Monday 25 May 2020

Pandemics

DZ has not written anything here for some time, in no small part because he is now back working full time in the NHS. The worst of what may only be the first wave of the Covid 19 pandemic is, in the UK at least, on the decline. Elsewhere in the world the picture is variable, the most badly afflicted places being those with poor infrastructure or appalling government administrations.

DZ has been doing a lot of reading and has learned a great deal about virology, immunology, public health and epidemiology, and going down the rabbit hole has found some fascinating and informative sites. I'm old enough to still be awed by what the internet can provide

DZ distinctly remembers when he was a child, being vaccinated against smallpox, a disease with a 30% mortality. . In 1962 there was a small epidemic of the disease in Bradford and it caused utter panic in the UK. I remember standing with my Mother in a queue maybe a quarter of a mile long going into the clinic where they were engaged in mass vaccination. The fear was palpable even to me at that age. Not an antivaxer in sight.

In my reading I came across this fascinating account of the response to the outbreak written by one who took part. What struck me in reading it was the sheer speed and efficiency with which the public health authorities responded. The outbreak was nipped in the bud very quickly. When it was over there had been only 12 cases, of whom 6 died. A truly stunning result from consummate and astute professionals. I will not compare this to the response to the current pandemic, other than to say it appears to me that we have been guilty of enormous complacency.

Smallpox was still a blight on humanity when I went to medical school. I remember when I did my paediatrics being taught by a paediatrician in a district general hospital, who spent some time on talking about the disease. He emphasised that, early in the disease it could be difficult to distinguish Smallpox from Chicken pox. I still remember his simple teaching on how to distinguish by a single sign. "Look in the armpit" he said. He told us, in chicken pox there is always at least one spot in the armpit. If there was no spot there it may well be smallpox.

Of course, in 1980 Smallpox was eradicated. An unimaginable success by the WHO, the pinnacle of many years of sustained work and dedication.

Or was it?

It has long been known that the USA and Russia have kept smallpox virus in highly secure laboratories. But any secure system is only as safe as the weakest link. In 2019 there was a fire at the Russian facility where the virus is kept. The virus did not escape, or so we are informed. The reason given by both nations for retaining the viable virus is "research" Definitely not for possible weaponisation by the leaders of the two countries then. Let's face it Putin, currently trying to engineer the system so he stays in power for life., is ex KGB. He's ruthless, ambitious and deranged. And as for Trump. He has now withdrawn from 3 nuclear treaties, destabilising the world. Recently Noel Casler, someone who has worked with Trump on "the apprentice" has defied a non disclosure agreement to release some very unsavoury information about the president. Click on the link to access the site and pick Noel Casler- Captain Valtrex, on the menu.
Once you get past the bit about Trump being so drug damaged that he wears a diaper to cope with his double incontinence, (yes really!), Casler points out that Trump simply likes to break things. The thought that he has access to nuclear weapons is small beer compared to the fact that he has access to Smallpox Virus.

If that wasn't enough as early as 2002 there was evidence that Smallpox virus is secretly retained by France, Iraq, and North Korea. Who knows who has it today?

In 1980 we had an opportunity to rid the planet of Smallpox totally. It should all have been destroyed. It wasn't, and the opportunity was lost.

DZ believes that it is only a matter of time before, by accident or design, this disease will be unleashed again on humanity. If the current situation is anything to go by we will not be prepared, and the ensuing carnage will make the covid 19 pandemic look like a sniffle.