We Live in Each Other’s Shadow: Social Distancing is Our Social Responsibility

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As you may know, a new coronavirus called SARS-CoV-2 has been spreading, causing a disease that epidemiologists have named COVID-19. The disease is new (so the majority of people aren’t immune), spreads easily from person-to-person, and can cause severe illness in the elderly and medically fragile. The spread of the disease to so many people in so many places has led the World Health Organisation to declare the spread COVID-19 a pandemic.

The situation is very, very serious, but there are lots of steps you can be taking to keep yourself healthy. At this stage, Public Health is also needing us to keep our communities healthy through actions we call “social distancing.”

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Preparing not Panicking: Finding Good Information in a (Potential) Pandemic

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COVID-19 is a respiratory illness caused by the novel coronavirus SARS-CoV-2. Coronaviruses are a family of viruses (like influenza viruses are a family of viruses) and circulate in our communities every year. They usually cause mild, flu-like illness. Notable exceptions to this were SARS (Severe Acute Respiratory Syndrome) and MERS (Middle Eastern Respiratory Syndrome). This coronavirus is new to humans and so public health scientists are still learning a lot about it. Like other coronaviruses, this one seems to be a zoonotic infection and crossed into humans from an animal—likely bats.

COVID-19, like its coronavirus brethren, causes fever, cough, and breathing difficulty. Public health scientists estimate 80% of people who come down with COVID-19 would experience mild symptoms and not need hospitalisation. Several cases in Washington State alone have managed their own illness without hospitalisation. While most people will have very mild illness, some people may get quite ill. Public health scientists expect that most of the severe illnesses will be in patients who are older. They also expect that most deaths will occur among older individuals.

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Happy Birthday, Epidemiology!

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There was a time not so very long ago in human history when we believed that miasmas (bad air) caused illness. Doctors didn’t even wash their hands between seeing patients because how could gentlemen be responsible for spreading illness?

There were no microscopes, so no one could look and see bacteria doing battle with our own immune system. People could only know what they observed and what they observed was that the areas where disease was most prevalent were also very smelly from the dead and dying people.

We know now, of course, that the smell so common in areas where poor people lived wasn’t the cause of their illness, but another product of the things making them sick. Bodies and human waste (lots of poo) left in the streets, rotting food, animals and humans living in close proximity, sewage in the water. Germ Theory tells us that these things become the breeding grounds of virus, bacteria, fungi, and other tiny critters which make us sick. By eliminating those risks from our environment, we eliminate a lot of the pathways those germs take to making us ill.

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Reframing Violence as a Community Epidemic

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In a previous post, I discussed the intergenerational effects of violence and trauma, but today I’d like to dig a bit more into violence as a disease in communities. We often think of violence as something that one person does to another—and that is certainly accurate—but the individuals who commit that violence have often experienced it themselves. Like influenza spreads through a community from person-to-person, family-to-family, violence also spreads through the spaces we inhabit.

We model what we see and what we live and then pass on the love and pain we experience to others. Please be warned that some of what I’ll discuss may be upsetting or trigger memories of abuse that you may have suffered. Please be gentle with yourself. 

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We Carry Them With Us: How the Health of our Great-Grandparents Shapes Our Own

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Last week was both Columbus Day and Indigenous People’s Day in the United States. Thanksgiving is right around the corner. These days remind me of the stories I heard in school as a child about the “discovery” of America and the “first people” to come here. As an immigrant family, the stories of these holidays weren’t a part of our home life, but they certainly appeared at school each autumn. I remember being told to memorise a poem about Columbus in first grade and the narrative of the first thanksgiving appearing in each US history course I took. 

While having time off from school and work is nice (I certainly enjoy that part of civil service), these days are also wonderful opportunities to talk about the health disparities we see between Native American/Alaska Native (AIAN) and other groups in the US. Native writers have spoken and written and researched this far better than I will here, but it’s important for all public health practitioners to discuss the ways that the health of the people who grew us and raised us shapes our own health. 

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