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A new pandemic

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Dutch Josh 2 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh 2 Quote  Post ReplyReply Direct Link To This Post Posted: 28 Dec 2024 at 1:10pm
https://en.wikipedia.org/wiki/Influenza_A_virus_subtype_H3N8#History  or https://en.wikipedia.org/wiki/Influenza_A_virus_subtype_H3N8#History ;

In 1963, the H3N8 (A/equine/2/Miami/63) subtype created an epidemic of equine influenza in Miami and subsequently spread throughout North and South America and Europe, creating massive outbreaks during 1964 and 1965. Since 1963, the H3N8 virus has drifted along a single lineage at a rate of 0.8 amino acid substitutions per year. Between 1978 and 1981, there were widespread epidemics of the A/equine/2 strain throughout the US and Europe despite the development of vaccines. Since the late 1980s, evolution of the H3N8 virus has diverged into two families: an "American-like" lineage and a "European-like" lineage.[6] A 1997 study found H3N8 was responsible for over one quarter of the influenza infections in wild ducks.[7]

H3N8 has been suggested as a possible cause of the 1889–1890 pandemic in humans, and also another epidemic in 1898–1900.[8][9] Before the identification of H3N8 as a possible cause of the 1889 pandemic, the H2N2 subtype was suggested.[10][11][12] At this point, it is not possible to identify the virus for either the 1889 or 1900 outbreak with certainty.[13]

https://pubmed.ncbi.nlm.nih.gov/37990831/ or https://pubmed.ncbi.nlm.nih.gov/37990831/  link to https://www.tandfonline.com/doi/full/10.1080/22221751.2023.2287683  or https://www.tandfonline.com/doi/full/10.1080/22221751.2023.2287683 ;
Influenza viruses of the H3 subtype can infect a variety of hosts, such as humans, pigs, horses, dogs, cats, seals, monkeys and birds including poultry and wild birds [Citation6]. There have been three human cases of H3N8 subtype AIV infection in China since 2022, resulting in one death [Citation7,Citation8]. These cases, although sporadic, demonstrate that this subtype of AIV can be transmitted to mammalian hosts through an interspecific barrier and have raised concerns whether H3N8 AIVs will become a future major public health threat [Citation9].

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The H3N3 subtype was further identified using HA and NA specific primers [Citation10] and sequencing. The viruses were isolated by inoculation into 10-day-old specific-pathogen-free (SPF) embryonated chicken eggs with homogenate and named A/chicken/China/NT322/2023(H3N3) (NT322/H3N3) and A/chicken/China/NT308/2023(H3N3) (NT308/H3N3), respectively. Throat and cloacal swabs of chickens from a nearby live poultry market were also sampled and one strain A/chicken/China/J1247/2023(H3N3) was isolated.

DJ, Again; CoViD is NOT over-so flu can spread ON TOP OF CoViD. (Just like Mpox did see openings). H1,H2,H3 types of flu are high pandemic risk...

H5,H7,H9,H10 types of flu may interact with H1,H2,H3 most widespread types of (A) flu...CoViD and flu can co-spread/co-infect
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh 2 Quote  Post ReplyReply Direct Link To This Post Posted: 28 Dec 2024 at 10:58pm
U.S.

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1. A belated bit of #flu news: has been informed of 5 more pediatric flu deaths this season, all of which occurred this month. They bring the total to date this season to 9. Kids 6 months and older can be vaccinated against flu. https://cdc.gov/fluview/surveillance/2024-week-51.html
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2. #Flu season is really picking up steam. 28 jurisdictions reported very high or high flu activity for the week ending Dec. 21 (left). Look at how much change there's been since the first week of Dec (right). Virtually all the activity is flu A; flu B often follows later in the season.
https://x.com/HelenBranswell/status/1873219384358920549/photo/1  or https://x.com/HelenBranswell/status/1873219384358920549/photo/1
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https://x.com/HelenBranswell/status/1873219384358920549/photo/2 or https://x.com/HelenBranswell/status/1873219384358920549/photo/2 
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3. In addition to #flu activity, there's plenty of #RSV making the rounds & #Covid activity is starting to pick up again as well. Though ER visits for the latter are low (but rising) right now, wastewater levels are high, so there is more to come.

DJ, A few remarks;
Pan-demic is a global/two or more WHO regions health issue. The WHO decides on a Public Health of International Concern PHOIC...a first warning sign for pandemic...(Mpox was a PHoIC-not a pandemic "old style" yet.)

WHO needs info from countries. English may be the most dominant language...it may NOT be the most spoken one...(China, India population 1,4 billion-lots of languages). 

For lots of reasons countries may not (be able to) provide info needed...realize the risks. 
(Coronavirus is ALSO a coldvirus...)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh 2 Quote  Post ReplyReply Direct Link To This Post Posted: 28 Dec 2024 at 11:08pm
DJ, I am NOT any kind of expert-only trying to get a basic view. Since I do have a (limited) history background I try to get events in (time)perspective. 

Pandemics are NOT new-and could have been expected. CoViD is NOT !!! over !

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🔥 LP.8.1 "Most importantly,we found that LP.8.1 showed comparable humoral immune evasion to XEC but demonstrated much increased ACE2 engagement efficiency, supporting its rapid growth." ➡️ Excellent 🧵 👇on this important new work,thanks et al 🙏
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Ryan Hisner
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. @yunlong_cao, @jianfcpku, & friends still releasing up-to-the-minute findings about the latest SARS-CoV-2 variants. Astounding how quickly they do this. Here's the latest, on LF.7.2.1, NP.1, and—last I checked—the current growth champion, LP.8.1 https://biorxiv.org/content/10.1101/2024.12.27.630350v1
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So rapid growth? Within the body? Making for maybe more severe infection? Sorry, just want to understand. And are normal precautions N95 and cleaning air and vax going to still do a good job of protection?
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The latter remains very important, as LP.8.1 will infect you with a lower viral load!
DJ, So flu and CoViD "FluRona" are a global problem. The US has a record number of-most mild-H5N1 infections. China may have a H3N3 problem...

Worldwide both CoViD (from humans) and H5N1 (from birds)  jumped into (wild) mammals...CoViD still is an official pandemic-flu is not yet at that level...

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The FDA has classified its #recall of eggs sold under Costco's Kirkland brand as a Class I recall, a designation reserved for instances of the highest potential health risk — including death.

DJ, but "flu" (lots of (new) types, are a growing global risk. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh 2 Quote  Post ReplyReply Direct Link To This Post Posted: 28 Dec 2024 at 11:33pm
China;

https://flutrackers.com/forum/forum/china-other-health-threats/china-pneumonia-respiratory-and-influenza-like-illnesses-ili/1003438-china-flu-a-h1n1-is-main-strain-multiple-respiratory-infections-are-present-dizziness-is-a-symptom-december-28-2024 or https://flutrackers.com/forum/forum/china-other-health-threats/china-pneumonia-respiratory-and-influenza-like-illnesses-ili/1003438-china-flu-a-h1n1-is-main-strain-multiple-respiratory-infections-are-present-dizziness-is-a-symptom-december-28-2024 ;

China - Flu A H1N1 is main strain. Multiple respiratory infections are present. Dizziness is a symptom - December 28, 2024


Is there a "new strain" that causes dizziness recently? Multiple respiratory infections are prevalent! Experts warn
December 28, 2024 07:35 The Paper
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  The latest monitoring results from the Chinese Center for Disease Control and Prevention show that acute respiratory infectious diseases in my country are on the rise, with mycoplasma viruses, syncytial viruses, etc. still at high levels. At the same time, influenza has entered the seasonal epidemic period, and the influenza virus positivity rate has shown a clear upward trend, but is still lower than the same period last year.


  Experts said that the peak season for influenza in northern China is from November to March of the following year. Taking Beijing as an example, the peak season came later this year, and the epidemic season gradually began in December. Monitoring results show that the main strain of influenza A H1N1 is the main strain of influenza A H1N1.


  Yan Weifeng, chief physician of the Department of Respiratory and Critical Care Medicine at Beijing Haidian Hospital : When the weather just turned cold, there was a large wave of mycoplasma. As we enter the flu season, especially after December, we will find that influenza has increased significantly. Now, influenza ranks first again. Although mycoplasma still exists, the incidence rate is indeed lower than before.

DJ, Most countries see public health as "strategic" so "not for profits"....A lot of Asian countries do use masks to limit disease spread...Vaccinations are tax-funded and promoted. 

"Freedom of speech" misused to spread non-sense and hate are limited...DJ-Good info is a major tool in stopping/limiting pandemics. 
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Also from the link above (China);

 Yan Weifeng, chief physician of the Department of Respiratory and Critical Care Medicine at Beijing Haidian Hospital: There is no so-called mutual immune system, that is, if you have influenza, you can also get mycoplasma, and vice versa. Moreover, these two viruses are likely to overlap with each other, because whether we have influenza or mycoplasma, the protective ability of the respiratory tract will decrease.

DJ, Only if someone is very lucky catching one disease ends up limiting another infection. In general catching one disease increases the chance for catching more diseases...

https://www.thailandmedical.news/news/lf-7-2-1-lp-8-1-and-np-1-the-latest-sars-cov-2-variants-that-are-becoming-predominant-in-circulation or https://www.thailandmedical.news/news/lf-7-2-1-lp-8-1-and-np-1-the-latest-sars-cov-2-variants-that-are-becoming-predominant-in-circulation link to;

https://www.biorxiv.org/content/10.1101/2024.12.27.630350v1 or https://www.biorxiv.org/content/10.1101/2024.12.27.630350v1 ;

Abstract

XEC and KP.3.1.1 have surpassed KP.3 to become the globally dominant lineages due to their unique NTD mutations. However, several emerging JN.1 sublineages, such as LF.7.2.1, MC.10.1, NP.1, and, especially, LP.8.1, have demonstrated superior growth advantages compared to XEC. It is critical to access the virological and antigenic characteristics of these emerging SARS-CoV-2 variants. Here, we found that LF.7.2.1 is significantly more immune invasive than XEC, primarily due to the A475V mutation, which enabled the evasion of Class 1 neutralizing antibodies. However, LF.7.2.1's weak ACE2 binding affinity substantially impaired its fitness. Likewise, MC.10.1 and NP.1 exhibited strong antibody immune evasion due to the A435S mutation, but their limited ACE2 engagement efficiency restricted their growth advantage, suggesting that A435S may regulate the Spike conformation, similar to the NTD glycosylation mutations found in KP.3.1.1 and XEC. Most importantly, we found that LP.8.1 showed comparable humoral immune evasion to XEC but demonstrated much increased ACE2 engagement efficiency, supporting its rapid growth. These findings highlight the trade-off between immune evasion and ACE2 engagement efficiency in SARS-CoV-2 evolution, and underscore the importance of monitoring LP.8.1 These findings highlight the trade-off between immune evasion and ACE2 engagement efficiency in SARS-CoV-2 evolution, and underscore the importance of monitoring LP.8.1 and its descend lineages.


DJ, ACE2 are the "receptors"-doors that open to allow a virus into the cell of the host...

Catching CoViD does NOT result in herd/group-immunity ! Vaccination may limit diseases-but non-sterilizing vaccines do NOT stop catching the virus...

There is discussion/uncertainty on how much damage CoViD can do to immunity. 
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https://ourworldindata.org/grapher/excess-mortality-p-scores-average-baseline?time=2023-11-26..latest&country=USA~GBR~NLD~DEU~FRA~ESP or https://ourworldindata.org/grapher/excess-mortality-p-scores-average-baseline?time=2023-11-26..latest&country=USA~GBR~NLD~DEU~FRA~ESP 

Excess deaths still-in general- above "normal". 

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#H5N1 #AvianInfluenza updates 3 sequences of Raw #feline #petfood have been uploaded to from #Oregon PB2 mutations: T58A, V109I, V139I, V203X, E362G, K389R, D441N, I451T, G459V, V478I, V495I, *M631L*, V649I, M676A *#DairyCattle outbreak signature | B3.13 genotype

H5N1 keeps developing toward spread in mammals. 

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Tracking #SARSCoV2 #Lineages - Globally |12/28/24 Top lineages -#30DayTrends #G30 XEC (31%) KP.3.1.1 (22.4%) MC.1 (5.2%) XEC.2 (3.4%) LP.8.1 (2.6%)👀 MC.10.1 (2.6%) XEK (2.4%) MC.13 (1.9%) MC.16 (1.5%) 🔻Low seq count/Global Holiday 🔻 https://public.tableau.com/app/profile/raj.rajnarayanan/viz/ConvergentLineages-VariantSoup-World/G20 1/n

DJ, trends in CoViD variants worldwide...Not only holidays in the way...also lack of testing and in countries still kept poor lack of basic healthcare resulting in lack of data...

Totally unacceptable with CoViD being around since 2019...The real disease is humans have gone crazy...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh 2 Quote  Post ReplyReply Direct Link To This Post Posted: Yesterday at 9:07am
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China: Unconfirmed H3N3 and H5N1 flu reassortant
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Intel Sources are reporting #H3N3 and #H5N1 reassort bird flu outbreak in northern Chinese Jiangsu province. The hospitals in China are at Maximum Capacity due to the virus outbreak. Chinese Government is considering a “soft lockdown” to prevent the virus from spreading.
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⚠️ BREAKING: Flu and Walking Pneumonia Infections Overwhelm Hospitals in India 🇮🇳 Pushing Patients to ICU. Influenza has been widespread in Tamil Nadu since August, but a spike in Mycoplasma pneumoniae is now sending more patients who would normally have mild cases to ICUs.
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Northern Ireland: Almost 400 people waiting to access hospital beds The Northern Ireland Ambulance Service (NIAS) said it was "experiencing severe challenges" as a result of the pressures being felt across the system.
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Sit down and read this valuable study🧵on the havoc that Sarscov2(and other viruses) can cause. If after that you still don’t believe that we need an #cleanair revolution, you’re a bloody idiot, sorry for the language! Prevention will always trump waiting for cures!😒
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Impact of COVID-19 on accelerating of immunosenescence & brain aging The pandemic has highlighted a complex interplay between viral infection, immune aging & brain health, that can potentially accelerate neuroimmune aging & contribute to persistence of long COVID condition 1/

https://x.com/vipintukur/status/1873334331319701934 or https://x.com/vipintukur/status/1873334331319701934 storyline

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh 2 Quote  Post ReplyReply Direct Link To This Post Posted: Yesterday at 11:16am
https://afludiary.blogspot.com/2024/12/the-wrong-pandemic-lessons-learned.html  or https://afludiary.blogspot.com/2024/12/the-wrong-pandemic-lessons-learned.html;

Tomorrow will mark the 5 year anniversary of the first reports of an unidentified pneumonia hospitalizing people in Wuhan, China. A little before midnight on Dec 30th, 2019 the dedicated newshounds at FluTrackers began posting reports of a `SARS-like' illness in Hubei province.

Around 2am  Sharon Sanders messaged me on Skype, and by 4am I posted the first of 3 blogs (see China: 27 Cases of `Atypical Viral Pneumonia' Reported In Wuhan, Hubei) I'd write on New Year's Eve day on that event (see also here & here). 

It would take nearly a week before the WHO and CDC would publicly address the situation in China, and nearly three weeks (Jan 18th) before China would admit to `limited human-to-human transmission' of the virus

While it is not entirely certain when the first cases began to appear in China (some estimates put it as early as November) - largely due to the slow release of information - the WHO and the US would not declare COVID emergencies until the end of January.

By that time the virus was already spreading rapidly in Europe, and had been repeatedly introduced into the United States.  Whatever advantage an early warning might have provided us was squandered during those first few weeks. 

Today, the sharing of disease information is arguably even worse.

According to the WHO, only 11% of the world's nations are consistently reporting COVID ICU admissions or deaths. This is a downward trend we've been watching for several years now (see 2023's No News Is . . . Now Commonplace).

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As a result, the WHO has been forced to add the following disclaimer to their monthly epidemiology reports:

It is important to note that the data presented in this report do not necessarily reflect the actual number of cases and deaths or the actual number of countries where cases and deaths are occurring, as several countries have stopped reporting or changed their frequency of reporting.  

While officially the COVID pandemic has claimed roughly 7 million lives since 2020, unofficial estimates run 2 or 3 times higher.  China alone, is thought to have under-reported millions of deaths.  

Sins of omission (don't count, don't test, don't report) have become commonplace. Even normalized.   
 
The biggest lesson from the COVID pandemic may well be that are no real ramifications for withholding - or strategically releasing -  vital infectious disease information (see From Here To Impunity).  

Which may help explain why we've seen major reductions in reporting on avian influenzaMERS-CoV, and other emerging diseases around the globe.

Some of this may be due to an actual drop in disease activity, but there are a lot of political and economic incentives not to report cases.  

We often only hear about novel flu/virus cases weeks or months after-the-fact (see herehere, and here). And we have no way of knowing how many cases are never reported.  

This year we've seen roadblocks in the United States preventing the testing of dairy and beef cattle for HPAI H5, and while that is slowly changing, after 9 months we still don't have a good handle on how widespread the virus really is in American livestock. 

Surveillance and testing of wildlife remains sporadic, with many states yet to report a single instance, while others have reported scores. 

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And while the government continues to reassure the public about the limited number of confirmed human H5 cases (n=66), the reality is our surveillance systems are poorly equipped to pick up community cases of the virus.  

Most in-office or in-clinic testing for influenza can't differentiate between seasonal flu and avian flu. Even hospitalized patients may not be immediately diagnosed (see Missouri H5 Case).

Last summer the ECDC published Enhanced Influenza Surveillance to Detect Avian Influenza Virus Infections in the EU/EEA During the Inter-Seasonal Period which cautioned:

Sentinel surveillance systems are important for the monitoring of respiratory viruses in the EU/EEA, but these systems are not designed and are not sufficiently sensitive to identify a newly emerging virus such as avian influenza in the general population early enough for the purpose of implementing control measures in a timely way.

Similarly, in 2023's analysis from the UKHSA (see TTD (Time to Detect): Revisited), the UK estimated there could be dozens or even hundreds of undetected human H5N1 infections before public health surveillance would likely detect them, potentially over a period of weeks or even months.

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Many of us hoped that after the COVID debacle of early 2020, we'd come out of the pandemic both wiser, and better equipped to deal with the next global health crisis.

Instead, we seem to be less well prepared today than we were a decade ago.

While we may get lucky, and skate through 2025 - or beyond - without seeing another pandemic, at some point our luck will run out (see BMJ Global: Historical Trends Demonstrate a Pattern of Increasingly Frequent & Severe Zoonotic Spillover Events).

And when that happens, we'll truly wish we had the time back we are squandering now, pretending the next pandemic won't happen on our watch.


DJ, blame-games, "political games" only worsen pandemics...Exploiting pandemics for "big pharma profits" is criminal..
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh 2 Quote  Post ReplyReply Direct Link To This Post Posted: 11 hours 7 minutes ago at 12:49am
As example of a pandemic going exponential exponential https://en.wikipedia.org/wiki/Genocide_of_indigenous_peoples#Indigenous_peoples_of_the_Americas_(pre-1948)  or https://en.wikipedia.org/wiki/Genocide_of_indigenous_peoples#Indigenous_peoples_of_the_Americas_(pre-1948) ;It is estimated that during the initial Spanish conquest of the Americas, up to eight million indigenous people died, primarily through the spread of Afro-Eurasian diseases, wars, and atrocities.[69][70][full citation needed][71] The population of Indigenous Americans is estimated to have decreased from approximately 145 million to around 7-15 million between the late 15th and late 17th centuries, representing a decline of around 90-95%

https://en.wikipedia.org/wiki/Genocide_of_indigenous_peoples#Indigenous_peoples_of_Oceania_(pre-1945) or https://en.wikipedia.org/wiki/Genocide_of_indigenous_peoples#Indigenous_peoples_of_Oceania_(pre-1945) ;Prior to the arrival of the First Fleet in 1788, which marked the beginning of Britain's colonization of Australia, the Aboriginal population had been estimated by historians to be around roughly 500,000 people; by 1900, that number had plummeted to fewer than 50,000. While most died due to the introduction of infectious diseases that accompanied colonization, up to 20,000 were killed during the Australian frontier wars by British settlers and colonial authorities through massacresmass poisonings and other actions

DJ, Europeans bringing unknown diseases to new regions did see "depopulation". In the America's, Australia depopulation also was a goal. 

Governments in the 2020's unwilling to protect their own population may have the same goal (?) reduction up to 90-95% ? It would explain the inaction...

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H5N1 not a reason to be terrified. We know a lot about zoonotic flu, have been preparing for it 20 yrs (unlike when COVID began), + we have candidate vaccines, antivirals, diagnostics Only 3 things can negate this: policy failures pandemic denialism antiscience disinformation

DJ, and all three factors are now almost government policies...For that matter Peter Hotez has an indirect point-do not fear the disease but the inaction..

The West Roman Empire may have had that many health issues/pandemics it could be seen as one of the lots of reasons for its end...(lasting over 1000 years.)

https://thebulletin.org/2024/05/a-plague-comes-before-the-fall-lessons-from-roman-history/  or https://thebulletin.org/2024/05/a-plague-comes-before-the-fall-lessons-from-roman-history/ ;The Pax Romana—the 200-year “golden age” of the Roman Empire—was a marvel of diversity, connectivity, and unchallenged hegemony. By the middle of the second century AD, imperial Rome ruled territory across three different continents. Roughly one-quarter of the Earth’s population, some 60 million people, lived under Rome’s vast aegis, and the emperors of the age—most notably Marcus Aurelius—enjoyed the consent of those they governed. The Empire’s elites—witnessing the disciplined legions, widespread religiosity, cultural efflorescence, and dominant economy—likely expected their world order to endure forever.

In the year 166 AD, however, seemingly eternal Rome was caught completely off-guard as a deadly novel disease swept across the Eurasian landmass. It ransacked Rome’s cities for at least a decade and preceded centuries of decline. This major biological event—now known as the Antonine plague—appears to have been the world’s first pandemic.

Historians hotly debate its death toll—with estimates ranging from 2 percent to 35 percent mortality—and its broader social and economic effects. The disease itself remains undiagnosed. The great Greek physician Galen described its main symptoms as fever, throat ulcers, and a pustular rash. Some have suspected it was measles or smallpox, but modern analysis provides reasons to doubt these as the possible culprits. Human remains from the Antonine plague period, meanwhile, have thus far failed to yield genetic evidence sufficient to identify the pathogen.


DJ, ignoring history is unwise..
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh 2 Quote  Post ReplyReply Direct Link To This Post Posted: 2 hours 9 minutes ago at 9:47am
https://x.com/outbreakupdates/status/1873545005694091298 or https://x.com/outbreakupdates/status/1873545005694091298 ;
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Been thinking about the risk of an H5N1 pandemic

Humans are masters of self-sabotage. Faced with low-probability, high-consequence events, we consistently make the same mistake. We cling to the illusion of stability.

I don’t think it’s ignorance. It’s not even denial. It’s something worse. A fundamental failure to weigh the present against the future, comfort against survival, certainty against risk.

Here’s the logic that drives inaction.

Prevention is expensive, and catastrophe feels distant. It’s easier to put that money somewhere visible. Tax breaks, infrastructure, defense contracts? Easier than to pour it into avoiding a hypothetical pandemic.

But this isn’t just bad math. It’s suicidal hubris. H5N1 isn’t hypothetical. It’s circulating in wild and domestic birds at unprecedented levels. It’s infecting mammals at a rate that should have us all alarmed.

The boundary between threat and disaster is razor-thin. We’re acting as though the line is unbreakable.

Prevention isn’t a spectacle. You don’t get credit for disasters that don’t happen. A trillion-dollar pandemic averted is invisible. A billion spent on prevention looks like waste to a public that doesn’t grasp what’s at stake.

Decision makers understand this. So they avoid the “loss” of spending now, gambling on the future instead. This logic of inaction is rooted in a warped perception of risk. People are good at reacting to threats they can see, feel, or touch.

A hurricane on the horizon gets attention. A virus that might evolve into a pandemic?

That feels abstract, academic, and ignorable. Until it isn’t. Until the first clusters of human-to-human transmission emerge, and the global supply chain buckles, and the hospitals fill to bursting with patients who can’t breathe.

By then, it’s too late. Preventing pandemics isn’t about acting when the threat materializes. It’s about acting when the threat is still invisible to most.

But that requires a capacity for foresight, for discomfort, for spending in ways that don’t provide immediate returns. It requires the kind of leadership we consistently fail to elect.

What happens when H5N1 makes the jump? A 50% mortality rate is unlikely to hold as the virus becomes more transmissible, but even 5% would make it the deadliest pandemic in human history.

And the cost of doing nothing isn’t limited to the body count. Pandemics don’t just kill people. They kill economies, trust, and futures. The global economy lost an estimated $12 trillion to COVID-19 in its first two years. An H5N1 pandemic would dwarf that.

So why don’t we act? Because spending money today on a threat that hasn’t materialized feels like a loss, while doing nothing feels like maintaining the status quo. But the status quo isn’t static.
Prevention is a choice. So is inaction. But one of those choices leads to a world where the next pandemic is just another headline, and the other leads to a reckoning.

The only question is how much we’re willing to lose before we understand which is which.

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DJ, CoViD further complicating the picture
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