Infectious Diseases Quotes

What is more dangerous than to become a poet? which is, as some say, an incurable and infectious disease.

It seems like it’s been fairly well contained,” but here’s an epidemiological question: if you’re talking about outbreaks of infectious disease, isn’t fairly well contained essentially the same thing as not contained at all?

Don't be upset. Don't listen to me. I only meant that I am jealous of a dark, unconscious element, something irrational, unfathomable. I am jealous of your toilet articles, of the drops of sweat on your skin, of the germs in the air you breathe which could get into your blood and poison you. And I am jealous of Komarovsky, as if he were an infectious disease. Someday he will take you away, just as certainly as death will someday separate us. I know this must seem obscure and confused, but I can't say it more clearly. I love you madly, irrationally, infinitely.

For the first time in history, more people die today from eating too much than from eating too little; more people die from old age than from infectious diseases; and more people commit suicide than are killed by soldiers, terrorists and criminals combined.

As anyone who's ever contracted it knows, lies are an infectious disease. They slip under the almond slivers of your fingernails and into your bloodstream.

The poor and stressed always die first, and in greater numbers. They are also much more susceptible to non- infectious diseases, such as cancer, diabetes and heart disease.

I wasn't sure of it, but I was almost certain that loneliness was a disease. An infectious, disgusting illness that was slow to creep into your system and overtake you, even though you tried to fight it off the best you could.

That's the world out there, little green apples and infectious disease.

I am highly suspicious of attempts to brightside human suffering, especially suffering that—as in the case of almost all infectious diseases—is unjustly distributed. I’m not here to criticize other people’s hope, but personally, whenever I hear someone waxing poetic about the silver linings to all these clouds, I think about a wonderful poem by Clint Smith called “When people say, ‘we have made it through worse before.’” The poem begins, “all I hear is the wind slapping against the gravestones / of those who did not make it.” As in Ibn Battuta’s Damascus, the only path forward is true solidarity—not only in hope, but also in lamentation.

I’m sorry, ma’am. Your daughter died of laughter. It’s an infectious disease. I did everything I could.

And for its part, what was life? Was it perhaps only an infectious disease of matter—just as the so-called spontaneous generation of matter was perhaps only an illness, a cancerous stimulation of the immaterial?

With you I'm jealous of what is obscure, unconscious, of something in which explanations are unthinkable, of something that cannot be puzzled out. I'm jealous of your toilet things, of the drops of sweat on your skin, of the infectious diseases borne on the air, which may affect you and poison your blood.

This form of interspecies leap is common, not rare; about 60 percent of all human infectious diseases currently known either cross routinely or have recently crossed between other animals and us.

Whining is a virus, a lethal, infectious, epidemic disease.

I didn’t know then that young girls were a sort of poison, infectious to the man of age; and that men of age justly take woman of age to cure themselves of the diseases of youth.

In all, 86 per cent of the increased life expectancy was due to decreases in infectious diseases. And the bulk of the decline in infectious disease deaths occurred prior to the age of antibiotics. Less than 4 per cent of the total improvement in life expectancy since 1700s can be credited to twentieth-century advances in medical care.

Such is hope, Heaven's own gift to struggling mortals; pervading, like some subtle essence from the skies, all things, both good and bad; as universal as death, and more infectious than disease!

In times of stress and danger such as come about as the result of an epidemic, many tragic and cruel phases of human nature are brought out, as well as many brave and unselfish ones.

That man penetrated me with his shame. Shame, I realize now, is an infectious disease. Shame can be sexually transmitted.

Skeletal remains show that plant-fed humans were a head shorter than meat-eating hunters, prone to anemia, infectious diseases, rotten teeth, and bone disorders.

The public health texts of the future will use this as a lesson on how not to handle an infectious disease pandemic.

The American Way of Life! Eat too much, work too much, buy too much, read too little, think even less, and die in poverty and insecurity. No, thank you. Don't you see that's how Americans take over the world? Not just through their army and their CIA and their World Bank., but through this infectious disease called the American Dream?

What if you could start allowing your sensuality to permeate every aspect of whatever you're doing on a daily basis instead of compartmentalizing and isolating it from a majority of your daily affairs like it's some kind of an infectious disease?

The conditions necessary for devastating epidemics or pandemics just didn't exist until the agricultural revolution. The claim that modern medicine and sanitation save us from infectious diseases that ravaged pre-agricultural people (something we hear often) is like arguing that seat belts and air bags protect us from car crashes that were fatal to our prehistoric ancestors.

Infectious diseases happen because of external organisms, but chronic diseases are manufactured daily by human beings. When your energy body is in full vibrancy and proper balance, chronic diseases cannot exist in the body. I could introduce you to thousands of people who have gotten rid of their physical and psychological ailments just by doing certain simple yogic practices. These practices are not aimed at the disease. They are just aimed at bringing a certain harmony and vitality to the energy body.

Every time we eat, we have the power to radically transform the world we live in and simultaneously contribute to addressing many of the most pressing issues that our species currently faces: climate change, infectious disease, chronic disease, human exploitation and, of course, non-human exploitation. Every single day, our choices can help alleviate all of these problems or they can perpetuate them.

They all call me "Excuse me," even though my nametag clearly says "Jordan." It's like people don't actually exist while they're working. Workers are just tools who aren't supposed to have feelings or personalities. You don't become human until your shift is over. Until then, we're all just zombies. We're dead to the world: infected people who need to be avoided, unless, of course, someone needs to know where the paintbrushes are located.

When it comes to brain health issues, many of our children are as vulnerable today as children a hundred years ago were to infectious diseases. Far

For the first time in history, infectious diseases kill fewer people than old age, famine kills fewer people than obesity, and violence kills fewer people than accidents.

Infectious disease is one of the great tragedies of living things - the struggle for existence between two different forms of life... Incessantly, the pitiless war goes on, without quarter or armistice - a nationalism of species against species.

In 2011, an interesting milestone in human history was passed. For the first time, more people globally died from non-communicable diseases like heart failure, stroke and diabetes than from all infectious diseases combined.1 We live in an age in which we are killed, more often than not, by lifestyle. We are in effect choosing how we shall die, albeit without much reflection or insight.

One of the cafés had that brilliant idea of putting up a slogan: 'the best protection against infection is a good bottle of wine', which confirmed an already prevalent opinion that alcohol is a safeguard against infectious disease. Every night, towards 2 a.m., quite a number of drunk men, ejected from the cafés , staggered down the streets, vociferating optimism.

One of the cafés had the brilliant idea of putting up a slogan: “The best protection against infection is a bottle of good wine,” which confirmed an already prevalent opinion that alcohol is a safeguard against infectious disease.

There is unspeakable yet entirely preventable suffering in this world. The job of journalists and writers engaged with global issues is to articulate the unspeakable and give voice to solutions. -- K. Lee Lerner

Nonetheless, the way infectious diseases have begun to come back shows that we remain caught in the web of life - permanently and irretrievably- no matter how clever we are at altering what we do not like, or how successful we become at displacing other species.

Simon Templar was a man who couldn’t help spreading melodrama all around him like an infectious disease.

Cheerfulness is one infectious disease everyone should contract.

Jack: Later, TB. Hallie: You do see why that cannot be a thing, right? Jack: My apologies for calling you an infectious disease.

Love is the most infectious disease, so spread it as much as you can, as quick as you can; there is no remedy for love but it prevents all other diseases from spreading.

Most humans never enjoyed greater peace or prosperity than they did under the aegis of the liberal order of the early twenty-first century. For the first time in history, infectious diseases kill fewer people than old age, famine kills fewer people than obesity, and violence kills fewer people than accidents.

For the first time in history, more people die today from eating too much than from eating too little; more people die from old age than from infectious diseases; and more people commit suicide than are killed by soldiers, terrorists and criminals combined. In the early twenty-first century, the average human is far more likely to die from bingeing at McDonald’s than from drought, Ebola or an al-Qaeda attack. Hence

The major killers of humanity throughout our recent history—smallpox, flu, tuberculosis, malaria, plague, measles, and cholera—are infectious diseases that evolved from diseases of animals, even though most of the microbes responsible for our own epidemic illnesses are paradoxically now almost confined to humans.

It is well known how the book spread like an infectious disease, from city to city, from continent to continent, barred out here, confiscated there, denounced by press and pulpit, censured even by the most advanced of literary anarchists. No definite principles had been violated in those wicked pages, no doctrine promulgated, no convictions outraged. It could not be judged by any known standard, yet, although it was acknowledged that the supreme note of art had been struck in "The King in Yellow," all felt that human nature could not bear the strain nor thrive on words in which the essence of purest poison lurked. The very banality and innocence of the first act only allowed the blow to fall afterwards with more awful effect.

As Sicknesse is the greatest misery, so the greatest misery of sicknes is solitude; when the infectiousness of the disease deterss them who should assist from coming; even the Phisician dares scarse come... it is an Outlawry, and excommunication upon the patient....

As a psycholinguist who once wrote an entire book on the past tense, I can single out my favorite example in the history of the English language. It comes from the first sentence of a Wikipedia entry: Smallpox was an infectious disease caused by either of two virus variants, Variola major and Variola minor. Yes, "smallpox was.

WHY DID THE rise of agriculture launch the evolution of our crowd infectious diseases? One reason just mentioned is that agriculture sustains much higher human population densities than does the hunting-gathering lifestyle—on the average, 10 to 100 times higher. In addition, hunter-gatherers frequently shift camp and leave behind their own piles of feces with accumulated microbes and worm larvae. But farmers are sedentary and live amid their own sewage, thus providing microbes with a short path from one person’s body into another’s drinking water.

Ten of our brethren have been shipwrecked. One of them has caught a nasty, infectious disease. If he is allowed to live, the other nine will also get sick and die. If you were the captain of that ship, what judgment would you hand down?

Kindness is infectious. Spread the disease.

Hand-washing is a potentially effective behavior that can lessen the threat of any individual getting sick from the flu or other infectious diseases, but without organized vaccine programs or quarantine plans, quelling disease outbreaks is unlikely.

Atahuallpa’s presence at Cajamarca thus highlights one of the key factors in world history: diseases transmitted to peoples lacking immunity by invading peoples with considerable immunity. Smallpox, measles, influenza, typhus, bubonic plague, and other infectious diseases endemic in Europe played a decisive role in European conquests, by decimating many peoples on other continents.

Despite the prominence that "magic bullets" and "wonder drugs" hold in the layman's mind, most of the really decisive battles in the war against infectious disease consisted of measures to eliminate disease organisms from the environment. An example from history concerns the great outbreak of cholera in London more than one hundred years ago. A London physician, John Snow, mapped occurrence of cases and found they originated in one area, all of whose inhabitants drew their water from one pump located on Broad Street. In a swift and decisive practice of preventative medicine, Dr. Snow removed the handle from the pump. The epidemic was thereby brought under control - not by a magic pill that killed the (then unknown) organism of cholera, but by eliminating the organism from the environment.

In his airport bestseller from 2018, Enlightenment Now, Steven Pinker, the leading voice in the choir of bourgeois optimism, revelled in the ‘conquest of infectious disease’ all over the globe – Europe, America, but above all the developing countries – as proof that ‘a rich world is a healthier world’, or, in transparent terms, that a world under the thumb of capital is the best of all possible worlds. ‘ “Smallpox was an infectious disease” ’, Pinker read on Wikipedia – ‘yes, “smallpox was” ’; it exists no more, and the diseases not yet obliterated are being rapidly decimated. Pinker closed the book on the subject by confidently predicting that no pandemic would strike the world in the foreseeable future. Had he cared to read the science, he would have known that waves from a rising tide were already crashing against the fortress he so dearly wished to defend. He could, for instance, have opened the pages of Nature, where a team of scientists in 2008 analysed 335 outbreaks of ‘emerging infectious diseases’ since 1940 and found that their number had ‘risen significantly over time’.

For the first time in history, more people die today from eating too much than from eating too little; more people die from old age than from infectious diseases; and more people commit suicide than are killed by soldiers, terrorists and criminals combined. In the early twenty-first century, the average human is far more likely to die from bingeing at McDonald’s than from drought, Ebola or an al-Qaeda attack.

Kinyoun believed in a future where scientists like him had rendered the concept of infectious disease moot, sparing the lives of innocent people. Instead, he had to face a present in which politics mattered more than honesty, and ignorance proved more powerful than medicine.

The public school bureaucracy, which is now the largest in the history of the world, has been 'vaccinating' the vast majority of America's youth for several generations against what it considers to be 'the infectious disease of absolute moral values,' our Christian heritage, and our Christian republic which was built upon these truths.

He grinned. It was the sort of grin that Agnes supposed was called infectious but, then, so was measles.

Numbers can be an important aspect of understanding infectious disease. Take measles. At first glance, it might seem nonmathematical. It’s caused by a paramyxovirus

As impressive as the conquest of infectious disease in Europe and America was, the ongoing progress among the global poor is even more astonishing.

Unhappiness is an infectious disease. Poor and unhappy people ought to steer clear of one another, so as not to catch a greater degree of infection.

every civilization we find has been derived from another civilization and, in the last resort, from a single centre—‘carried’ like an infectious disease or like the Apostolical succession.

Why don’t we all live for a longer time? On mountainsides in California and Nevada there are pine trees that were alive when Julius Caesar was wandering around Rome. Why do some organisms live for dozens, hundreds, or thousands of years while others, in the natural course of events, do not see even a single year pass? Death from accident or infectious disease is no puzzle; the puzzle is death from “old age.” Why, after living for a time, do we fall apart? This question is always lurking as the birthdays pass, but the short lives of the cephalopods make it vivid. Why do we age?

Doctors generally consider smallpox to be the worst human disease. It is thought to have killed more people than any other infectious pathogen, including the Black Death of the Middle Ages. Epidemiologists think that smallpox killed roughly one billion people during its last hundred years of activity onearth.

Mad cow disease is caused by a prion, a weirdly folded protein molecule that triggers weird folding in other molecules, like Kurt Vonnegut’s infectious form of water, ice-nine, in his great early novel Cat’s Cradle.

[Europeans lived] in dense, settled populations- cities- where human & animal waste breeds vermin, like mice and rats and roaches. Most of the indigenous peoples of the Americas, though, didn't live in dense settlements, and even those who lived in villages tended to move with the seasons, taking apart their towns and rebuilding them somewhere else. They didn't accumulate filth, and they didn't live crowds. They suffered from very few infectious diseases.

Malaria, presently among the most deadly infectious agents on the planet, is arguably the greatest mass murderer of all time. Experts estimate the disease has killed half of all people who have roamed the planet since the Stone Age.

It is obvious that human (and non-human) diseases are evolving with an unusual rapidity simply because changes in our behaviour facilitate cross-fertilization of different strains of germs as never before, while an unending flow of new medicines (and pesticides) also present infectious organisms with rigorous, changing challenges to their survival.

The transmission of SARS, Dwyer said, seems to depend much on super spreaders—and their behavior, not to mention the behavior of people around them, can be various. The mathematical ecologist’s term for variousness of behavior is “heterogeneity,” and Dwyer’s models have shown that heterogeneity of behavior, even among forest insects, let alone among humans, can be very important in damping the spread of infectious disease. “If you hold mean transmission rate constant,” he told me, “just adding heterogeneity by itself will tend to reduce the overall infection rate.” That sounds dry. What it means is that individual effort, individual discernment, individual choice can have huge effects in averting the catastrophes that might otherwise sweep through a herd. An individual gypsy moth may inherit a slightly superior ability to avoid smears of NPV as it grazes on a leaf. An individual human may choose not to drink the palm sap, not to eat the chimpanzee, not to pen the pig beneath mango trees, not to clear the horse’s windpipe with his bare hand, not to have unprotected sex with the prostitute, not to share the needle in a shooting gallery, not to cough without covering her mouth, not to board a plane while feeling ill, or not to coop his chickens along with his ducks. “Any tiny little thing that people do,” Dwyer said, if it makes them different from one another, from the idealized standard of herd behavior, “is going to reduce infection rates.

When a man is suffering from an infectious disease, he is a danger to the community, and it is necessary to restrict his liberty of movement. But no one associates any idea of guilt with such a situation. On the contrary, he is an object of commiseration to his friends. Such steps as science recommends are taken to cure him of his disease, and he submits as a rule without reluctance to the curtailment of liberty involved meanwhile. The same method in spirit ought to be shown in the treatment of what is called "crime.

First, a sad paradox. Medical research has become more laboratory oriented in the last fifty years. To be sure, this shift has produced some impressive results. But at the same time, human biology is not exclusively mechanical, and there are limits to what the laboratory can accurately study. The laboratory study of infectious diseases has been magnificent—it is very straightforward. But its very success has deflected attention from the influence of emotions. As a result, medical research has failed abysmally in many areas.

When we think of a pandemic, we often conjure images of deadly infectious diseases that spread rapidly across countries causing unimaginable human suffering (like the Black Death, the Spanish influenza, AIDS, or the ongoing COVID-19 crisis). The West is currently suffering from such a devastating pandemic, a collective malady that destroys people’s capacity to think rationally. Unlike other pandemics where biological pathogens are to blame, the current culprit is composed of a collection of bad ideas, spawned on university campuses, that chip away at

The United States Department of Defense makes its position clear in a policy statement published in 2014. The document begins: Among the future trends that will impact our national security is climate change. Rising global temperatures, changing precipitation patterns, climbing sea levels, and more extreme weather events will intensify the challenges of global instability, hunger, poverty, and conflict. They will likely lead to food and water shortages, pandemic disease, disputes over refugees and resources, and destruction by natural disasters in regions across the globe. In our defense strategy, we refer to climate change as a “threat multiplier” because it has the potential to exacerbate many of the challenges we are dealing with today—from infectious disease to terrorism. We are already beginning to see some of these impacts.

November 2, 1984 was an especially tragic day in the Chronic Fatigue Syndrome/AIDS epidemic. That was the day Anthony Fauci became the Director of the National Institutes of Allergy and Infectious Diseases. (NIAID). (Good Intentions p.128) It was the day a thin-skinned, physically ultra-diminutive man with a legendary Napoleonic attitude was positioned by destiny to become the de facto AIDS Czar. In the fog of culpability that constitutes what could be called "Holocaust II" one thing is clear: the buck, on its way to the very top of the government, at least pauses at the megalomaniac desk of Anthony Fauci.

Such calamities indeed happen less and less often. For the first time in history, more people die today from eating too much than from eating too little; more people die from old age than from infectious diseases; and more people commit suicide than are killed by soldiers, terrorists and criminals combined.

Like tuberculosis,* malaria, and many other infectious diseases, cholera is only successful in the twenty-first century because the rich world doesn’t feel threatened by it. As Tina Rosenberg has written, “Probably the worst thing that ever happened to malaria in poor nations was its eradication in rich ones.

What the data show: the fewer social relationships a person has, the shorter his or her life expectancy, and the worse the impact of various infectious diseases. Relationships that are medically protective can take the form of marriage, contact with friends and extended family, church membership, or other group affiliations.

Humanity shares a common ancestry with all living things on Earth. We often share especially close intimacies with the microbial world. In fact, only a small percentage of the cells in the human body are human at all. Yet, the common biology and biochemistry that unites us also makes us susceptible to contracting and transmitting infectious disease.

You can die from someone else’s misery—emotional states are as infectious as diseases. You may feel you are helping the drowning man but you are only precipitating your own disaster.

History, Jared Diamond notes, is full of diseases that ‘once caused terrifying epidemics and then disappeared as mysteriously as they had come38’. He cites the robust but mercifully transient English sweating sickness, which raged from 1485 to 1552, killing tens of thousands as it went, before burning itself out. Too much efficiency is not a good thing for any infectious organism.

contagious, infectious. Diseases spread by contact are contagious. Those spread by air and water are infectious. Used figuratively (‘contagious laughter’, ‘infectious enthusiasm’), either is all right.

For the first time in history, more people die today from eating too much than from eating too little; more people die from old age than from infectious diseases; and more people commit suicide than are killed by soldiers, terrorists and criminals combined. In the early twenty-first century, the average human is far more likely to die from bingeing at McDonald’s than from drought, Ebola or an al-Qaeda

Many people infected with C. diff are sick with diarrhea, abdominal pain, nausea, and weight loss. Others are “carriers” of C. diff with no signs or symptoms of disease. Some of these carriers have been recently infected with C. diff but have recovered and now feel well. But carriers still have the C. diff organism in their stools and can serve as a silent reservoir of infection in hospitals and nursing homes.

The talk of sin is of course to many a big turn-off; to others, an even bigger myth - because in reality, sin is like the spiritual equivalent of a microscopic parasite, or a virus, or better yet even, an infectious disease. And just as one might never know of, until visiting a competent doctor, the tiny pathogens progressively eroding one's body, so we might never know that in sin we are eroding our being and losing direction until hearing the Word of God rightfully applied. Therefore I ask, which of the doctors would then be the more competent: the one who finds the problem and gives the solution, or the one who willfully ignores the problem (or rather finds the problem when it is much too late)? Seldom does anyone write off the knowledge of medicine for the physical body as primitive practice, so neither must the knowledge of the Word of God for one's spiritual well-being remain written off as primitive practice - quite the opposite really. As it is written thus: 'Lean not on your own understanding.

At the same time, medical experts of every persuasion agree that African Americans share the most deplorable health profile in the nation by far, one that resembles that of Third World countries. When Dr. Harold Freedman observed that the health status of Harlem men resembles that of Bangladeshis more closely than that of their Manhattan neighbors, he did not exaggerate. Twice as many African American babies as babies of other ethnic groups die before their first birthday. One and half times as many African American adults as white adults die every year. Blacks have dramatically higher rates of nearly every cancer, of AIDS, of heart disease, of diabetes, of liver disease, of infectious diseases, and they even suffer from higher rates of accidental death, homicide, and mental illness. Before they die young in droves from eminently preventable diseases, African Americans also suffer far more devastating but equally preventable disease complications, such as blindness, confinement to wheelchairs, and limb loss.

We all have choices to make that affect our likelihood of contracting infectious disease: whether to holiday in exotic countries; whom to let our children play with; whether we travel on crowded public transport. When we are ill, other choices we make affect our likelihood of transmitting disease to others: whether we cancel the much-anticipated catch-up with our friends; whether we keep our children home from school; whether we cover our mouths when we cough. The crucial decision on whether we vaccinate ourselves and our dependents can only be taken ahead of time. It affects our chances not only of catching but also of transmitting diseases. Some of these decisions are inexpensive, making their adoption straightforward. It costs nothing to sneeze into a tissue or a handkerchief. Simply washing your hands frequently and carefully has been shown to reduce the effective reproduction numbers of respiratory illnesses such as flu by as much as three-quarters. For some diseases, this might be enough to take us below the threshold value of R0, so that an infectious disease cannot break out.

The vast majority of people die from non-infectious illnesses such as cancer and heart disease, or simply from old age.17 (Incidentally cancer and heart disease are of course not new illnesses – they go back to antiquity. In previous eras, however, relatively few people lived long enough to die from them.)

Once, sitting in my car in the parking lot outside Building 5 during a prolonged downpour after a long lunch off premises, Mark, Larry, and I pondered the famous two-condom combinatorial problem that spread through the Center: Two (heterosexual) couples decide to have group sex with each other in all possible male-female combinations. They have only two condoms, and everyone is scared of catching some venereal disease. How can they manage four couplings with only two condoms? The first man puts on two condoms, one over the other, and then sleeps with the first woman. Only the outer surface of the outer condom and the inner surface of the inner one has had contact with any potentially infectious surface. The man removes the outer condom and sleeps with the second woman. The second man then dons the removed outer condom whose inner surface has until now had no contact with anyone’s skin, and sleeps with the first woman, whose only contact has thus far been with the outside of the same condom. Finally, the second man dons the second condom over the one he is already wearing, and sleeps with the second woman, who again only experiences a condom she has already touched. It was impossible to resist the temptation to generalize to N couples.

Total neglect of women in pregnancy and childbirth had been the norm. Among many primitive societies, women menstruating or with child, or in labour or suckling the child, were regarded as unclean, polluted. The woman was isolated and frequently could not be touched, even by another woman. She had to go through the whole ordeal alone. Consequently only the fittest survived, and by the processes of mutation and adaptation, inherited abnormalities, such as disproportion in the size of the pelvis and the foetal head, died out of the race, particularly in remote parts of the world, and labour became easier. In Western society, which we call civilisation, this did not occur, and a dozen or more complications, some of them deadly, were superimposed on the natural hazards: overcrowding, staphylococcal and streptococcal infection; infectious diseases such as cholera, scarlet fever, typhoid and tuberculosis; venereal disease; rickets; multiple and frequent childbirth; the dangers from infected water. If you add to all this the attitude of indifference and neglect that often surrounded childbirth it is not hard to understand how childbirth came to be known as “the curse of Eve”, and how women could often expect to die in order to bring forth new life.

Yes, our social and economic circumstances shape decisions we make about all sorts of things in life, including sex. Sometimes they rob us of the power to make any decisions at all. But of all human activity, sex is among the least likely to fit neatly into the blueprint of rational decision making favoured by economists. To quote my friend Claire in Istanbul, sex is about 'conquest, fantasy, projection, infatuation, mood, anger, vanity, love, pissing off your parents, the risk of getting caught, the pleasure of cuddling afterwards, the thrill of having a secret, feeling desirable, feeling like a man, feeling like a woman, bragging to your mates the next day, getting to see what someone looks like naked and a million-and-one-other-things.' When sex isn't fun, it is often lucrative, or part of a bargain which gives you access to something you want or need. If HIV is spread by 'poverty and gender equality', how come countries that have plenty of both, such as Bangladesh, have virtually no HIV? How come South Africa and Botswana, which have the highest female literacy and per capita incomes in Africa, are awash with HIV, while countries that score low on both - such as Guinea, Somalia, Mali, and Sierra Leone - have epidemics that are negligible by comparison? How come in country after country across Africa itself, from Cameroon to Uganda to Zimbabwe and in a dozen other countries as well, HIV is lowest in the poorest households, and highest in the richest households? And how is it that in many countries, more educated women are more likely to be infested with HIV than women with no schooling? For all its cultural and political overtones, HIV is an infectious disease. Forgive me for thinking like an epidemiologist, but it seems to me that if we want to explain why there is more of it in one place than another, we should go back and take a look at the way it is spread.

As impressive as the conquest of infectious disease in Europe and America was, the ongoing progress among the global poor is even more astonishing. Part of the explanation lies in economic development (chapter 8), because a richer world is a healthier world. Part lies in the expanding circle of sympathy, which inspired global leaders such as Bill Gates, Jimmy Carter, and Bill Clinton to make their legacy the health of the poor in distant continents rather than glittering buildings close to home. George W. Bush, for his part, has been praised by even his harshest critics for his policy on African AIDS relief, which saved millions of lives.

Given the central place that technology holds in our lives, it is astonishing that technology companies have not put more resources into fixing this global problem. Advanced computer systems and artificial intelligence (AI) could play a much bigger role in shaping diagnosis and prescription. While the up-front costs of using such technology may be sizeable, the long-term benefits to the health-care system need to be factored into value assessments. We believe that AI platforms could improve on the empirical prescription approach. Physicians work long hours under stressful conditions and have to keep up to date on the latest medical research. To make this work more manageable, the health-care system encourages doctors to specialize. However, the vast majority of antibiotics are prescribed either by generalists (e.g., general practitioners or emergency physicians) or by specialists in fields other than infectious disease, largely because of the need to treat infections quickly. An AI system can process far more information than a single human, and, even more important, it can remember everything with perfect accuracy. Such a system could theoretically enable a generalist doctor to be as effective as, or even superior to, a specialist at prescribing. The system would guide doctors and patients to different treatment options, assigning each a probability of success based on real-world data. The physician could then consider which treatment was most appropriate.

The scariest thing is that nobody seems to be considering the impact on those wild fish of fish farming on the scale that is now being proposed on the coast of Norway or in the open ocean off the United States. Fish farming, even with conventional techniques, changes fish within a few generations from an animal like a wild buffalo or a wildebeest to the equivalent of a domestic cow. Domesticated salmon, after several generations, are fat, listless things that are good at putting on weight, not swimming up fast-moving rivers. When they get into a river and breed with wild fish, they can damage the wild fish's prospects of surviving to reproduce. When domesticated fish breed with wild fish, studies indicate the breeding success initially goes up, then slumps as the genetically different offspring are far less successful at returning to the river. Many of the salmon in Norwegian rivers, which used to have fine runs of unusually large fish, are now of farmed origin. Domesticated salmon are also prone to potentially lethal diseases, such as infectious salmon anemia, which has meant many thousands have had to be quarantined or killed. They are also prone to the parasite Gyrodactylus salaris, which has meant that whole river systems in Norway have had to be poisoned with the insecticide rotenone and restocked.

With time, the ‘wheat bargain’ became more and more burdensome. Children died in droves, and adults ate bread by the sweat of their brows. The average person in Jericho of 8500 BC lived a harder life than the average person in Jericho of 9500 BC or 13,000 BC. But nobody realised what was happening. Every generation continued to live like the previous generation, making only small improvements here and there in the way things were done. Paradoxically, a series of ‘improvements’, each of which was meant to make life easier, added up to a millstone around the necks of these farmers. Why did people make such a fateful miscalculation? For the same reason that people throughout history have miscalculated. People were unable to fathom the full consequences of their decisions. Whenever they decided to do a bit of extra work – say, to hoe the fields instead of scattering seeds on the surface – people thought, ‘Yes, we will have to work harder. But the harvest will be so bountiful! We won’t have to worry any more about lean years. Our children will never go to sleep hungry.’ It made sense. If you worked harder, you would have a better life. That was the plan. The first part of the plan went smoothly. People indeed worked harder. But people did not foresee that the number of children would increase, meaning that the extra wheat would have to be shared between more children. Neither did the early farmers understand that feeding children with more porridge and less breast milk would weaken their immune system, and that permanent settlements would be hotbeds for infectious diseases. They did not foresee that by increasing their dependence on a single source of food, they were actually exposing themselves even more to the depredations of drought. Nor did the farmers foresee that in good years their bulging granaries would tempt thieves and enemies, compelling them to start building walls and doing guard duty.

Dr. Kary Mullis, who won the Nobel Prize in Chemistry for inventing PCR, stated publicly numerous times that his invention should never be used for the diagnosis of infectious diseases. In July of 1997, during an event called Corporate Greed and AIDS in Santa Monica CA, Dr. Mullis explained on video, “With PCR you can find almost anything in anybody. It starts making you believe in the sort of Buddhist notion that everything is contained in everything else, right? I mean, because if you can model amplify one single molecule up to something that you can really measure, which PCR can do, then there’s just very few molecules that you don’t have at least one single one of them in your body. Okay? So that could be thought of as a misuse of it, just to claim that it’s meaningful.” Mikki explained, “The major issue with PCR is that it’s easily manipulated. It functions through a cyclical process whereby each revolution amplifies magnification. On a molecular level, most of us already have trace amounts of genetic fragments similar to coronavirus within us. By simply over-cycling the process, a negative result can be flipped to a positive. Governing bodies such as the CDC and the WHO can control the number of cases by simply advising the medical industry to increase or decrease the cycle threshold (CT).” In August of 2020, the New York Times reported that “a CT beyond 34 revolutions very rarely detect live virus, but most often, dead nucleotides that are not even contagious. In compliance with guidance from the CDC and the WHO, many top US labs have been conducting tests at cycle thresholds of 40 or more. NYT examined data from Massachusetts, New York, and Nevada and determined that up to 90 percent of the individuals who tested positive carried barely any virus.”17 90 percent! In May of 2021, CDC changed the PCR cycle threshold from 40 to 28 or lower for those who have been vaccinated. This one adjustment of the numbers allowed the vaccine pushers to praise the vaccines as a big success.

If you were to say to a physicist in 1899 that in 1999, a hundred years later, moving images would be transmitted into homes all over the world from satellites in the sky; that bombs of unimaginable power would threaten the species; that antibiotics would abolish infectious disease but that disease would fight back; that women would have the vote, and pills to control reproduction; that millions of people would take to the air every hour in aircraft capable of taking off and landing without human touch; that you could cross the Atlantic at two thousand miles an hour; that humankind would travel to the moon, and then lose interest; that microscopes would be able to see individual atoms; that people would carry telephones weighing a few ounces, and speak anywhere in the world without wires; or that most of these miracles depended on devices the size of a postage stamp, which utilized a new theory called quantum mechanics—if you said all this, the physicist would almost certainly pronounce you mad.

Viruses like symmetrical shapes because symmetry provides a very simple means for them to multiply, and that is what makes viral diseases so infectious—in fact, that’s what ‘virulent’ means. Traditionally, symmetry has been something people have found aesthetically appealing, whether it is seen in a diamond, a flower or the face of a supermodel. But symmetry isn’t always so desirable. Some of the most deadly viruses on the biological books, from influenza to herpes, from polio to the AIDS virus, are constructed using the shape of an icosahedron. Is

When Franklin D. Roosevelt signed the Social Security Act in 1935, old age was defined as sixty-five years, yet estimated life expectancy in the United States at the time was sixty-one years for males and sixty-four years for females.62 A senior citizen today, however, can expect to live eighteen to twenty years longer. The downside is that he or she also should expect to die more slowly. The two most common causes of death in 1935 America were respiratory diseases (pneumonia and influenza) and infectious diarrhea, both of which kill rapidly. In contrast, the two most common causes of death in 2007 America were heart disease and cancer (each accounted for about 25 percent of total deaths). Some heart attack victims die within minutes or hours, but most elderly people with heart disease survive for years while coping with complications such as high blood pressure, congestive heart failure, general weakness, and peripheral vascular disease. Many cancer patients also remain alive for several years following their diagnosis because of chemo-therapy, radiation, surgery, and other treatments. In addition, many of the other leading causes of death today are chronic illnesses such as asthma, Alzheimer’s, type 2 diabetes, and kidney disease, and there has been an upsurge in the occurrence of nonfatal but chronic illnesses such as osteoarthritis, gout, dementia, and hearing loss.63 Altogether, the growing prevalence of chronic illness among middle-aged and elderly individuals is contributing to a health-care crisis because the children born during the post–World War II baby boom are now entering old age, and an unprecedented percentage of them are suffering from lingering, disabling, and costly diseases. The term epidemiologists coined for this phenomenon is the “extension of morbidity.

Though diagnosis is unquestionably critical in treatment considerations for many severe conditions with a biological substrate (for example, schizophrenia, bipolar disorders, major affective disorders, temporal lobe epilepsy, drug toxicity, organic or brain disease from toxins, degenerative causes, or infectious agents), diagnosis is often counterproductive in the everyday psychotherapy of less severely impaired patients. Why? For one thing, psychotherapy consists of a gradual unfolding process wherein the therapist attempts to know the patient as fully as possible. A diagnosis limits vision; it diminishes ability to relate to the other as a person. Once we make a diagnosis, we tend to selectively inattend to aspects of the patient that do not fit into that particular diagnosis, and correspondingly overattend to subtle features that appear to confirm an initial diagnosis. What’s more, a diagnosis may act as a self-fulfilling prophecy. Relating to a patient as a “borderline” or a “hysteric” may serve to stimulate and perpetuate those very traits. Indeed, there is a long history of iatrogenic influence on the shape of clinical entities, including the current controversy about multiple-personality disorder and repressed memories of sexual abuse. And keep in mind, too, the low reliability of the DSM personality disorder category (the very patients often engaging in longer-term psychotherapy).

Peter Navarro never hid his antagonism toward me. He stopped me one day in the Eisenhower Executive Office Building, where we were tested routinely for COVID, and again blasted my failure to encourage people to take hydroxychloroquine, the lack of which he said was causing people to die. He would not let it go. Perhaps he just had a thing about me. To give him the benefit of the doubt, I arranged with Cliff Lane to have Navarro present via Zoom his case on hydroxychloroquine’s effectiveness to the entire NIH guidelines panel cochaired by Cliff in early August. This group was thirty-five of the top experts in infectious disease, public health, and epidemiology from all over the country. Navarro made his presentation, and uniformly they politely said, “Mr. Navarro, there’s nothing there. These are anecdotes, and all the evidence indicates hydroxychloroquine doesn’t work and can even cause harm.” Navarro’s answer was that he valued his reading of the existing medical literature on hydroxychloroquine as much as or more than theirs. “If I am wrong, no one is harmed. If you are wrong, thousands of people die.” The truth was the exact opposite. By that time, the FDA, which had given hydroxychloroquine emergency approval early in the pandemic, had revoked it on June 15, after it was found to cause heart problems and even death, not to mention proving ineffective against COVID. I had given Navarro one last chance, but he still could not accept reality.

Since the Enlightenment unfolded in the late 18th century, life expectancy across the world has risen from 30 to 71, and in the more fortunate countries to 81.1 When the Enlightenment began, a third of the children born in the richest parts of the world died before their fifth birthday; today, that fate befalls 6 percent of the children in the poorest parts. Their mothers, too, were freed from tragedy: one percent in the richest countries did not live to see their newborns, a rate triple that of the poorest countries today, which continues to fall. In those poor countries, lethal infectious diseases are in steady decline, some of them afflicting just a few dozen people a year, soon to follow smallpox into extinction. The poor may not always be with us. The world is about a hundred times wealthier today than it was two centuries ago, and the prosperity is becoming more evenly distributed across the world’s countries and people. The proportion of humanity living in extreme poverty has fallen from almost 90 percent to less than 10 percent, and within the lifetimes of most of the readers of this book it could approach zero. Catastrophic famine, never far away in most of human history, has vanished from most of the world, and undernourishment and stunting are in steady decline. A century ago, richer countries devoted one percent of their wealth to supporting children, the poor, and the aged; today they spend almost a quarter of it. Most of their poor today are fed, clothed, and sheltered, and have luxuries like smartphones

This Compost" Something startles me where I thought I was safest, I withdraw from the still woods I loved, I will not go now on the pastures to walk, I will not strip the clothes from my body to meet my lover the sea, I will not touch my flesh to the earth as to other flesh to renew me. O how can it be that the ground itself does not sicken? How can you be alive you growths of spring? How can you furnish health you blood of herbs, roots, orchards, grain? Are they not continually putting distemper'd corpses within you? Is not every continent work'd over and over with sour dead? Where have you disposed of their carcasses? Those drunkards and gluttons of so many generations? Where have you drawn off all the foul liquid and meat? I do not see any of it upon you to-day, or perhaps I am deceiv'd, I will run a furrow with my plough, I will press my spade through the sod and turn it up underneath, I am sure I shall expose some of the foul meat. 2 Behold this compost! behold it well! Perhaps every mite has once form'd part of a sick person—yet behold! The grass of spring covers the prairies, The bean bursts noiselessly through the mould in the garden, The delicate spear of the onion pierces upward, The apple-buds cluster together on the apple-branches, The resurrection of the wheat appears with pale visage out of its graves, The tinge awakes over the willow-tree and the mulberry-tree, The he-birds carol mornings and evenings while the she-birds sit on their nests, The young of poultry break through the hatch'd eggs, The new-born of animals appear, the calf is dropt from the cow, the colt from the mare, Out of its little hill faithfully rise the potato's dark green leaves, Out of its hill rises the yellow maize-stalk, the lilacs bloom in the dooryards, The summer growth is innocent and disdainful above all those strata of sour dead. What chemistry! That the winds are really not infectious, That this is no cheat, this transparent green-wash of the sea which is so amorous after me, That it is safe to allow it to lick my naked body all over with its tongues, That it will not endanger me with the fevers that have deposited themselves in it, That all is clean forever and forever, That the cool drink from the well tastes so good, That blackberries are so flavorous and juicy, That the fruits of the apple-orchard and the orange-orchard, that melons, grapes, peaches, plums, will none of them poison me, That when I recline on the grass I do not catch any disease, Though probably every spear of grass rises out of what was once a catching disease. Now I am terrified at the Earth, it is that calm and patient, It grows such sweet things out of such corruptions, It turns harmless and stainless on its axis, with such endless successions of diseas'd corpses, It distills such exquisite winds out of such infused fetor, It renews with such unwitting looks its prodigal, annual, sumptuous crops, It gives such divine materials to men, and accepts such leavings from them at last.