Shocked, Shocked?

[An earlier version of this article originally appeared in Medium, an online magazine, under the title “The Price Tag.”]

The influenza epidemic of 1918 — as most of us are remembering or discovering right about now — killed about 50 million people worldwide between 1918 and 1920. At that time, the world population was perhaps about 1.8 billion people (as opposed to today’s approximately 7.8 billion people). So to achieve the same statistical impact, a pandemic today would have to kill about 200 million people (or approximately 2/3 the population of the US). Spread of the disease was greatly aided by military deployment at the end of WWI, and by the poor physical condition and abysmal living conditions of troops in the trenches. So far, Covid-19 is not even remotely in the league and hardly merits comparison. However, that could change. Like the old Carpenters song, it’s only just begun.

My second reaction to Covid-19 was one of puzzlement or frustration (I’ve written about the first reaction elsewhere). All around me, people were not only scared or appalled, but bewildered, outraged, shocked. What a freakish thing to happen, how unfair, how incredible, how surreal! A pandemic? A Plague? How mediaeval! Who woulda thunkit? How could that happen here?

Pandemics & Cities Go Together

I have on several occasions bitten my lip and stayed silent. When friends are scared and upset, is not the time to be lecturing. But I did find myself wondering what planet they’ve been living on for the last few decades. Because on the planet I’ve been living on — a planet dangerously overpopulated at almost 8 billion souls, its every ecosystem fraying at the edges — a pandemic has been predictable and predicted for decades . In fact, when you think about it, it’s pretty much inevitable. It’s pretty much the price tag on “the way we live now.”

Why? For a start, pandemics and cities go together like peanut butter and jelly. It’s hard for a pathogen to make the ratings as a plague or pandemic without a large population to infect, and cities gather those large populations within a convenient radius, offering so many interactions and chains of transmission. Increasingly, cities are the way we live now.

Consider just one continent for an example: back in the 1800s, more than 80 percent of the US labour force was agricultural, i.e. they lived and/or worked on some kind of farm, in small to mid-sized rural communities. The remaining 20 percent or so lived in cities. By the early 21st century, less than 2 percent of the US labour force was agricultural, and the remaining 98+percent lived in cities or suburbs.

As of 2018, over 55 percent of the world population lived in cities. Of those city dwellers, about one third of them, or approximately 1 billion people, live in slums.

Slums Are An Ideal Laboratory

Cities, and particularly slums, epidemiologically speaking are for people the equivalent of feedlots for cattle, hogs, or salmon. Density is very high, and only heroic engineering measures and fantastically complex supply-chain logistics keep any city from becoming, almost instantly, a slum. Slums are an ideal laboratory for the evolution of novel diseases; so are feedlots and other industrial-scale animal husbandry facilities — but I’ll get back to those in a minute.

We know from first-world mortality stats that many people living in modern citified, industrialised nations are not well-fed in the nutritional sense; while they may eat copiously, their diets do not conduce to health. With their general health impaired, they are desirable targets for any opportunistic virus. (In poorer, less industrialised nations, it is lack of food that contributes to mortality, rather than excessive or low-quality food; but the human organism is also weakened and vulnerable.)

Smokers in particular are vulnerable to respiratory viruses of the SARS class (of which Covid-19 is one). People whose lungs are weakened and immune systems provoked by chronic air pollution are also more likely to succumb. The success of first-world medical systems in keeping large numbers of people alive into their 80’s means that we have a larger population of frail elders than most human societies historically have maintained. Many aspects of modern life, in other words, render large numbers of people easier prey for pathogens, while also corralling them in close quarters.

Gadding About The Planet

To make matters even better (from the virus’s point of view), humans are now gadding about the planet at an historically unprecedented rateIATA proudly announced in 2017 that the number of global air travellers exceeded 4 billion for the first time ever. This means that we don’t need the extraordinary circumstance of a world war — as with the 1918 flu — to spread a virus around the planet in record time. We’re geared up to do it every single day.

Some of my friends and neighbours were upset partly because their air travel vacations had been disrupted by Covid-19 border closures and flight cancellations. Some had trouble getting home, or were stranded in distant spots. Few made the connection between (a) the rapid spread of a novel coronavirus and (b) the historically unprecedented air-travel culture that they themselves were participating in even as it happened. They experienced anxiety and alarm that “normal life” had been disrupted, without apparent awareness that the life we know as “normal” is actually a core contributor to the current crisis.

That’s the most uncomfortable thing about being — or even listening to — an environmental data scientist, epidemiologist, climate expert… it’s not just that they’re describing scary things that are likely to happen — it’s that you can’t escape the itchy, uneasy knowledge that we are all part of The Problem. It’s no wonder people don’t want to listen. Of course we don’t want to admit to ourselves that air travel — something so fun and enjoyable, so taken for granted — is a contributing factor to the spread of disease around the world. And yet, you know… it really is.

Enabling Factors

But air travel is not the only C21 human habit working overtime for the viruses. We can never do just one thing, as Garrett Hardin astutely remarked; and we can never blame just one thing, either. A pandemic is somewhat like a “perfect storm”: it requires multiple enabling factors to really get going.

Most of the pandemic-worthy viruses are spilloversi.e. they have crossed species boundaries from non-human to human hosts. Many of the more powerful influenzas have been avian in origin, though some readers may remember “swine flu” which was a spillover from domesticated pigs (recombining with some other influenza strains to create a new and improved version).

The conditions under which we “factory-farm” animals provide the ideal breeding ground for novel diseases — some of which will be potential spillovers. The inhumane crowding, unnatural feeding, and extreme stress to which factory-farmed livestock are subjected, makes their populations just as prone to disease as the inmates of any concentration camp or horrific 19th century prison. Imprisoning large numbers of living creatures in very close quarters has always been a recipe for pathologies: the Atlantic salmon being “farmed” (i.e. CAFO) on the BC coast and in other locations are sickly, and require constant inputs of chemical biocides and antibiotics to survive their unnatural captivity and overcrowding (they also contribute to parasite load and associated pathologies among the wild salmon population, but that is a whole other story).

Many people — not just me — have called CAFO and factory-farming a game of Russian Roulette that so-called “advanced” nations have been playing, recklessly, for many decades. There have been some narrow escapes, some dodged bullets: avian virus outbreaks that fortunately did not jump to human hosts, but necessitated enormous culls of factory chickens.

Behind The Outbreak In Wuhan

The informed reader might object at this point that the Wuhan outbreak of Covid-19 was apparently triggered by the introduction of bushmeat (wild animals hunted or raised for food) into a large and poorly-regulated wet market. But there’s a deeper story under that surface narrative. In the 1990’s, as the Guardian reports, the Chinese government chose to emulate the American “agricultural revolution” of the 1970s. Earl Butz in the US memorably told US farmers to “get big or get out,” and Chinese smallholding farmers got the same message.

Smallholding farmers were undercut and pushed out of the livestock industry. Searching for a new way to earn a living, some of them turned to farming “wild” species that had previously been eaten for subsistence only. Wild food was formalised as a sector, and was increasingly branded as a luxury product. But the smallholders weren’t only pushed out economically. As industrial farming concerns took up more and more land, these small-scale farmers were pushed out geographically too — closer to uncultivable zones. Closer to the edge of the forest, that is, where bats and the viruses that infect them lurk. The density and frequency of contacts at that first interface increased, and hence, so did the risk of a spillover.

In other words, while Chinese people have for millennia traditionally eaten many species that Westerners usually don’t eat, it is only recently that edible wild species on the periphery of wilderness were subjected to the desperate exploitation of ex-farmers who had lost their livelihoods to giant agribusiness. And it is only recently that China has opened up its industries and markets to foreign investment; its industrial agribusiness sector is now heavily influenced and driven by global capital. 

Industrial agribusiness is strongly implicated in the generation and spread of novel zoonoses — human pathogens of animal origin, aka spillover viruses — due to:

  • its replication of “informal biowarfare labs” aka CAFO sites,
  • its marginalisation of millions of subsistence and market farmers,
  • its destruction of wild habitat.

[It’s worth noting that the AIDS epidemic also may have originated at the interface of jungle and market, with the intensifying hunting of primates by humans in Africa for bushmeat or for sale as pets.]

All Our Swans Are Turning Black

When various people worldwide wrung their hands over the wildfires in Australia and remarked that they were unprecedented [true], appalling [check], tragic [and how], but also shocking and oh so bizarre, I felt frustration and — true confession — anger. Those wildfires were, and are, and unfortunately will continue to be, entirely predictable consequences of global climate change. They are, if anything, an indicator of worse to come.

To pretend that “no one could have foreseen,” or that they are arbitrary one-time “act of God” events, or “surreal” or “bizarre,” is deeply irresponsible. These are not “black swans” — if I may bend a metaphor, they are indicators of a genetic drift in which all our swans are turning black.

Now I have the same feeling about Covid-19. Many people are in shock, wringing or waving (as well as washing) their hands: how could this happen? Who could have foreseen? How appalling, how surprising, how bizarre! But it isn’t really surprising or bizarre at all. We have set up the preconditions for recurring pandemics by a series of choices: decisions made by governments, by individual citizens, by humanity en masse.

We have chosen unregulated industrialism (or had it forced on us by those who profit most from it). We have chosen not to restrain our propensity to procreate. We have driven small farmers out of business and forced peasants into the cities — or to the edge of the wild. We have chosen to ignore countless warning signs. We want to eat lots of meat, but we want it to be cheap. We want cheap air tickets too, so we can fly all over the world whenever we like for business or pleasure. We want exotic fruits to be cheap and available year round.

A Cumulative Price Tag

Wanting these things is perfectly understandable — who wouldn’t want all of this? I’m sure you could add your own items to the list of risky choices we’ve made, the desires we’ve prioritised. But there ain’t no free lunch: for all those cumulative choices there is a cumulative price tag, and one of the invoices has just been presented. (There may be other and larger invoices still in the mail.)

All too often, the invoice gets presented to someone else — costs are notoriously externalised, so that those who pay the highest price for these choices are not those who benefited most from them or did most of the choosing. But in this present case, these chickens (or bats?) have come home to roost with all of us, everywhere. We don’t get to shuffle this CODB off onto someone else (though, as always, people of colour and people in poverty will be hit hardest).

We don’t like it, of course. No one living on credit wants to be reminded that the bill is coming due.

I completely understand not liking it. I don’t like it either. What I don’t understand is being surprised.

A Logical Consequence Of How We Live

Outbreaks of zoonotic illness are baked into the way we do agriculture, inappropriately applying industrial models to biotic systems. Their rapid dispersal around the world is almost guaranteed by our frenetic and constant global travel. Once dispersed, they inevitably reach urban centres where population density is almost guaranteed to elevate them to pandemic status. Pandemics are a logical consequence of how we live: our numbers, our lifestyle, our diet, our massive disruption of wild habitat, our 4 billion passenger trips per year, our factory farms.

Should a lifelong smoker be shocked and surprised at developing emphysema late in life? Without a change of direction, Covid-19 will assuredly not be the last pandemic, and it may not be the worst.

So please, dear friends, could you stop telling me how weird and bizarre and shocking this all is? This is the world we have chosen; if we don’t like it, we should consider making some different choices.

7 thoughts on “Shocked, Shocked?”

  1. Please explain to me how this is in any helpful in any way? especially to those who are feeling anxiety over the whole thing. Other than you finding some way of whiling away the hours.

    1. When an airplane crashes, is it not “helpful in any way” to examine the flight recorder and try to figure out how it happened, and how it might be prevented from happening again? Or should we not investigate how crashes happen, because people feel anxiety about flying?

      1. Good answer.

        I found myself wondering how many millions of people died in hospitals, or under the care of physicians, before Dr Ignaz Semmelweis ‘discovered’ medical staff should wash their hands before operating. This realization was prompted by a depressing 1846 study that showed the number of women dying during childbirth was five times higher in a clinic (where staff served multiple patients) than when a local midwife attended the birth. https://www.npr.org/sections/health-shots/2015/01/12/375663920/the-doctor-who-championed-hand-washing-and-saved-women-s-lives

        Similarly, cholera ceased to ravage Europe after Dr John Snow showed the problem was contaminated water. “The cholera epidemics in Europe and the United States in the 19th century ended after cities finally improved water supply sanitation.” – https://www.ph.ucla.edu/epi/snow/snowcricketarticle.html

        Ignorance is not a solution.

        “The pandemic has demonstrated the deadly consequences of ignoring expert warnings, of political delay, and of sacrificing human health and natural landscapes for the economy. Of new infectious diseases, 75% come from animals, according to the United Nations Environment Programme. Compared with the past, they pass more rapidly to humans through wildlife trafficking and deforestation and then spread across the globe through air travel and cruise-ship tourism. China – the world’s biggest market for wild animals – appears to have recognised this by banning the farming and consumption of live wildlife. There are growing calls for a global ban on “wet markets”.

        “The pandemic has also shown that pollution lowers our resistance to disease. More exposure to traffic fumes means weaker lungs and greater risk of dying from Covid-19, according to scientists at Harvard University. As the UN’s environment chief, Inger Andersen, put it, nature is sending us a message that if we neglect the planet, we put our own wellbeing at risk.” – https://www.theguardian.com/world/2020/apr/09/climate-crisis-amid-coronavirus-lockdown-nature-bounces-back-but-for-how-long

        Identify the cause and you can start talking about solutions.

    2. What can’t be stressed enough right now is for people to admit that the only way that regional pandemics become global pandemics is through air travel. Now is the perfect time to come to terms with this. I find it disturbing that the airline industry talking about getting things “back to normal” as soon as possible when this is over.

  2. Once again I am very impressed, De, with your ability to “connect all the dots” and lay out the breadth of your knowledge, together with information that you collect, in an understandable and convincing format.

    I agree with your interpretations and conclusions.

    Unfortunately “we” ignore the complexity of life and seldom give ourselves the time to consider it and where our actions are taking us.

    I’m unhappily resigned to accepting the observation reflected in Desiderata: “no doubt the Universe is unfolding as it should.”

  3. Thanks De.
    Did you share this with any of our elected officials?
    I haven’t heard anything about this from them.
    Could it be that they aren’t thinking on this level? Maybe they aren’t ready to look in the black box.

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