We're all fucked anyway. Either the avian flu is going to get us:
Scientists in Asia and around the world are now working around the clock as they wait for that tipping point.
"Unlike the normal human flu, where the virus is predominantly in the upper respiratory tract so you get a runny nose, sore throat, the H5N1 virus seems to go directly deep into the lungs so it goes down into the lung tissue and causes severe pneumonia," says Dr. Malik Peiris, the scientist who first discovered the so-called SARS virus, which killed 700 people and drew worldwide attention.
To date, there have been 57 confirmed human deaths, and another suspected one last week in Indonesia. Scientists say the humans have only been infected by birds. However, they add, every infected person represents one step closer to the tipping point.
"Once that virus is capable of not needing the birds to infect humans, then we have the beginnings of what can turn out to be this worldwide epidemic problem that the experts call 'pandemics,'" Redlener says.
That is exactly what happened in 1918 when the global epidemic called the Spanish flu struck.
Unlike the avian flu, the Spanish flu spread long before the international air travel routes of today. At that time, there were no nonstop flights from flu ground zero to the United States. But not anymore.
Karesh believes the avian flu could travel from China to Japan to New York to San Francisco within the first week.
"It's on people's hands. You shake hands. You touch a doorknob that somebody recently touched," Garrett says, referring to how the flu is spread.
Redlener, who is stationed at Mailman School of Public Health at Columbia University, has been working with New York City officials to get ready for the deadly epidemic.
"The city would look like a science fiction movie," according to him. "It's extremely possible we'd have to quarantine hospitals. We'd have to quarantine sections of the city."
"I could imagine that you could look at Grand Central Station and not see much of anybody wandering around at all," Garrett agrees. "People would be afraid to take the subways, because who wants to be in an enclosed air space with a whole lot of strangers, never knowing which ones are carrying the flu?"
As for the hospitals, there would be scenes like the ones this past month in the stadiums of New Orleans and Houston after Hurricane Katrina.
"There wouldn't be equipment and personnel to staff them adequately that you could really call them a hospital," Garrett predicts. "You might more or less call them warehouses for the ailing."
[snip]
The prospects have become so bleak that in planning meetings held in New York City, veteran emergency responders have walked away.
"They just don't know how we're going to get through," says Osterholm of those responders. "If we have a repeat of the 1918 life experience, I can't imagine anything to be closer to a living hell than that experience of 12 to 24 months of pandemic influenza."
[snip]
The lack of advanced planning up until the moment in the United States, in the sense of not having a huge stockpile I think your citizens deserve, has surprised me and has dismayed me," he admits.
Faced with worldwide demand, the Roche company, which produces Tamiflu, has organized a first-come, first-served waiting list. The United States is nowhere near the top.
"The way we are approaching the discussions with governments is that we are operating on a first-come, first-serve basis," says Dr. David Reddy, head of the pandemic task force at Roche.
"Do we wish we had ordered it sooner and more of it? I suspect one could say yes," admits Leavitt. "Are we moving rapidly to assure that we have it? The answer is also yes."
When asked why the United States did not place its orders for Tamiflu sooner, Leavitt replied, "I can't answer that. I don't know the answer to that."
Even leading Republicans in Congress say the Bush administration has not handled the planning for a possible flu epidemic well.
Senate Majority Leader Bill Frist, R-Tenn., says the current Tamiflu stockpile of 2 million could spell disaster.
"That's totally inadequate. Totally inadequate today," says Frist, who is also a physician. "The Tamiflu is what people would go after. It's what you're going to ask for, I'm going to ask for, immediately."
Leavitt says deciding who gets the 2.5 million doses of Tamiflu currently on hand in the United States is part of the federal government's response plan. However, he also admits that thought has motivated the government to move rapidly in securing more doses of the medicine.
"It isn't going to happen tomorrow, but if it happened the day after that, we would not be in as good as a position as we will be in six months," he says.
However, in the end, even the country's top health officials concede that a killer flu epidemic this winter would make the scenes of Katrina pale in comparison.
"You know, I was down in New Orleans in that crowded airport now a couple weeks ago," Frist says. "And this could be not just equal to that, but many multiple times that. Hundreds of people laid out, all dying, because there was no therapy. And a lot of people don't realize for this avian flu virus, there will be very little effective therapy available early on."
...or we're gonna drown:
A record loss of sea ice in the Arctic this summer has convinced scientists that the northern hemisphere may have crossed a critical threshold beyond which the climate may never recover. Scientists fear that the Arctic has now entered an irreversible phase of warming which will accelerate the loss of the polar sea ice that has helped to keep the climate stable for thousands of years.
They believe global warming is melting Arctic ice so rapidly that the region is beginning to absorb more heat from the sun, causing the ice to melt still further and so reinforcing a vicious cycle of melting and heating.
The greatest fear is that the Arctic has reached a "tipping point" beyond which nothing can reverse the continual loss of sea ice and with it the massive land glaciers of Greenland, which will raise sea levels dramatically.
Well, at least I won't have to worry about living on a subway grating when I'm old, impoverished, and there's no one to take care of me, I've outlived my retirement savings, and there's no government safety net.
(Hat tip -- if you can call it that for such depressing news -- to Americablog).
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