by OilsNotWell » Mon 09 May 2005, 23:34:23
There is an EXTENSIVE influenza news board here at
www.CurEvents.com :
CurEvents "Flu Clinic"
Many informative posts there.....
If you wish to pursue this issue in far more detail with lots of like-minded persons, that seems a good place...
I'll post a few of the major stuff here...
Here's an interesting exchange, and I'll post it in its entirety:
$this->bbcode_second_pass_quote('', '[')quote author=LMonty911
I dont expect the coming pandemic to "Go Away" like SARS did- yet, i am already hearing that it "will probably fizzle just like SARS" from the few docs I've talked to.
Quote:
I don't think SARS "went away" so much as it was strangled to death by effective communication and serious quarantines (once people got in gear). At one point the affected countries had thermometer checks at all airports, Chinese villagers were blockading roads to their area with pitchforks, and Beijing effectively shut down for a few days after constructing a special purpose hospital just for SARS patients in the span of about 7 days, if I recall correctly. I'll never forget listening to the NPR reporter as I was driving into work:
"I'm in Beijing looking down mainstreet. It looks deserted. I see a policecar... and a hearse."
Sri Lanka enforced mandatory quarantines and everyone in a particular Hong Kong hotel was packed off to a holiday camp.
My feeling is that if something reasonably contagious like SARS (which had the occasional 'super-spreader' as well) could be beaten in high population areas like Hong Kong, then a lethal flu could be handled as well. The only really worrisome part is the multitude of natural resovoirs that H5N1 seems to work with, whereas SARS didn't seem to be partial to small flying critters.
Anyway, if it does make a serious play, don't underestimate the power of communication once it gets into gear. Myself, I'll be paying attention, but my threshold for alarm (as a layperson) is when something is serious enough to close a hospital on my continent. First thing I noticed about SARS was when it took down the Vietnam hospital and it was closed for 'cleaning'
Second thing was when it killed the infectious disease expert WHO sent to study it. Now there's a red flag for you. But, it was beaten back when people got serious about it.
People like to live. Once it hits home that something is a serious threat, it will be dealt with. Would the 1918 pandemic have claimed as many people as it did if the original resurfaced now? The virus gets the bonus of jet-speed travel, but the humans have the advantage of light speed communication. Its a big one. In 1918 you and I wouldn't have a CLUE what was going in Vietnam, or pretty much anywhere else outside of our backyard.
My 2 cents.
and the reply:
$this->bbcode_second_pass_quote('', 'g')hostly_poet's inquiry: > Would the 1918 pandemic have claimed as many people as it did if the original resurfaced now?
>The virus gets the bonus of jet-speed travel, but the humans have the advantage of light speed communication. Its a big one. In 1918 you and I wouldn't have a CLUE what was going in Vietnam, or pretty much anywhere else outside of our backyard.
GR's stab at a reply: The feeder lines into the first world are the airlines. If you can swear to me that these are shut down from day one, out of Vietnam, that would stopper the disease for a while, but only a while.
The virus is endemic. It is assumed it will "sprout" in many locale's at the same time. (not at first, but shortly after infection starts) What I know to be true, as we're seeing in Marburg-country, people will flee the virus; every wealthy family will make an effort to leave or send a portion of their family out of the country; if the airline is shut to them into HK, they'll fly to Thailand and wherever, and change planes. They're wealthy, smart, educated, and have a very pressing need to "move". The story in China is not the same story as in the West. We're not autocracies.
It's your premise that people will be frozen in place; that's an assumption with differing recent facts supporting both arguments. As your position is an assumption, it's a matter of where you place your bets. I'll not bet along with you. Your bet has a sudden death show of hands. It will be a hand that will be played without chips, and with your own wits as your betting pot.
Here, many are taking a more conservative position. It's a wait and show me, but meanwhile, I'll review and prepare my options. If they're wrong, they hold Tamiflu or food, or cleaning supplies for a lifetime, or emergency plans.
The recent Contra Costs County, California emergency response rehearsal includes what they believe to be true, different from what you think. They believe that air travel will bring a few people infected into their County (about say 1 million people, on the high side). They expect the flu to spread in two ways: first, the carriers will become sick and their closest relatives will become sick, and some on the airplane will become sick (the studies show between 2 and 8 rows of people, though not all, if exposed for a long time, here about 15 - 20 hours, will get sick). Because the flu is transmitted for 1 to 3 days prior to signs of illness appearing, those who received their loading doses are also transmitters.
But you know all this. The point is that unlike China, where streets are empty, even the thought of quarantine, and using the words of one WHO person, draconian quarantine, may go into effect, but not without time passing and in that time, the disease will spread.
But, to help us all, in June, Nature Magazine will publish the results of the US Government from its computer modelling program on this very topic.
If you'd like to know whether you're on the right track, we've posted here the fact that a participating statistician in that study is now urging that the governments of the world, via WHO, use Tamiflu blankets on every outbreak in Asia, quickly, with all bets off if the virus breaks out in a large city, because he sees the disease unstoppable if it gets out from under those blankets. I tend to go with the statistician on this; his MIDAS study is a bit more costly and complete than yours or mine.
I personally don't think it wise to follow your approach; but as you're informed and an adult, your opinion is 100% valid for you.
As a counter comment, I think it wise for everyone here who's interested to read the many, many posts on pandemic preparation over in the
www.curevents.com Flu Clinic newsgroup, a sub-group of The Laboratory. That's the primary theme in that group at this time, summed up as "personal survival and local assistance"
After the Nature report in June, please post your thoughts here at that time, when you've seen some detailed stat's on viral transmission.