Monday Musings – Is the Fear of Disease Worse than the Disease?

Most workhouses in mid-nineteenth century Ireland had, in a separate building to the rear, a hospital, or, to use the terminology of the times, a fever shed.

Image: Birr Workhouse (Paul Barber) found at http://historyhub.ie/final-years-of-the-workhouse

When Arthur Kennedy arrived in Kilrush he discovered that in the boundary wall of the workhouse compound there was a gate that gave easy access to the fever shed for anyone so inclined. One of his first acts was to have that gate secured. Another, this time in cahoots with the workhouse’s medical advisor, was to secure a lease on a former abattoir which was converted into a separate fever hospital.

In my musings a couple of weeks ago I pointed out how low, by modern standards, was the average age at death in those times. A major reason was the prevalence and frequency of epidemics. During the period of the great Irish famine there were several. Cholera raged throughout the British Isles in 1848. Other diseases that were common included dysentery, typhoid and smallpox.

It was sometimes said that fear of cholera was worse than the disease itself. Tenants evicted from their homes might be taken in by their neighbours. It wouldn’t do for such a person to become afflicted with diarrhoea for they would once again find themselves homeless.

The elimination of such diseases as a threat to life came about because of a combination of much improved hygiene and immunisation. The discovery that they were caused by microbial organisms which could be destroyed by proper sanitation and the maintenance of clean conditions was key. So, too, was the discovery that the human body’s natural resistance to such organisms could be enhanced by the injection of antibodies.

In the UK the practice of vaccinating infants began in earnest after the second world war. I remember receiving the diphtheria injection, the only immunisation available for children at the time. Later the smallpox vaccination was administered. Polio followed in the late 1950s. Many more have been added to the cocktail of vaccines administered to infants since.

It was mandatory, if planning a trip abroad, to have inoculations against typhoid and yellow fever. All three of us had to have these injections, plus a smallpox booster, before travelling to South Africa in the 1970s.

What should we make of the hysteria surrounding the spread of coronavirus Covid 19? We are told that most of us will catch it unless we maintain scrupulous hygiene; that for most of us its effect will be little worse than a heavy cold but that we should self isolate, avoiding all contact with other people in order to reduce the possibility of spreading it.

Like ‘ordinary’ winter flu, it is the elderly and those with underlying chronic illness that are most vulnerable. Despite the annual administering of influenza vaccine to members of these groups, the disease is estimated to have killed over 26,000 individuals in the UK in the winter of 2016/7. A figure that puts the numbers to date for Covid 19 worldwide into prespective.

As yet there is no vaccine for Covid 19. This is why it is important to protect the vulnerable groups by other means – principally by the avoidance of contact between them and infected individuals.

Fear of the disease, in the early days of the outbreak in China, led first to a cover up and then to the total isolation of whole areas. This proved ineffective, as did a similar strategy in Italy.

By contrast the UK government has been open and transparent in the information it has provided and in adopting a strategy driven by the need to avoid a situation where large numbers of people are temporarily removed from the workforce by the disease at the same time.

Given that most of us are going to get it, it makes sense, if possible, to delay the peak as long as possible. I can quite see that it is easier to cope with, say, 5% of the workforce absent for 10 weeks, rather than 10% absent for 5.

Empty shelves at a Sainsbury store in Bracknell (Image: Twitter, found at https://www.mirror.co.uk/news/uk-news/supermarket-empty-shelves-anger-baffled-12979255)

That people feel the need to stock up on supplies of food and other essentials in preparation for the possibility of having to self isolate is down to over-sensationalized headlines in newspapers and on social media.

As a Canadian doctor recently stated in a facebook post, one should be afraid, not be of the disease, but of the reaction to it by selfish people.

16 thoughts on “Monday Musings – Is the Fear of Disease Worse than the Disease?

  1. Fact-based information is the key to keeping people from panicking. In the U.S., we have been told so many lies, that it sets off alarm bells and raises red flags. The open transmission of facts and up-to-date information would go a long way to quell the rumours. It is a serious disease and should be taken seriously, but hoarding loo paper is NOT the answer! Good post, Frank!

    Liked by 4 people

    1. It does, Phil. So why don’t we get more sensational headlines about climate change?
      Perhaps because, unlike Covid 19, the threat is not immediate. Nor is that news convenient for their agenda. Whereas encouraging people to indulge in “retail therapy” is.

      Liked by 4 people

      1. All of those. Climate change is boring. There’s an island of plastic the size of Mexico off the west coast of South America. Boring. Economic impact over the world catching a cold at the same time, no lines at the fast food joints, veg rotting in the stores…like a mini series by Stephen King, no production costs!

        Liked by 2 people

  2. Yes, the media are partly responsible for the panic buying, I think. A few selfish people are stripping the shelves of the food meant for many. As Phil says, sensationalism sells newspapers. If we all self-isolate for a couple of weeks it’ll be over much sooner.

    Liked by 2 people

  3. Difficulties notwithstanding, the concept of self-isolation where possible appears to slow the pace of outbreaks. But we have tickets to hear James Galway tomorrow night, and if he’s willing to perform, I’ll be damned if I’ll miss that opportunity because of fear of crowds.

    I was struck by your discussion of the improvements following inoculation for diseases such as diphtheria. Amid this frenzy, we live in a time fraught by anti-vaxxers that has led to measles epidemics we hadn’t seen in decades. And our notoriously germaphobic President was one of them, but with the stock market plummeting, he can’t understand why it takes so long to developers a vaccine…

    Liked by 3 people

  4. We have tickets for a concert in aid of a cancer support charity I volunteer for, taking place Friday night. If it’s not cancelled we are going. Hmmm Just thought – Friady 13th! Good job I’m not superstitious.

    Like

  5. Frank, if it bleeds, it reads. Hence the sensationalism! And the panic hoarding. We’re in lockdown here in California. I’m okay, a natural prepper for any emergency, so have enough essentials. Stores have senior hours to shop, so they can get first pick of produce and staples. This will go on for a few months, so we need to settle down and follow the “rules,” to stay safe. 📚Christine

    Liked by 1 person

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