Showing posts with label Pandemics. Show all posts
Showing posts with label Pandemics. Show all posts
Jim Duffy ✍ Plagues and pandemics were and are a constant in the human condition. 

The Black Death was as far as we know the worst pandemic ever experienced. Its mortality rate was highest in percentage terms, killing 60% of the known population in Europe. Only the Plague of Justinian had a similar rate.

In terms of death numbers the highest was the Spanish Flu, at its height between 1918 and 1920 but which is believed not to have disappeared until 1960, with the 1957 flu pandemic that killed my grand uncle, Brother Thomas O'Brien, SJ in Sydney, Australia. In numbers of deaths, the HIV-AIDS pandemic comes third, while Covid is fifth to date, with 38 million dying. Covid isn't over though. Hopefully we are past its peak though you never know until it ends and you only know it is over when it has disappeared completely for a decade. Occasionally a pandemic can come roaring back but usually they don't.

Of course the death rate of Covid was suppressed by vaccines. Without vaccines it might have had a death rate akin to the Spanish Flu - which is thought now to have killed 100 million.

One figure gives an indication of how extreme the Black Death was compared to HIV-AIDS or Covid. Covid's death rate worldwide was 0.4375%. The Black Death was up to 60% of the known population. So the Black Death was up to 120 times more lethal than Covid. Even without the vaccines that saved so many, covid would never have reached the lethality of the Black Death. Our answers in the Black Death saw three out of every five people they knew die.

The trouble with pandemics and plagues is that they are a constant. They always occur. We just don't know when. We might not have a pandemic for fifty years, or one could appear next week. We have no idea. All we know is that they usually involve an animal virus spreading into humans, and as we have never had it before our immune system has no way of fighting it.

Covid appears to come from bats in Wuhan. It was a natural bat virus. Either a researcher in the research lab in Wuhan didn’t follow the strict rules to protect themselves and accidentally got the virus and unknowingly spread it. Or it came from the notorious wet markets in Wuhan, where live bats are sold to be used in soups. The WHO had been warning for decades that those markets needed to be closed. China panicked either because a staff member in the lab got infected through negligence, or because China had failed to close down the wet markets.

The Spanish Flu appears to have come from a pig in Kansas. The pig passed it to a farm labourer. He was scheduled to join the US Army as America had joined World War I and so went to the local unit. Unbeknown to him he carried the pig virus and infected the unit. It spread like wildfire through the army and families. Soldiers arrived in the port of Brest and infected port workers. Port workers infected crews arriving in the port. Those crews carried it all over the world.

So the world was thrown into chaos because one pig infected one farm labourer with the Spanish Flu. Or on bat passed its virus to one person in Wuhan.

The US army noticed that lots of soldiers were suddenly getting very ill and some were dying but had no idea what was going on. The same happened in Wuhan. People began getting sick and rumours spread that there was some strange illness spreading. People like Dr Fauci received reports and began wondering "is this a new pandemic?"

China hushed it up as it was either caused by sloppy research practices in the lab in Wuhan, or China's failure despite warnings to close down the wet markets selling bats. Either way, a fuck by China had unleashed a pandemic and China tried to hide it as its reputation was at risk.

Unfortunately, just as the port of Brest spread the virus through crews on ships, Wuhan is a major transport hub, with air flights all over the world and vast numbers getting trains and planes in Wuhan. Bad as that was, the outbreak happened during major holidays, when literally millions were travelling through Wuhan to visit families, or travelling abroad.

That is how easy pandemics start. One animal. One virus. One infected human. So we have no idea when the next one will start. But one will occur. It may come from a cow or a sheep or a cat or a rabbit or a pig or a dog or a pigeon or some other animal. All it takes is one person to catch it and a calamity awaits.

One thing the Black Death taught us is that to stop it spreading, humans have to stop mixing. That is why since mediaeval times we have had lockdowns. The spread can only be slowed down by shutting down the country - at least until you find a vaccine and begin vaccinating people.

That is the world of plagues and pandemics. Predictable in what has to be done. Predictable that another one will always occur. Unpredictable in that you don't know the animal that will pass on the virus the type of virus and when it will occur.

My grandmothers lived through the Spanish Flu, 1929 flu, 1957 flu and the beginning of HIV-AIDS. My grandfathers were two decades older than their wives, so they also lived though the Russian Flu (1889-90s). My great-grandparents lived through five pandemics between the 1840s and 1930s.

Shakespeare lived through two pandemics in one decade. He was primarily a jobbing actor but with London constantly in lockdowns the theatres were closed. So he spent lockdowns writing plays.

⏩ Jim Duffy is a writer-historian.

Pandemics

Jim Duffy ✍ There have been hundreds of plagues and pandemics throughout history. 

The Plague of Justinian was caused by the Bubonic plague. It ran from 541–549 and may have killed one hundred million. It killed 25–60% of European population.
 
In terms of death toll, it is akin to the Spanish Flu (1918-20), which also killed up to 100 million (albeit of a larger world population).
 
In terms of death toll, the third placed pandemic is the HIV-AIDS pandemic. It reached 45 million in 2026, but with Trump's destruction of USAID, the body critical to providing treatment in Africa, the number is likely to increase sharply again after years in decline.
 
In fourth place was the Black Death which is believed to have killed 25–50 million - again from a smaller world population. It ran from 1346–1353.
 
In fifth place is the covid pandemic, with an estimated 38 million to date. Vaccines thankfully prevented it reaching numbers akin to the Spanish Flu - something it had the potential to do. However it is by no means over, and there remains the risk of a variant appearing that current vaccines cannot control.
 
The Cocoliztli epidemic of 1545–1548 was limited to Mexico, but is thought to have killed up to 80% of the population.
 
Knowing how many died is not always easy. Sometimes a person technically died of something else, but would have survived but for being ill with the pandemic. Other times record-keeping collapses due to mass deaths so the total number who died is unknown. That is the case in some US cities in the Spanish Flu. Death certification, burial records, church records, etc all broke down as those who had kept them died or were too ill. Bodies in Philadelphia were buried in mass graves without counting numbers as there were so many rotting bodies needing burial they had not time to count the dead. Some people died in their homes, but the collapse in the collection of corpses forced families to dump the bodies of the dead in back lanes as the smell of the decaying corpse in the house was unbearable. It would disappear but they would not know had it been picked up for burial in mass graves, or simply eaten by rats, dogs and cats. So in pandemics often all that can be made are estimates. 

When research is done afterwards, it always turns out that the estimates were a considerable under-estimate. Bodies buried in the Spanish Flu in Greenland and the Artic were exhumed some years ago. They had remained undecayed in the frozen earth. When autopsies were done, it was found that many people whose deaths were originally thought to have been caused by something else had been caused by the Spanish Flu. Detailed exhumations over the decades has led to the conclusion that the original presumption that 50 million died was a considerable under-estimation, and the number was potentially one hundred million.

Overall, pandemics are a constant regular occurrence. The best way to stop its spread is use lockdowns - something learned in the 14th century. Most pandemics are spread by person-to-person. Therefore to break the transmission, lockdowns have to happen to stop people becoming in contact with someone with it. Thankfully, we can develop vaccines, and once a vaccine achieves the right number, lockdowns can be eased and ended. Lockdowns feature in plays, poems and art from the Middle Ages. A lockdown is critical in Shakespeare's Romeo and Juliet. It is why a vital message to Romeo cannot be passed on - the city he is in is in lockdown and the gates are locked, so no-one can enter.
 
We even know throughout history that churches and ale-houses/pubs are the most dangerous places. People remain in the same spot and get infected in churches. In pubs, alcohol dims awareness of distancing. So right back to the middle ages, both have to be shut. It is nothing new. In contrast, modern supermarkets are not dangerous. Everyone is on the move. They have air-conditioning and aisles are wide. So people may only come close to an infected person for a split second. In a church, with everyone sitting, standing and kneeling at the same spot for half an hour or more, they are likely to get the infection if they are near someone carrying the virus.
 
Pandemics are as certain as night and day. The only thing we don't know is when they will hit. One might not hit for fifty years, or it could hit next month. The usual cause is the same - some animal virus jumps species into a human, then spreads. The Spanish Flu is suspected of moving from a pig to the farm worker looking after it. He had arranged to join the army as the US was in WWI, went to the local army fort and unbeknown to him spread it to soldiers, who spread it through the army and brought it to Europe. They infected workers at the port of Brest. They infected crew on merchant ships who brought it to their own countries. And all from an apparent farm worker on a farm in Kansas nursing a sick pig.

⏩ Jim Duffy is a writer-historian.

The Plague