Let Facts Go Viral

Author’s Note: I considered taking this post down, since it was written before the declaration of Covid-19 as a pandemic, before the wave of infections and death hit the East Coast or, really, even Europe or California. I don’t want the tone to sound flippant. I’m opting to leave it up for two reasons. First, to point out that health experts did KNOW things before March 11 or March 20, or whatever date someone claims now is when Things Got Really Real. Secondly, it illustrates that even when knowledge is limited, people can take intelligent steps to minimize risks. There’s no better example than that photo of Mardi Gras as an illustration of what controlling risk means.

Spanish flu pandemic of 1918, photo from historyofvaccines.org

The question was asked yesterday: What’s something you’ve longed believed to be true, but now you know is not true?  When it comes to worldwide problems, we often think: It can’t happen here. I mused about this while watching the news, with story after story about the coronavirus, topped by Our Leader at a press conference emphasizing that there are only 15 U.S. cases of the virus, and really that would soon be zero. That same day, the 60th case in the U.S. was confirmed, a case which is literally Here, near-ish to where I live. At the moment, they don’t know how the person became infected, and they don’t know who she came in contact with.

It can happen here.

Americans seem to sway between attitudes of invulnerability and full-scale panic. It can’t happen to us, that’s only for exotic people in China or Iran. Next day, we’re in long lines at Home Depot asking where we can buy HAZMAT suits. I’d like to take a middle road here and discuss some fact facts about pandemics—risks, likely scenarios, treatment, and precautions.

Lessons of History

There have been pandemics before, the most prominent being the Spanish flu pandemic of 1918, where 30 million people died. An estimated 500 million, 27% of the world’s population, became infected, and the death rate averaged around 2%. As many as 675,000 Americans died of the 29 million thought to have contracted the disease. The outbreaks occurred in two waves: one in the winter of 2018 during normal “cold and flu” season and a second, deadlier wave, in late summer. An unusually high number of young adults died in that second wave, unlike a typical flu. The disease hit hard even in isolated communities like the Pacific Islands and Alaska, with communities like Samoa losing 30%. In other places, such as the U.S., the mortality rate was closer to 0.5%. Not everyone was exposed. Not everyone exposed became infected. Not everyone who became infected died.

For comparison, a normal flu season in the U.S. kills between 20-40,000 people annually, about 0.1%. Like the coronavirus, the typical flu spreads when infected people cough or sneeze. People who die from the flu are usually those most vulnerable to respiratory diseases because their immune system is already compromised or they have other risk factors. Not everyone is exposed. Not everyone exposed becomes infected. Not everyone who becomes infected dies.

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A Woman’s Place Is…In Space

Astronaut Christina Koch printing tissue
Astronaut Christina Koch growing a new kidney (?who knows?) Photo at NASA.gov.

Growing organs in microgravity was the experiment that hooked me. Apparently, they’re experimenting on the space station with 3D printers that grow human organs, like hearts, in zero gravity. The difficulty with growing organs on earth is that soft tissue (“biomaterial”) tends to collapse while it’s being printed, unable to hold a shape and turning to mush before it’s completed. In space, the replicated tissue can hold its shape long enough for cells to growth more tightly together in a culture, eventually becoming strong enough to return to earth’s gravity. That’s the theory, anyway.

I learned about this while digging further into the amazing experiments performed by Astronaut Christina Koch, who just completed a record 328 days in space. As the NY Times reported today, she came home safely after a near-year on the international space station. She also completed three all-female spacewalks.

However, it’s the number and breadth of experiments she conducted that may make the most difference to future generations of spacefarers. After all, if we’re going to check out the interstellar neighborhood, we’re going to need to know how to eat real food, practice medicine, and put out fires. You know, domestic affairs. Who better to do all that than Christina Koch, given the old saying that a woman’s place is in the home.

Do You Think that Spacesuit Makes You Look Fat?

The faces of the early space pioneers were all male, of course, selected from the military, which excluded the likes of notable female pilots Amelia Earhart and Harriet Quimby from its ranks. Actually, to be fair, this bias was in the American space program, since Valentina Tereshkova of the USSR was the first woman in space way back in 1963, only two years after the first American man had gone up.

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The Devil You Know Is Not Better

Removing Boalt name from building
UnBoalting. Photo by Roxanne Makasjian at berkeley.edu.

I read with some slight dismay that Berkeley’s Law School has decided to remove Boalt from its name. I went to Berkeley, although not to law school, but as an alumnus of the university, I feel snobbishly attached to anything related to it. These are the hallowed dusty buildings of my youth. The massive 750-person freshman Economics lectures in Wheeler auditorium; a classmate had narcolepsy so my roommate and I would share notes with her in case she missed some key point about downward-sloping demand curves. The steep climb up the hill to get to classes from Dwinelle to LeConte. The opaque glass in the English department offices that rattled when you tapped timidly on it to meet a professor for officer hours. I have fond and vivid memories of the place. Anything that changes those images seems sacrilege.

This is why we hold onto things, long past the time for better judgment.

Wheeler Auditorium Berkeley
My roommate and I would take notes for a friend whose narcolepsy made Econ 101 lectures problematic. Wheeler Auditorium, photo by Allen Zeng for the Daily Californian.

The world is a strange place. If you read the news to stay in touch with what’s going on, it’s a blizzard of cognitive dissonance. There’s an impeachment trial where the primary discussion today is whether they should bother looking at evidence or witnesses. An outbreak from a virus in China that’s rerouting air traffic. Death of a famous sports personality; Britain leaving the E.U. The news often feels like the world is sliding sideways. Someone told me the other day that they found it overwhelming, depressing.

On the other hand, much as I want to stay a citizen of the world, I remind myself (and ourselves, gentle reader) that not all these things affect me personally. I didn’t know the sports personality personally. I don’t live in Britain. I didn’t travel to China and don’t hang out with people who do. If the impeachment trial went the way I’d prefer, would the resulting people in power quickly enact legislation that would really help me? Or would things continue in their slow, inexorable, one step forward, two steps back, two steps forward, one step back way? Must I feel so overwhelmed by change?

There’s a saying:

Better the devil you know than the devil you don’t.

Hold on to what you have, even if it’s awful, because among all these scary things out there, something might be worse. It’s an insidious thought, especially because the things that are the worst, which frighten you most, are designed to make you keep them. You may even become nostalgic about keeping them. Instead of gathering facts that might help you make more informed choices.

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