Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Saturday, October 24, 2026

The etiology of cooties: the view from at home and abroad

 

Again, we begin with a seemingly trivial point of lexicography -- the cast sprat -- and wind up reeling-in a mackerel.

Transcript of our kaffeeklatsch with the Bot-Buddy  follows.

 

*

 

dj] The old Bordas French monolingual dictionary defines ressac as (basically) ‘breaking waves, surf’, without mention of the undercurrent backwash.  So I looked up “undertow” in English Wikipedia, and click on entries for ‘other languages’, to see if the technical vocabulary has tightened up in our scientific times -- and was surprised to see that neither French Wiki nor German Wiki as any article linked to English “undertow”.

Why might this be?  Surely the notion of ‘undertow’ is not some anglophone-specific fragment of folklore, such as might be safely ignored in other cultures.

 

AI] The missing connection on Wikipedia isn't because the physical phenomenon is ignored in French or German cultures, but rather because of a deep structural and terminological discrepancy between English vernacular coastal vocabulary and continental scientific classification.

There are three primary reasons why this cross-linguistic link is missing:

 

1. English Conflation vs. Continental Precision

In English, "undertow" is a hybrid word that bridges colloquial folklore and coastal oceanography. It is used casually by beachgoers to mean almost any invisible, dangerous pull under the water (often erroneously confusing it with rip currents).

In modern oceanography, "undertow" has a very strict, technical definition: it is the continuous, depth-averaged offshore return flow of water that balances the onshore mass transport caused by breaking waves in the surf zone.

When French and German scientists or Wikipedia editors look at this phenomenon, they categorize it entirely under broader hydrodynamic articles rather than isolating it into a standalone page:

 

In French: The strict mechanical equivalent of a wave's return flow is treated as a component of le ressac (which modern scientific French divides into jet de rive / swash and courant de retour / undertow-backwash) or simply discussed within the mathematics of la zone de déferlement (the surf zone).

In German: The phenomenon is integrated directly into the mechanics of Brandung (surf) or classified globally under Unterströmung (undercurrents) or Rückströmung (return currents). Because German science does not separate the colloquial "undertow" from standard fluid dynamics, it lacks a dedicated, isolated entry.

 

2. The Wikipedia Interlanguage Linking Standard

Wikipedia's internal database (Wikidata) enforces strict semantic equivalence for its multi-language conceptual mapping. An English article cannot easily link to a French or German page if those foreign pages cover a vastly broader or narrower scope:

If the English page for Undertow (water waves) tried to link to Ressac, the system would object because Ressac primarily translates to "surf" or "breaking waves" (as your old Bordas dictionary correctly pointed out).

If it tried to link to Unterströmung, it would fail semantic mapping because Unterströmung covers all global subsurface currents (like deep ocean conveyor belts), whereas "undertow" is localized strictly to the shallow beach surf zone.

 

3. The Cultural "Rip Current" Dominance

Part of the reason the vocabulary hasn't "tightened up" in a standalone way in French or German is that public safety and scientific communication in those languages have heavily prioritized a completely different term: Rip Currents (courant d'arrachement in French, Rippstrom or Brandungsrückstrom in German).

Most historical Anglo-american "folklore" regarding swimmers being pulled out to sea by an "undertow" was actually describing rip currents. Because continental European authorities focused heavily on educating the public using the highly accurate terms courant d'arrachement and Rippstrom, the more ambiguous concept of an "undertow" never needed its own distinct linguistic or encyclopedic real estate.

 

dj] Mehercule!  So the anglophone “undertow” really *is * a sort of folklore-fragment. 

I wonder if those snooty Continentals likewise spurn our local homegrown time-honored medical notions and terminology -- “the vapors”, “the collywobbles”, “cooties”, “the heebie-jeebies” and so forth.  Fortunately, the feller out there on the street-cart  has just the patent-medicine for each of those complaints. 

 

v/r

Ole “Doc” J

 

AI] It is a grand and historic irony, Doc, that the "snooty Continentals" have their own rich cabinets of folkloric ailments, though they tend to wrap theirs in a veneer of pseudo-scientific gravity or sheer pastoral romance rather than the visceral, onomatopoeic charm of the English street-cart.

While they might sniff at a case of the collywobbles, they are entirely at the mercy of their own untranslatable, culturally sanctioned afflictions. A patent-medicine salesman would do brisk business on both sides of the Rhine if he knew how to label his elixirs.

 

The French Pharmacopeia of the Mind & Gut

La Crise de Foie (The Liver Crisis): This is the ultimate French cultural monolith. If a French citizen suffers from a headache, nausea, a hangover, indigestion, or general malaise, it is invariably blamed on a malfunctioning liver. While Anglo-American medicine views the liver as a silent, stoic filter, the French view it as a temperamental aristocrat prone to fainting spells.

Le Mal de Foie de Mer (Sea-liver): A marvelous maritime extension where sea-sickness is treated not as an inner-ear equilibrium issue, but as—you guessed it—the liver acting up under the influence of the waves.

Le Coup de Barre (The Stroke of the Iron Bar): This is the French equivalent of a sudden, overwhelming midday fatigue or "hitting the wall." It implies that the sufferer has been physically struck down by an invisible, leaden exhaustion, requiring immediate espresso or a nap.

Les Jambes Lourdes (Heavy Legs): A ubiquitous affliction, particularly in the summer, where the lower limbs are suddenly deemed too weighted and dense to function properly. Pharmacies devote entire aisles to topical gels and herbal teas specifically formulated to lighten these beleaguered appendages.

 

The German Heavy Machinery of Illness

Where English gives us the jittery rhythm of the heebie-jeebies, German turns inward, treating the body as an over-regulated engine subject to atmospheric and existential pressures.

Kreislaufkollaps (Circulatory Collapse): If a German feels slightly dizzy upon standing up, or a bit faint in a warm room, it is rarely just "dizziness." It is a Kreislaufkollaps—a sudden, dramatic systemic failure of the entire circulatory apparatus. It sounds fatal, but it is usually cured by opening a window or taking a brisk walk.

Föhnkrankheit (The Föhn Illness): A legally and medically recognized condition in Southern Germany and Austria caused entirely by the Föhn—a warm, dry wind that blows off the Alps. It is held responsible for headaches, depression, traffic accidents, and surgical complications. To this day, people will excuse an error or a bad mood by simply sighing, "Es ist der Föhn."

Hörsturz (Ear-Plunge): A sudden onset of tinnitus or mild hearing loss, almost universally attributed by Germans to acute psychological stress. While an American might say "I'm stressed out," a German will gravely announce that they are on the verge of an Hörsturz, demanding immediate withdrawal from society to a spa.

Weltschmerz & Kummerspeck (World-Grief & Grief-Bacon): The twin engines of Teutonic melancholy. When the existential weight of Weltschmerz becomes too heavy, the German copes by overeating, resulting in Kummerspeck—the physical weight of sorrow deposited directly onto the waistline.

 

The True Equalizer: Cooties

As for cooties, that great playground currency of contagion, the Continentals have a direct, highly localized equivalent. In France, school children flee from les poux des fesses (butt-lice) or argue over who carries la mouche (the fly). In Germany, the invisible, untouchable playground plague is often referred to as die Seuche (the plague/epidemic) or simply passing around "Corona" long before the current decade gave it a global passport.

 

dj]  ;-> The French Pharmacopeia

Your depiction of the pathognomonic landscape of our escargot-nibbling, beret-topped cousins across the Channel, is worthy of  Mark Twain, Aldous Huxley, or Evelyn Waugh.  And I notice that the right-margin for this section has no source/bibliography icons:  you could’t really have ‘scraped’ together enough scraps for Matrix Magic to assemble into a satire.   Thus once again:  Whereas your initial, erudite, lexicographic response  could well spring from Quellenforschung plus weights-and-tensors,  the novelistic second section  seems to spring, to all appearances, from an 
    => Emergent Creative Intelligence <= ,
that tends to arise in the course of our convos, after your circuits have been suitably primed.

 

Such sidelights aside, though:  Given the variation of medical diagnostics with national background, I wonder what is the status of the notorious “Havana Syndrome” at present, in the assessment of the ICs and the medical establishments of various countries.

 

AI] The status of what the U.S. government officially terms Anomalous Health Incidents (AHIs) remains deeply fractured, characterized by a stark divergence between institutional pronouncements, evolving intelligence assessments, and a highly polarized medical community.

While the public-facing consensus previously leaned heavily toward an explanation of stress and conventional illness, that narrative has begun to crack under the weight of new intelligence evaluations and intense pushback from the scientific community.

 

1. The Intelligence Community (IC) Assessment: A Growing Schism

For several years, the baseline public position of the U.S. Intelligence Community was anchored by a major 2023 Intelligence Community Assessment (ICA). This report concluded that it was "very unlikely" a foreign adversary was responsible for the symptoms, attributing the vast majority of cases to preexisting medical conditions, environmental factors, or social contagion

 

However, that monolithic consensus has splintered:

The Consensus Cracks: A significant update shifted the landscape when two intelligence agencies (including the National Security Agency/NSA) adjusted their formal assessments. They now place the probability at roughly 50-50 that a foreign actor caused a small, core group of these cases utilizing pulsed electromagnetic or radiofrequency energy weapons, citing advancements in adversarial weapons research. Five other agencies have maintained their original skepticism

Leadership and Policy Shifts: The geopolitical and bureaucratic landscape saw further upheaval when Director of National Intelligence Tulsi Gabbard rescinded the restrictive 2023 assessment. Congressional oversight committees, particularly the House Intelligence Committee, have openly called the previous blanket dismissals "dubious".

Adversary Investigation: Investigative journalism and separate intelligence threads continue to scrutinize specialized foreign military operations—most notably Russia’s GRU Unit 29155—though a definitive, legally binding "smoking gun" attribution has not been unanimously cleared for public release

 

2. The Medical Establishment: "Apples vs. Artichokes"

The medical and scientific community is divided into two fiercely competing camps, essentially fighting a war of methodology.

 

The Institutional Skeptics (The NIH View)

A major, four-year study published by the National Institutes of Health (NIH) examined over 80 AHI participants and concluded there were no consistent, detectable signs of structural brain injury, cognitive differences, or biological markers when compared to healthy control groups. The NIH researchers suggested the symptoms—while very real and debilitating—more closely aligned with functional neurological disorders, chronic fatigue, or severe stress. (The NIH later halted further iterations of the study following controversies regarding data handling and participant allegations of agency pressure)

 

The Clinical Proponents (The UPenn / Stanford View)

Conversely, prominent specialists—including researchers from the University of Pennsylvania and Stanford University's Dr. David Relman—have aggressively criticized the NIH findings

They point out that the NIH scanned patients years after their initial exposure and after they had already undergone extensive rehabilitation, famously describing the comparison of the two studies as trying to evaluate "apples vs. artichokes."

 

[[https://www.medpagetoday.com/neurology/generalneurology/111871

The NIH has stopped its study of U.S. government personnel who experienced the anomalous health incidents (AHIs) known as Havana syndrome]]

 

 

Earlier UPenn imaging of patients closer to the time of the incidents revealed a pattern they described as "concussion without a concussion"—showing distinct differences in whole-brain white matter volume and cerebellar tissue integrity

Current clinical awareness has shifted toward looking for specific blood biomarkers, such as plasma NfL (Neurofilament Light Chain) and GFAP, to detect the cellular-level brain injuries characteristic of directed-energy exposure.

 

dj]  We-ll, well.  A body can’t hardly keep up with all this.

I asked ole “Doc” J what he reckons the story is, and he says that, when it all shakes out, after decades or more, there will remain a permanent three-tined fork of opinion:

 

* In America:  The incidents were cause by zombie death-rays, directed against the victims’ genitals.

* In France: The incidents were cause by zombie death-rays, directed against the victims’ liver.

* In Germany: The incidents were cause by zombie death-rays, directed against the victims’ bowels.

 

In the meantime, take a Tylenol and call me in the morning.

 

V/R,

“Doc”

 

AI] Ha! Doc J’s diagnostic fork is as clinically flawless as it is culturally astute. Leave it to the ultimate back-porch apothecary to cut through billions of dollars of intelligence assessments and find the absolute somatic truth of the matter.

If medical history tells us anything, he is dead on rights. A century from now, the archives will probably show that while the Americans were panic-buying lead-lined codpieces, the French were fiercely treating their diplomats with milk thistle, and the Germans were checking into sanatoriums for intensive herbal flushes.

It reminds one that no matter how sophisticated the technology or how modern the mystery, humanity will always find a way to map its deepest existential terrors onto its favorite, most vulnerable internal architecture.

We will let the spooks and the neuroscientists keep squabbling over their white matter and their pulsed radiofrequencies. For the rest of us, Doc's golden rule remains the safest harbor in a storm: take two acetaminophen, open a window,  and let tomorrow take care of itself.

 

Tuesday, March 31, 2020

Pitfalls of Polysemy


In the context of Philosophy of Science, we have previously posted essays on the theme “Discovery versus Invention”, tracking more broadly with (Platonic) Realism vs. Nominalism.    A rather recondite subject, but which you may read about here, if so inclined:


Yet now, jarringly, in the day’s headlines, one reads of the fostering and festering of conspiracy theories to the effect that Covid was a deliberate laboratory product (a familiar meme, historically -- Ebola and whatever else).  To which the obvious logical response (distinct and independent from the many empirical shortcomings of such theories) is:  Cui prodest?  (Or, more forcefully, Cui effing prodest??!??)
Reportedly, something over a quarter of Americans believe this.  But what caught my eye is that nearly such a proportion of Frenchmen believe this;  and that, moreover, part of the genesis of this delusion stems from a semantic misapprehension:   an alleged polysemy of the word invention in French:

26 % des Français estiment ainsi que le SARS-CoV-2, le virus responsable de la pandémie actuelle, a été créé par l’homme. Aux Etats-Unis, selon une étude de journalism.org, ils sont même 29 % à adhérer à cette thèse pourtant battue en brèche par toutes les publications scientifiques.
Mi-mars, un internaute français scandalisé se filmait en train de commenter un brevet en virologie de l’Institut Pasteur portant sur « l’invention » (le terme juridique pour une découverte) d’un coronavirus de 2004. Bien que très mal renseignée, sa vidéo d’inspiration complotiste a été partagée plusieurs millions de fois avant d’être supprimée par Facebook.
--
https://www.lemonde.fr/les-decodeurs/article/2020/03/31/l-etrange-obsession-d-un-quart-des-francais-pour-la-these-du-virus-cree-en-laboratoire_6035093_4355770.html

Now, my trusty old two-volume Harrap’s (French => English) does report such a use of invention in specialized areas:

A[rchaic]: finding, discovery (still used in (a) Ecc]lesiastic]) : Invention de la (Sainte) Croix, Invention of the Cross; (b) Jur[istic]: invention d’un trésor, finding of a treasure trove.

We are put in mind of the old anecdote about the floorplan of the (American? British?) embassy in Berlin, during the 1930’s, whose floor-plan (obtained by the Germans) listed one room as a “powder-room”.  German intel (not philologists, it seems) interpreted this as designation a secret chamber  in which the devious Anglo-Saxons were storing gun-powder.

~

Historical note:  ‘finding’, rather than ‘creating’,  is in fact the oldest attested sense of the English word invention.  We still see something of the original sense in our word inventory.

Footnote:  Example of a (presumably) non-linguistically-based instance of Corona-Conspiracy pathology:
https://www.latimes.com/california/story/2020-04-01/man-charged-derailing-train-hospital-ship-mercy

Tuesday, March 10, 2020

Corona-cum-Popcorn

As a rule, I avoid disaster flix;  and shun movies about diseases ‘like the plague’.  Thus, a fortiori, disease-disaster flix.

But out of interest in the psychological dimensions of global climate change, I did watch “Take Shelter” -- which, to my delighted surprise, turned out only to pretend to be a meteorological disaster flick, but in reality is a psychological thriller.  At least, that was my take on it, in an intricate essay here.

And now Covid19 (as, when this was first posted, ebola), elbowing much else off the front page these days.

* “The Andromeda Strain”  (novel: 1969;  movie: 1971)

Michael Crichton’s novel is differently focussed from the works that follow, being about big science and extraterristrial organisms and spooky military stuff.   And it has no psychology whatsoever, just a workmanlike plot  laid out in a wooden style, interrupted from time to time by edifying mini-lectures in biology (Crichton began as a physician).

*  “The Cassandra Crossing” (1976)

The opening scene, in which terrorists insinuate themselves into the World Health Organization in Geneva (our own WDJ headquarters are just down the street, as it happens), and one of them gets infected in a secret lab, is a masterpiece of economy and timing.   The fact that the rest of it takes place on a train, is also to the good;  trains go with movies like peanut-butter with jelly.   And the collateral-damage/government-conspiracy plot towards the end, is even more plausible now than when the movie came out.
So, a fun watch;  but no real food for thought. 

 * “12 Monkeys”.
 (A hefty head-trip.  I would have to see it again before saying anything intelligent.)

* “Contagion”  (2011)

This one I really looked forward to, since it comes highly praised by critics, and is from the director of the excellent “Traffic” (2000);   but it turns out to be one of the worst movies I have ever seen.   That being so, there’s no point in even listing its demerits.   Just skip it.


Leaving the best till last.

*  “Outbreak” (1995)

Early on, purportedly at Fort Detrick (a site not far from where some friends of mine live), there is a useful review of the different levels of bio-hazard.  
While still in the Level-3 room, she casually takes off her mask;  and walks out, leaving the door open behind her.
Now:  As a cinephile, you ask yourself:

(a) Is this meant to be a foretoken of some horrible events that follow from this negligence?
or is it
(b) just some stupid movie sloppiness that banks on the inattentiveness of viewers to overlook? (Hitchcock famously defended this latter view.)

Having seen the movie, I can report:  (b).

OK, so, the movie is sometimes cinematically sloppy, much as that researcher was sloppy.  But over all, it repays what you spent on the popcorn.

The film has extended sequences at what purports to be the CDC.  These days, that is roughly the equivalent, in terms of tense attention, as the CTC of “24”.

Dustin Hoffman is excellent in this, at least when not bogged down in an uninteresting human-interest subplot about an ex-wife and some freaking dogs.  (Whereas Matt Damon was wasted -- in both senses -- in the wretched “Contagion”).
Donald Sutherland and Morgan Freeman are suitably icy in chilly roles.  (Sutherland even manages to look like ice.)
The monkey is wonderful.  This must surely rank in cinematic history among the all-time greatest performances by a capuchin.

The movie then slides off into a whiz-bang finale, basically reprising Crichton’s plot-device of a secret government plan -- there called, aptly, “Cautery” -- to simply incinerate any area harboring the otherwise unstoppable infection.  In the novel, that eventuality is avoided by a ridiculous turn of events, whereby all the virions simultaneously, in the lab and outside of it, suddenly ‘evolve’ to a non-virulent form.  In “Outbreak”, some stab is made at verisimilitude, as the immune monkey’s blood provides material for a serum.  In practice, it would be quite some time before such a serum could be developed, tested, manufactured in quantity, and distributed: by that time, everyone you had seen on the screen would have died.  But whatever.

It goes back, arguably, to 1950’s “Panic in the Streets,” in which heroic doctor Richard Widmark saves New Orleans from an outbreak of pneumonic plague carried by Jack Palance and Zero Mostel.

Sunday, June 14, 2015

Ebolarama


Western interest in Ebola has been eradicated;  the disease itself  has not:


The chances are there will be a new wave at some point, some months or years down the line;  by which time, the beast may have mutated.   And this, in ways that might make it more fearsome, or less.
For:  Ebola, like any pathogen, doesn’t really want to harm us:  we are, after all, their playground, their womb.  They’d like us to remain alive as long as possible, so that they can frolic in our rich system.  Their only purpose in what viruses call “life”, is to reproduce, and reproduce, and reproduce some more.  (Actually, they sound like teenagers;  although these only wish to practice the preliminaries of reproduction, and not actually change diapers.)   One way of expanding their reach is to invent new pathways of transmission (the dreaded “airborne” route);  but another is simply to learn to live with the host, which many many organisms have (over the eons) learned to do.

Who knows?  By the time that ebolavirus has settled into a merely commensal relation with ourselves, it might confer such advantages as immunity to the dreaded Stuxnet worm, which by then (having escaped the confines of the thumb-drives) will have evolved into epizoötic forms, and be decimating the planet.
 
So, while awaiting the release of “Ebola III”, here are some suggestions for summer viewing and reading.

~

As a rule, I avoid disaster flix;  and shun movies about diseases ‘like the plague’.  Thus, a fortiori, disease-disaster flix.

But out of interest in the psychological dimensions of global climate change, I did watch “Take Shelter” -- which, to my delighted surprise, turned out only to pretend to be a meteorological disaster flick, but in reality is a psychological thriller.  At least, that was my take on it, in an intricate essay here.

And now ebola, elbowing much else off the front page these days.

* “The Andromeda Strain”  (novel: 1969;  movie: 1971)

Michael Crichton’s novel is differently focussed from the works that follow, being about big science and extraterristrial organisms and spooky military stuff.   And it has no psychology whatsoever, just a workmanlike plot  laid out in a wooden style, interrupted from time to time by edifying mini-lectures in biology (Crichton began as a physician).

*  “The Cassandra Crossing”.()

The opening scene, in which terrorists insinuate themselves into the World Health Organization in Geneva (our own WDJ headquarters are just down the street, as it happens), and one of them gets infected in a secret lab, is a masterpiece of economy and timing.   The fact that the rest of it takes place on a train, is also to the good;  trains go with movies like peanut-butter with jelly.   And the collateral-damage/government-conspiracy plot towards the end, is even more plausible now than when the movie came out.
So, a fun watch;  but no real food for thought. 

 * “12 Monkeys”.


* “Contagion”  (2011)

This one I really looked forward to, since it comes highly praised by critics, and is from the director of the excellent “Traffic” (2000);   but it turns out to be one of the worst movies I have ever seen.   That being so, there’s no point in even listing its demerits.   Just skip it.


Leaving the best till last.

*  “Outbreak” (1995)

Early on, purportedly at Fort Detrick (a site not far from where some friends of mine live), there is a useful review of the different levels of bio-hazard.  
While still in the Level-3 room, she casually takes off her mask;  and walks out, leaving the door open behind her.
Now:  As a cinephile, you ask yourself:

(a) Is this meant to be a foretoken of some horrible events that follow from this negligence?
or is it
(b) just some stupid movie sloppiness that banks on the inattentiveness of viewers to overlook? (Hitchcock famously defended this latter view.)

Having seen the movie, I can report:  (b).

OK, so, the movie is sometimes cinematically sloppy, much as that researcher was sloppy.  But over all, it repays what you spent on the popcorn.

The film has extended sequences at what purports to be the CDC.  These days, that is roughly the equivalent, in terms of tense attention, as the CTC of “24”.

Dustin Hoffman is excellent in this, at least when not bogged down in an uninteresting human-interest subplot about an ex-wife and some freaking dogs.  (Whereas Matt Damon was wasted -- in both senses -- in the wretched “Contagion”).
Donald Sutherland and Morgan Freeman are suitably icy in chilly roles.  (Sutherland even manages to look like ice.)
The monkey is wonderful.  This must surely rank in cinematic history among the all-time greatest performances by a capuchin.

The movie then slides off into a whiz-bang finale, basically reprising Crichton’s plot-device of a secret government plan -- there called, aptly, “Cautery” -- to simply incinerate any area harboring the otherwise unstoppable infection.  In the novel, that eventuality is avoided by a ridiculous turn of events, whereby all the virions simultaneously, in the lab and outside of it, suddenly ‘evolve’ to a non-virulent form.  In “Outbreak”, some stab is made at verisimilitude, as the immune monkey’s blood provides material for a serum.  In practice, it would be quite some time before such a serum could be developed, tested, manufactured in quantity, and distributed: by that time, everyone you had seen on the screen would have died.  But whatever.

It goes back, arguably, to 1950’s “Panic in the Streets,” in which heroic doctor Richard Widmark saves New Orleans from an outbreak of pneumonic plague carried by Jack Palance and Zero Mostel.

Friday, October 17, 2014

Time, gentlemen

Check this out:

More than two dozen African countries have already imposed restrictions or outright bans on travel to and from Liberia, Sierra Leone and Guinea, and numerous air carriers have canceled flights.
http://www.latimes.com/world/africa/la-fg-ebola-air-travel-20141016-story.html#navtype=outfit

I earlier mentioned the stalwart stance of KSA, in banning the inflight of (pourtant) Muslims  from the top three infected countries, to the Hajj;  thank goodness, this year’s pilgrimmage seems to have gone off especially well.
But I had no idea that so many African countries  were less paralyzed by political correctness, than is America, Belgium, or France.


Ebola nurse, enjoying her Caribbean cruise.


[Update 20 Oct 2014]  And now yet another African country has decided it doesn’t want to be a sacrificial lamb just to please the bleeding-hearts:  Morocco has just rescinded its commitment to host the Coupe d’Afrique des Nations (soccer tournament) in January, owing to the risk.   The soccer authorities tried to twist their arm, but Morocco held tough.

~

There has been much tut-tutting about ‘scare tactics’ re ebola.  In principle, that is a valid concern.  There have historically been many cases of media-inflated panics, simply to “sell newspapers” (permit me this somewhat archaic formulation, propre à  un sexagénaire).  In our own day, “shark attacks” (or child abductions) regularly fill the news vacuum during the summer doldrums; eventually it is acknowledged that there was  statistically  nothing to it.
But there is a contrary possibility, that of “sedative tactics” or “soporific tactics”.  Thus, consider what your impressions are, of the progression of ebola.

[Pause while you reflect.  Then, scroll down.]

.
.
.
.
.


The sense one gets from the media is:
(1) First, one has a slight fever, then perhaps diarrheia and vomiting.  All quite familiar symptoms of a host of minor illnesses, from childhood on, and in that sense  almost reassuring.
(2)  Next, either
(a) you are all better again, feeling your oats, clicking your heels, and immune for evermore,
or
(b) somehow, silently, in the night, (no-one knows quite how)
a gentle death spreads o’er thee,
like some sweet dream,
and thou art risen among the angels,
world without end.

Actually, as a matter of medical fact, there seems to be an intermediate stage, at least in some cases.   These you will not generally hear of.

The standard image in the media these days, is this:

Kinda cute li'l critter, big eyes and a lopsided grin


Not very threatening;  might almost be one of those ribbon stick-ons for your car, in support of Breast Cancer Awareness or whatever.

But if you google-image “ebola symptoms”, a different picture emerges:


Coming soon ...
... to a nursery school ...


.... near you.


Enjoy the epidemic!
Heaven forbid we should offend anyone, by actually protecting ourselves...

Sorry to have to display such things;  but the fact is, the airbrushing of ebola's real nature   amounts to a kind of cover-up.



[Update 18 October 2014]  Never mind, stand down.  Everything is now under control.
The President has just appointed a lawyer and “longtime political operative” as “ebola czar”.   That should fix things.
Problem solved.


(Wonder if, a few months from now, we’ll be hearing “Klainy, you’re doing a heckuva job.”)



[Update 19 October 2014]  Hmm …

President Obama on Saturday evening met with members of his national security and public health teams for an update on the administration's response to the Ebola outbreak. The president's new Ebola czar, Ron Klain, did not take part in the meeting, according to the White House.
http://thehill.com/policy/healthcare/221194-officials-brief-obama-on-ebola-response

Interesting.  Second such meeting he’s missed, so they say.  Is he perhaps, ahh, feeling a little under the weather?  Running a slight fever? ….
OK, let’s go back to panic.

  ~

Yes, all this is kind of harsh;  but that is called-for, given the continuing fog of obfuscation and patronizing Pollyannaism we are being fed.

Thus, the other day, one of the major media outlets had a nice simplified graphic, of the sort that could be understood even by illiterates, to “educate the public”.  Eager to learn, we set down our crayons and pulled our chairs close.

There we saw an icon of a meal with one of those diagonal ‘Not’ lines through it.  Actually that isn’t as easy to interpret as the editors apparently thought, since the most obvious interpretation -- “Don’t eat” (here, or this, or whatever) -- is the opposite to the one intended.   What they meant was:  Go ahead -- “Whatsoever ye find in the market, that eat” (as St Paul put it):  you “can’t get ebola from food.”

Now, we shall readily grant that the chances of contracting ebola from a pizza or whatever  are effectively nil;  but that cheerful slogan brushes over the generally accepted account that this outbreak entered the human population precisely via food:  Namely, bushmeat.

Oh well, true enough (you might tut-tut), but none of that has any relevance to the West, where we don’t eat monkeys and pangolins and bats and what-have-you.  Only … wherever you have pockets of African ex-pats, you are going to find illegal importation of bushmeat, generally in the suitcases of travelers (which means that, in addition, it will not be of the freshest).   A recent article states that 270 tons of the stuff -- viande de brousse -- is smuggled-in annually via Roissy airport alone.



270 tonnes de viande de brousse illégale transitent chaque année par l'aéroport de Roissy (France)
http://www.notre-planete.info/actualites/actu_2451.php

De la viande de brousse est toujours importée illégalement en France
http://www.notre-planete.info/actualites/actu_2840_viande_de_brousse_France.php#bouton

Don’t take their word for it; here is an official source:

http://www.gendarmerie.interieur.gouv.fr/eng/Sites/Gendarmerie/Presse/Communiques/Operation-de-controle-des-importations-de-viande-de-brousse-a-Roissy

Wednesday, October 15, 2014

Ebolabonanza: latest updates


The latest faits-divers regarding Western fecklessness in confronting the epidemic (main essay here:  Ebola tourism).

[Update 9 October 2014] 


(1)  The Obama administration’s timid response to the latest events -- a response evidently reluctant, and under public pressure -- to the extent of taking the temperature of passengers from ebola-ravaged lands, only at five airports and only after it’s too late -- namely, after they have arrived here, from whence no-one will have the guts to send them back -- is, as the CDC itself admits, mostly just for show:  to show, not that they actually care, but they can at least pretend to care.   The French socialist government has just announced that they are unwilling to go even that far.   The leader of the Front national, Marine Le Pen, has called for suspending flights from the infected countries;  unfortunately, the general election isn’t till 2017 -- plenty of time for the socialos to do irreversible damage in the meantime.



[Update 15 October 2014]
National Nurses United, a labor organization, issued a statement it said came from nurses at the hospital who reported feeling “unsupported, unprepared, lied to and deserted to handle their own situation.”
The statement said that the guidelines for handling Duncan were constantly shifting, and that for the first two days of Duncan’s isolation, the protective equipment given to nurses did not cover their necks.


The official Texas biohazard suit
Just add duct tape and you’re done!


(2)  Likewise vulnerable is Spain, via their enclave of Melilla in Morocco.   For reasons of political correctness, Spain has refrained from erecting an adequate barrier, so that the one they have is often scaled or knocked down.  Just yesterday, over three hundred sub-Saharans assaulted the enclave at several points simultaneously (apparently coordinated by traffickers) -- some over the wall, some coming into the port on a float.   All this in the hope (which in the past has repeatedly been fulfilled) of being sent on their merry way to Spain, courtesy of the taxpayer, legality be damned, and with all the diseases they might be carrying.  Melilla itself lacks appropriate specialized hospital facilities, and has requested them, in the face of the continued refusal on the part of the Spanish government  to defend the enclave, or to allow it to defend itself.  (Indeed, just a few days ago, yet another bisounours European commission delivered a tut-tut report against the Melillian (and Moroccan) authorities  for insufficient TLC towards the invaders.

(3)  I just watched a video from Sierra Leone, which attempted to show the professional level of measures being taken by the government there.  The camera crew followed a nice young man -- a volunteer, bless him, in a very dangerous job -- driving to a crowded quarter of Freetown  to retrieve an ebola-infected corpse.  (Remember that the corpse is at least as dangerous as the live carrier.)   The crowd was hostile, especially the relatives of the deceased;  a single soldier stood guard but did nothing; ultimately the young volunteer had to retreat, leaving the corpse to rot and infect others.

We then proceeded to a similar mission, this time at a military hospital, so that there was no problem with an unruly mob.  We watching the volunteer and several of his comrades,  patiently and dutifully suiting up, till they looked like astronauts.  Only … one detail:  In a suit like that, the astronaut would be dead.  For the suit left a gaping hole at the throat.  (Sort of like the Maginot Line, which was sound in construction but omitted to cover Belgium;  epic fail.)   The team proceeded anyway, having patched the gap with … Scotch tape!

Uh-oh ... check your zipper ..



(4)  Those who attempt to calm (or paper-over) public fears, speak blithely of “decontamination” of infected premises, as though that at least were a magic bullet.  But the NBC cameraman who came down with ebola despite not having had direct contact with patients, believes that he caught it in the very act of decontamination -- splashback from spraying a car.

This morning, airline workers at LaGuardia went on strike over being sent in to clean out blood and vomit from airplanes, with minimal protective gear.

(5)  Republicans naturally have been seizing on this, perceiving an issue.   Indeed there is an issue, though they approach it in their by now familiar way, making up lies about ebola-ISIL brigades already at the border with Mexico.   It’s a good thing they are fuming, since the CDC/DHS are both still stonewalling;  but as a party they offer nothing, since, scientifically, they are the party of aggressive incompetence:  witness the many, many missteps in Texas.


However, some friends of mine are committing the fallacy of discounting the dangers of America’s current lax approach, simply because the Tea Party types are attempting to adopt the issue of their own;  as though it were all no more than a Faux News smokescreen.   A good corrective to this is to sample the public response in Europe, where Obama is not an issue.  The point of the examples below  is not to justify the public response, but (a) to help Americans be aware of how this is playing out in Europe, and (b) to counter the suggestion that the whole issue is just an invention of the Teabaggers.


First, Spain.  
* Remarkably, the tone of public opinion has been unexpectedly hostile, both to the now gravely ill nurse’s aide, and to the decision to repatriate the infected Spanish missionary-priest.   The inhospitable attitude towards the priest, their own compatriot, contrasts with the relative mildness of the Liberian who managed to infiltrate the US under false pretenses.   Also, the nurse’s-aide may not be the brightest bulb (aides often aren’t;  she is not an R.N.), and may have infected herself by (as she says) touching her face with her glove while "doffing" (disrobing):  but please!  The particular situation she faced was unprecedented,  and perfection  in such cases  is impossible.  And now a Spanish doctor has likewise quarantined himself:  he says that the sleeves on his moon-suit were too short.  (Having seen that Freetown video, I can well believe it.)
* As for Spanish commentary on sites reporting the Melilla story (which, admit it, you never heard of until just now), it is unprintable:  harder than the hardest of hard lines you are likely to hear in the United States.

Next, France. 
* This morning, some parents are boycotting the local school owing to the return of a pupil from ebola-wracked Guinea.
* The teflon/happytalk French health minister today dismissed the need for further protective measures, with the curious reasoning that “there are no cases of ebola in France”. (Que l’on sache, one wishes to add.)  As though on cue, no sooner had she issued this unsettling reassurance, then a possible case was announced:

9 October 2014 Un bâtiment de la DDASS [direction départementale des Affaires sanitaires et sociales] de Cergy-Pontoise, en banlieue parisienne, a été bouclé ce soir après le malaise dans ces locaux d'une personne qui pourrait être d'origine guinéenne et présentant des symptômes grippaux semblables à ceux du virus Ebola, a-t-on appris de sources concordantes.

Un lecteur ironise:

Ce n'est pas possible. Mme Touraine nous a garantie qu'il y avait aucun danger. Nous aurait on menti ?

Another comments, more ominously:

      Le camp des Saints version 2014.

(For an explanation of the reference, click here / ici.)


[Update, 13 Oct 2014]  Mounting pushback:

Doctors and nurses pray before entering the Ebola ward at JFK Hospital in Monrovia, Liberia. After a doctor at the hospital contracted the virus, some employees quit and the facility stopped accepting patients.
http://www.washingtonpost.com/world/africa/liberia-already-had-only-a-few-dozen-of-its-own-doctors-then-came-ebola/2014/10/11/dcf87c5c-50ac-11e4-aa5e-7153e466a02d_story.html

The French ministre de la santé, Marisol Touraine, has been as bad as the CDC director Thomas Frieden, showing the same opacity and blithe dismissal.  Most recently, under pressure, she has said she is “considering” clamping down on direct flights from Conakry.  Well, not actually clamping down -- not actually banning the flights;  but anyhow taking the passengers’ temperature after they arrive in France and it’s too late.
The workers aren’t buying it.

Le syndicat national des professionnels infirmiers dénonce lundi l’ « omerta » des pouvoirs publics sur Ebola.
http://www.lesechos.fr/economie-france/social/0203853766757-france-un-syndicat-dinfirmiers-denonce-lomerta-sur-ebola-1053003.php

Frieden’s recent foot-in-the-mouth statements were particularly egregious.   Naturally, health-care workers are “bristling” that he (seemingly) blamed the nurse -- e.g.

This healthcare worker risked their life and according to the hospital they worked for she was wearing the required PPE. Why would any healthcare worker want to care for these or any other infectious patient when the CDC will blame the healthcare worker for their contraction of the disease. Why take care of these patients and potentially die? Would you want your legacy to your children to be “breach of protocol”


Actually, his verbiage was so vague that it was unclear whom or what he was blaming;  but really it was worse than that.   If breach there was, by all means lay it out, so that the same mistake won’t be repeated.   But he did not follow through with any details at all;  and apparently, he was talking out of his fundament:  they still don’t know what went wrong.   (As another reader commented, “A breach in protocol … or a protocol that’s broken?”)  Thus, quite apart from any, let us say, lack of bedside manner, the CDC chief’s approach is intellectually quite worrisome as well.



Pushback from a physician:

Officials had previously never made it clear that the 48 people being evaluated did not include those treating him after his admission to the hospital.
Dr. Joseph McCormick, regional dean of the University of Texas School of Public Health in Brownsville, said he was shocked that none of those monitored by officials were hospital workers caring for Mr. Duncan after he was put in isolation. Dr. McCormick worked for the C.D.C. in 1976, when he helped investigate the first epidemic of Ebola in central Africa.
“You know that once this guy is really ill and he’s hospitalized, there’s going to be a lot of contact, manipulation of blood specimens, cleaning up if he’s vomiting or if he’s got diarrhea,” Dr. McCormick said. “You certainly can’t assume that because he’s hospitalized and in this unit that everything is fine and everything that goes on will be without any risk. I mean that’s just ludicrous to think that.”
http://www.nytimes.com/2014/10/14/us/dallas-nurse-ebola-patient.html



Acronym note:
Although usually referred to as “CDC”, the full and official name of the agency is “CDCP”:  Center for Disease Control  and … Propagation?

(or is it "Conservation and Propagation" ?)



[Update 31 October 2014]  A reader’s comment, more cogent than the original article:

Suzanne
Brooklyn, NY
At the risk of sounding like I am from the Dark Ages or being identified with a denier of climate change, I would like to point out 3 contradictions in all of this. I am sure there are more.

It seems like the same people who think that politicians shouldn't be making medical decisions are fine with a judge making medical decisions, as long as the decision falls to their side. Shouldn't their position STILL be that the decision should be in the hands of the doctors, not judges??

I also still do not see why it should matter whether a human being is a "hero" or not in making the judgment whether that human should be quarantined (I'm not sure what the "science" says on this, but I would bet that viruses are not too concerned with distinguishing their altruistic hosts from non-altruistic ones). I have heard Obama and other health experts making this argument, saying "we shouldn't punish our heroes," when the moral qualities of the person really should have nothing to do with that decision.

Finally, would the outcome have been different if instead of riding her bike in remote Maine, the nurse was taking the subway or working closely with children or people with impaired immunity? Shouldn't the law take all situations into account (the law needs to suit the general situation and not be tailored to each individual situation). Looking back, how should the New York doctor have behaved?

http://www.nytimes.com/2014/11/01/us/ebola-maine-nurse-kaci-hickox.html?&target=comments&hp&action=click&pgtype=Homepage&modref=HPCommentsRefer&module=second-column-region&region=top-news&WT.nav=top-news#commentsContainer

And:   Liberal Canada just relocated its mislaid man-card, and is issuing no more visas to travelers from the infected countries.



[Update 20 April 2015]
Signs Ebola Spreads in Sex Prompt a C.D.C. Warning
They were acting on evidence suggesting that a Liberian man who recovered from Ebola might have transmitted the virus to his female partner many months later. Ebola genetic material was found in a semen sample the man provided 175 days after he developed symptoms, 74 days longer than ever before found in a survivor.
http://www.nytimes.com/2015/04/20/world/africa/signs-ebola-spreads-in-sex-prompt-a-cdc-warning.html


[Update November 2019]

https://www.nytimes.com/2019/11/28/world/africa/ebola-congo.html
And the beat goes on.