good reason based on health outcomes for many Americans to drive their sodium consumption down to the very low levels recommended in national dietary guidelines.
Not only did they determine that there was little benefit in pushing for such low levels of overall salt intake, there might actually be health risks associated with such low levels. From the same article:
One 2008 study the committee examined, for example, randomly assigned 232 Italian patients with aggressively treated moderate to severe congestive heart failure to consume either 2,760 or 1,840 milligrams of sodium a day, but otherwise to consume the same diet. Those consuming the lower level of sodium had more than three times the number of hospital readmissions — 30 as compared with 9 in the higher-salt group — and more than twice as many deaths — 15 as compared with 6 in the higher-salt group.
Another study, published in 2011, followed 28,800 subjects with high blood pressure ages 55 and older for 4.7 years and analyzed their sodium consumption by urinalysis. The researchers reported that the risks of heart attacks, strokes, congestive heart failure and death from heart disease increased significantly for those consuming more than 7,000 milligrams of sodium a day and for those consuming fewer than 3,000 milligrams of sodium a day.
OK, current CDC guidelines, dating back to 2005 (though based on research going back into the 1980s):
The Dietary Guidelines for Americans (DGA), 2010 recommend reducing sodium intake to less than 2,300 milligrams (mg) per day. The DGA’s also recommend you should further reduce sodium to 1,500 milligrams (mg) per day if:
- You are 51 years of age or older.
- You are African American.
- You have high blood pressure.
- You have diabetes.
- You have chronic kidney disease.
The 1,500 mg recommendation applies to about half of the U.S. population overall and the majority of adults. Nearly everyone benefits from reduced sodium consumption. Eating less sodium can help prevent, or control, high blood pressure.
How does this compare to what people actually consume? Well, sodium consumption from salt around the world is about 3,400 mg per person per day. This amount is pretty consistent across cultures, and has remained pretty stable over decades. In other words, the current governmental recommendations say you should be ingesting half to two-thirds of what people have been consistently ingesting. And there have been efforts by governments to impose increasingly strict limitations on salt consumption, usually through limitations on salt use in prepared foods.
There are two problems with that: one, there really isn’t good science to back up the limitations (as noted above). And two, limiting salt in prepared foods changes not only the flavor of the foods, but also the “mouthfeel“. And one of the easiest/most common ways to correct this is with the increased use of lipids (usually fats of one sort or another), since they have a similar effect to salt in creating food density. Meaning that people are probably ingesting more calories in response to prepared foods which has less salt in it. And since obesity is increasingly problematic …
Talk about your unintended consequences. Such is the danger of social engineering of just about every sort.
I started this post with the <sarcasm> </sarcasm> cues because I’ve long been skeptical of the science behind strict salt limitations. As I have noted previously, the evidence backing up strict limitations has been very mixed for decades. And there has been indication that for at least a substantial segment of the population, salt sensitivity wasn’t a problem at all. Now seeing that there is little evidence that lowering salt levels is beneficial for the general population, and that indeed there may be real risks in doing so?
Pass the salt, please.