by Tanada » Thu 22 Sep 2016, 10:42:49
$this->bbcode_second_pass_quote('KaiserJeep', 'T')anada, I did not say that the world had never experienced pandemics. I said that no country with modern medicine has ever experienced a pandemic. The Spanish flu pandemic is as close as we came, and that was before antibiotics, microscopes capable of resolving viruses, IV fluid systems, and the manufacturing of antiviral agents.
Even today, pandemics such as Ebola start in the African jungle, and are resolved when modern medicine arrives on the scene.
I believe that you have swallowed the fast crash scenario. If civilization crashed and modern medicine ends, yes pandemics would be a concern. But there is just no way - short of nuclear warfare - that the momentum of modern civilization can go away overnight. But a nuclear war, or a mega-volcano, or a 1-mile diameter asteroid strike on the planet, are all scenarios that make peak hydrocarbons small in comparison. The only way anybody survives such disasters is to have the 20-20 foresight to be a long ways away from such conniptions when they happen. Let me know about that when you have it figured out - maybe some of the Greek philosophers would help you there.
Nor do I believe that two smallpox pandemics ended the Roman Empire, although I have heard the theory before. Hubris did in the Romans.
As most people around here know I live near Toledo, Ohio. Summer 2014 there was a serious Microsystin contamination of the city water treatment system that shut down the water network for the entire county and adjoining suburbs over the county line. Patients from the Toledo area hospitals had to be moved or turned away because the hospitals did not have water stores or RO capability to purify the water in their own plumbing. This lead me to ask a lot of questions and the upshot of what I learned was a bit unnerving. The supply of antibiotics, anti-viral agents, sterile dressings, IV fluid container bags and on and on are only stored in quantities that can be used before they expire, or much less. IV solution is easy to make, 9 grams of table salt in 1 liter of distilled water does the trick. But hospitals stopped making IV solution 25 years ago when they switched from glass bottles to pre filled plastic bags. Everything is delivered in a 'just in time' system from three or four bottling facilities around the country. The same is true of all the other items used by a hospital to treat patients for everything from accidents to illness. Now add in the fact that nearly all medical facilities have a limited number of physicians and nurses on the staff even if they call everyone in and cancel all vacations. So here is your outbreak, 50 people show up sick from Mystery Illness. The next day while they are all still in the hospital 75 more show up. Then another 100 the third day and WHAM the hospital is full up, every bed is occupied and every staff member is working 7/12 hour shifts a week from then until the outbreak burns itself out. Even worse the stock of IV solution is intended to take care of 'average' needs because it is premixed in a different location and shipped in usually once a week.
If your pandemic is in a small contained locality you can bring in supplies and medical professionals from around the country and take the best possible care of everyone. However if the outbreak is NOT of limited geographic area in a very short period of time you can more patients than the system can handle because we no longer store large quantities of anything within the system. We don't even have the old glass IV bottles and reusable lines that were commonplace through the early 1980's but that have long since been discarded as wasting storage space that could be used for some other purpose.
You say that there has never been a pandemic in a country with a modern health care system. I would argue that the hospitals in the large African cities are as good as the hospitals in any western country in terms of treating patients with a disease like Ebola. With drastic measures to slow and then stop the spread those hospitals still lost THOUSANDS of patients before the outbreak in 2014 that began in February and lasted about a year. Nigeria has some world class hospitals because of its oil wealth. They still needed a lot of assistance from doctors without borders, the Red Cross and Crescent and other international aid organizations.
Oh and BTW I did not say the Antoine plague destroyed the Western Roman Empire, I said its effect on the culture was large and unpredictable and is often cite as the beginning of the decline of Rome.
Our system is set up economically to operate under average load with spikes now and then being dealt with through outside assistance. A real pandemic event rapidly exceeds that limited capacity and what happens after that is unpredictable. Maybe communities pull together and the maximum number possible are supported and most survive. Maybe there is a strict quarantine of everyone in their own home and if you get sick you are on your own and many more die. There is no way to tell in advance and no reason that two communities separated by a few miles might not have opposite reactions.