Tag: Screen New Deal

  • The “Strawman” Conspiracy Theorist

    In two hundred years doctors will rule the world. Science reigns already. It reigns in the shade maybe – but it reigns. And all science must culminate in the science of healing – not the weak, but the strong. Mankind wants to live… to live.
    Joseph Conrad, The Secret Agent (1907), p.263

    This article charts the origins and development of what often appears to be a strawman conspiracy theorist over the course of the COVID-19 pandemic, especially through “fact checker” initiatives operating at the behest philanthrocapitalism. This appears to have insulated regulatory agencies long prone to capture from adequate journalistic scrutiny, leading to a groupthink amidst an effective censorship of alternative, and scientifically valid, assessments of the danger posed by COVID-19, and the optimal humanitarian response.

    Losing Our Grip?

    In May, 2020, veteran Guardian journalist John Naughton explored the origins of Plandemic a “documentary” video ‘featuring Dr Judy Mikovits, a former research scientist and inveterate conspiracy theorist who blames the coronavirus outbreak on big pharma, Bill Gates and the World Health Organization.’ Naughton relates how the video migrated from mainstream social media into the dark recesses of the Internet.

    As he put it: ‘The cognitive pathogen had escaped into the wild and was spreading virally.’ Ultimately, the New York Times ‘traced it back to a Facebook page dedicated to QAnon, a rightwing conspiracy theory, which has 25,000 members.’ All this Naughton said: ‘confirms something we’ve known since at least 2016, namely that conspiracy theory sites are the most powerful engines of disinformation around. And when they have a medical conspiracy theory to work with, then they are really in business.’

    In May, 2020 The Atlantic’s Jeff Goldburg announced that conspiracy theorists were winning, and that America was ‘losing its grip on Enlightenment values and reality itself.’ Thus a 2014 study estimated that half the American public ‘consistently endorses at least one conspiracy theory,’ a proportion that had risen to 61% by 2019, suggesting the Internet was accelerating the trend. Another survey indicated that 60% of Britons were wedded to a ‘false’ narrative.

    Adjudicating on the falseness, or otherwise, of a narrative is not always, however, a straightforward exercise. Indeed, it will be argued that justifiable concerns around recent impugning of expertise have been weaponised to create another layer of disinformation over the course of the COVID-19 pandemic.

    The “wild-eyed” conspiracy theorist – often referred to as “members of the tin foil hat brigade” – has become a widely derided figure. This appears to be a belated response to so-called “post-truth” accounts, associated with supporters of Donald Trump in the U.S. and proponents of Brexit in the U.K., dismissive of expertise. This challenged a board consensus around such issues as the importance of mitigating climate change. But in confronting genuine disinformation it appears that many on the left, in particular, failed to interrogate vested interests during the pandemic.

    “Totalizing Discourse”

    Charles Eisenstein defines conspiracy myths as ‘a totalizing discourse that casts every event into its terms.’ He traces these overarching explanations – relying on observed phenomena only insofar as these fit with a preordained pattern – to the first century Gnostics, who believed that ‘an evil demiurge created the material world out of a pre-existingdivine essence.’

    The “totalizing” nature of such an approach has previously been dismissed by Karl Popper since ‘nothing ever comes off exactly as intended.’[i] Oliver and Wood (2014) identify three facets to an approach that has traditionally pointed to Freemasonry –an “illuminati” – Jews and Jesuits, and, in more recent times, intelligence agencies such as the CIA, KGB, MI5 or Mossad:

    First, they locate the source of unusual social and political phenomena in unseen, intentional, and malevolent forces. Second, they typically interpret political events in terms of a Manichean struggle between good and evil … Finally, most conspiracy theories suggest that mainstream accounts of political events are a ruse or an attempt to distract the public from a hidden source of power (Fenster 2008)

    In her seminal 1951 text The Origins of Totalitarianism, Hannah Arendt identifies such a tendency as a precursor to mob rule, describing how a conspiracy theorist ‘is inclined to seek the real forces of political life in those movements and influences which are hidden from view and work behind the scenes.’[ii]

    Yet certain conspiracy theories in our time, such as suggestions the U.S. invaded Iraq in 2003 in order to plunder oil resources rather than decommission weapons of mass destruction, or that the fossil fuel industry deliberately sowed confusion over climate change, remain plausible, even if we lack clear documentary proof.

    A problem lies in how individuals with minimal academic attainment treat conspiracies as objective truths rather than conjectures based on circumstantial evidence. The likelihood of a conspiracy is often portrayed as “beyond reasonable doubt”, as opposed to “on the balance of probabilities.” A formally educated observer may be repelled by an insistent approach that does not allow for reasonable doubt.

    The intuition relied on by confirmed conspiracy theorists thus generally fails to acknowledge uncertainty, and lacks scientific or historical rigour. Yet these accounts may still occasionally yield insights when empirical methods fall short. After all, suspicions raised by conspiracy theories are often vindicated. Rather than dismissing out of hand such ‘magical thinking’, it is useful to consider these as unproven hypotheses, and not necessarily untrue, simply because an individual is overstating a case.

    For example, over the course of the COVID-19 pandemic increasingly persuasive evidence has emerged of a laboratory leak – perhaps from so-called ‘gain of function’ research – giving rise to the pandemic. But in February, 2020 The Lancet published a letter from a number of prominent scientists who ‘strongly condemn conspiracy theories suggesting that COVID-19 does not have a natural origin.’ This had a chilling effect on the scientific debate during the early stages of the pandemic.

    Notably also, the ‘father of economics’ Adam Smith opined that ‘People of the same trade seldom meet together, even for merriment and diversion, but the conversation ends in a conspiracy against the public, or in some contrivance to raise prices.’[iii] Smith’s portrayal of commercial calumnies is reflected in a question posed at a medical conference in 2018 by a Goldman Sachs executive: ‘Is curing patients a sustainable business model?’

    Previously, a succession of pharmaceutical scandals led Ben Goldacre MBE to take a sympathetic view of so-called “anti-vaxxers”, who are now consistently conflated with “conspiracy theorists”: ‘I think it’s fair to say that anti-vaccine conspiracy theories are a kind of poetic response to regulatory failure in medicine and in the pharmaceutical industry. People know that there is something a little bit wrong here.’

    Similarly, Tom Jefferson – editor of the Cochrane Collaboration’s acute respiratory infections – in an interview with Der Spiegel in 2009 in the wake of the Swine Flu pandemic-that-never-was pointed to shadowy pharmaceutical forces: ‘Sometimes you get the feeling that there is a whole industry almost waiting for a pandemic to occur.’

    UNESCO’s World Trends Report 2018.

    Journalism Under Threat

    An assumption of malevolent or self-serving – cui bono? – motivations (particularly concerning a Big Pharma industry with a shameful record of distortion and manipulation) is almost a prerequisite for being an investigative reporter. Stories don’t drop out of the air. Unless a journalist assumes wrongdoing – in essence a conspiracy theory – there would be no reason to begin digging.

    The key distinction between genuine journalism and conspiracy theorising is that proponents of the latter tend to blurt out their “findings” without marshalling supporting evidence, with the Internet providing anonymity as required. This, however, makes such accounts easy to ridicule to the detriment of journalism with an evidential basis.

    Journalists have long been deflected from investigating large corporations. In a recent memoir the great American journalist Seymour Hersh fumes at how in the late 1970s The New York Times shut down his attempt to investigate corporate America when confronted by a gaggle of corporate conmen.’[iv]

    This challenge has increased significantly in the wake of the Internet. After the “Original Sin” of free online publication, the number of American journalists fell from 60,000 in 1992 to 40,000 in 2009, a pattern seen across the world. As revenues diminished, workloads increased. Cardiff University researchers recently conducted an analysis of 2,000 U.K. news stories, discovering the average Fleet Street journalist was filing three times as much as in 1985. To put it another way, journalists now have only one-third of the time to do the same job.[v]

    “Fact Checkers”

    Over the course of the pandemic a strawman conspiracy theorist appears to have been consciously developed to deter valid journalistic interrogation, in particular, through so-called “fact checking” initiatives. It has reached a point where, as Charles Eisenstein observes: ‘“Conspiracy theory” has become ‘a term of political invective, used to disparage any view that diverges from mainstream beliefs. Basically, any critique of dominant institutions can be smeared as conspiracy theory’

    In the absence of adequate journalistic scrutiny during the pandemic corruption has been rife. The executive director of The British Medical Journal Kamran Abbasi described ‘state corruption on a grand scale’ that is ‘harmful to public health’ Abbasi observes how the pandemic ‘has revealed how the medical-political complex can be manipulated in an emergency—a time when it is even more important to safeguard science.’

    This also occurred in the context of unregulated social media, where companies set their own rules. In March, 2020, having previously styled itself ‘the free speech-wing of the free-speech party’, Twitter moved to address concerns around conspiracy theories. In future it would be: ‘Broadening our definition of harm to address content that goes directly against guidance from authoritative sources of global and local public health information.’

    Nonetheless, free reign was given to “click-bait” alarmists such as Eric Feigle-Ding on Twitter, who saw his following mushroom from just two thousand to almost a quarter of a million. Angela Rasmussen, a Columbia University virologist, identified a pattern: ‘He tweets something sensational and out of context, buries any caveats further down-thread, and watches the clicks and [retweets] roll in.’

    Twitter did not act alone in upholding an apparent orthodoxy that often lapsed into an extremism that deterred legitimate questioning. Google took unprecedented steps to erase material violating ‘Community Guidelines’: ‘including content that explicitly disputes the efficacy of global or local health authority recommended guidance on social distancing that may lead others to act against that guidance.’

    Initially at least, Facebook adopted a more laissez faire approach, although users who had read, watched or shared ‘false’ coronavirus content received a pop-up alert urging them to go the World Health Organisation’s website. In November, 2021, however, the editors of the British Medical Journal sent an open letter to Facebook in response to “fact checkers” undermining their investigative report into ‘a host of poor clinical trial research practices’ at Pfizer’s original vaccine trial.

    Thus, the approach of the social media giants was bolstered by an unprecedented journalistic effort to “factually” repudiate conspiracy theories during the pandemic; notwithstanding how ‘uncontested facts—things that are ascertainable, reproducible, transferable and predictable—tend to be elusive.’

    Preparations for the “fact-checking” initiative began in January, 2020 when a global #CoronaVirusFacts Alliance, comprising more than one hundred “factcheckers” around the world, described as ‘the largest collaborative factchecking project ever,’ was launched by the Poynter Institute, ‘when the spread of the virus was restricted to China but already causing rampant misinformation globally.’ It said that the WHO had classified the issue as ‘an infodemic — and the Alliance is on the front lines in the fight against it.’

    From March 2020, with the support of these “fact checkers”, outlets such as Reuters responded to an anticipated wave of conspiracy theories, taking particular care to address allegations against Bill Gates. He has been described as ‘the world’s most powerful doctor’ despite not having earned a medical degree due to the Gates Foundations being the second largest funder of the WHO, after China. This included allegations that he had apparently planned the pandemic, and wanted to commit genocide through vaccines.

    For example, on May 30, 2020 a BBC article purported to defuse claims the pandemic was ‘a cover for a plan to implant trackable microchips and that the Microsoft co-founder Bill Gates is behind it’; although it acknowledged Gates had said that ‘eventually “we will have some digital certificates” which would be used to show who’d recovered, been tested and ultimately who received a vaccine,’ and also referenced ‘a study, funded by the Gates Foundation, into a technology that could store someone’s vaccine records in a special ink administered at the same time as an injection.’

    Front building of the Bill and Melinda Gates Foundation in Seattle.

    Gates Foundation

    When it came to outlandish conspiracy theories around COVID-19 all roads led to Bill Gates and his $47 billion philanthropic Bill and Melinda Gates Foundation – besides a personal fortune of $115 billion, and growing, as of October 2020.

    For many of world’s population under stay-at-home orders the pandemic was viewed through a digital prism – often at a remove from morbidity or mortality itself. At that stage, Gates’s 2014 Ted Talk ‘The Next Outbreak. We’re not ready’ seemed almost prophetic.

    He opined: ‘If anything kills over ten million people in the next few decades it is most likely to be a highly infectious virus rather than a war.’ The failure of Western governments to prepare for such an eventuality seemed to have been laid bare – in particular the Presidential administration of Donald Trump, who according to a Cornell University study ‘was likely th\\e largest driver of the COVID-19 misinformation “infodemic.”’

    Gates’s Ted Talk, however, failed to discuss the false alarm of the Swine Flu Pandemic, when the WHO estimated that between 2.0 and 7.4 million could die, assuming the outbreak was relatively mild. This proved a wild exaggeration as less than 300,000 were estimated to have died globally, with Western governments stockpiling millions of dollars’ worth of GlaxoSmithKlein’s Pandemrix vaccine, which  brought an elevated risk of narcolepsy.

    Gates’s main reference point appears to have been the Spanish Influenza (H1N1) outbreak of 1918 – the Ur-pandemic of modern times  – that led to up to fifty million deaths, many of them young men in their prime, at a point when the global population was approximately two billion. In contrast, the infectivity and severity of SARS-CoV-2 ‘are well within the range described by respiratory viral pandemics of the last few centuries (where the 1918–20 influenza is the clear outlier).’

    Neil Ferguson

    “Scientific Groupthink”

    In March, 2020, Imperial College’s Neil Ferguson told the New York Times the ‘best case outcome’ for the U.S. was a death toll of 1.1 million, rising to 2.2 million in a worst case scenario, a projection that has proved wildly inaccurate. Yet, alternative, and scientifically valid, assessments of the danger posed by COVID-19, and the optimal humanitarian response to the challenge were virtually ignored in legacy media at the time. Thus, an Oxford University paper, which included Sunetra Gupta as an author, countered what the New York Times described as the ‘gold standard’ Imperial modelling underestimated immunity from prior coronavirus infections and posited a far lower infection fatality rate.

    But in March, 2020, the Financial Times warned that Gupta’s group’s modelling was ‘controversial and its assumptions have been contested by other scientists.’ Implicitly, the Financial Times was accepting the “gold standard” Imperial paper.

    Moreover, in November, 2020 an article in the Scientific American describes how Stefan Baral, an epidemiologist and associate professor at Johns Hopkins Center for Global Health, wrote a letter about the potential harms of lockdowns which was rejected from more than ten scientific journals (and six newspapers) in April, 2020. Baral recalls, ‘it was the first time in my career that I could not get a piece placed anywhere.’

    The article also recalled that, ‘highly anticipated results of the only randomized controlled trial of mask wearing and COVID-19 infection went unpublished for months.’ The authors concluded that the ‘net effect of academic bullying and ad hominem attacks has been the creation and maintenance of “groupthink”—a problem that carries its own deadly consequences.’

    In the absence of access to authoritative, diverging scientific accounts, opposition to lockdowns could easily be dismissed as being the preserve of conspiracy theorist cranks associated with “anti-vaxxers” and even a “far-right” fringe.

    Screen New Deal”

    Apart from offering pharmaceutical companies the huge financial incentive – grasped within open arms – of developing a vaccine for universal application, lockdowns and social distancing measures also brought soaring profits for major technology corporations. Moreover, restrictions provided a testing ground for the Gates Foundation’s long advocacy of technological approaches in education.

    In May, 2020 Naomi Klein identified collusion between state and Big Tech interests in what she described as ‘A Screen New Deal.’ She referred to New York Governor Mario Cuomo’s courting of Google and the Gates Foundation: ‘Calling Gates a “visionary,” Cuomo said the pandemic has created “a moment in history when we can actually incorporate and advance [Gates’s] ideas … all these buildings, all these physical classrooms — why with all the technology you have?” he asked, apparently rhetorically.’

    Remote learning technology permitted extended school closures around the world, despite the chance of death from COVID-19 being ‘incredibly rare’ among children. Research now suggests many students made little or no progress while learning from home, and that learning loss was most pronounced among disadvantaged students. As a consequence, up to 20,000 children in the U.K. went missing from school rolls during the pandemic. Nor is it apparent that teachers faced any greater risk compared to the wider population in fulfilling classroom teaching.

    Media Funding

    Popular consent on a global scale for lockdowns, particularly from those identifying on the left, seems to have been manufactured through vast ‘philanthropic’ funding of journalism, in particular of publications associated with progressive outlooks.

    By June 2020, the Gates Foundation contributed $250 million to journalism, which according to Tim Schwab in The Columbia Journalism Review, ‘appears to have helped foster an increasingly friendly media environment for the world’s most visible charity.’

    A theme of ‘we are in this together’ inhibited criticism and enquiry. This quiescence has been criticized by the Greek socialist Panagiotis Sotiris who wrote: ‘What is missing here is something that used to be one of the main traits of the radical left, namely, an insistence that science and technology are not neutral.’

    Tim Schwab calculates that $250 million had been devoted to journalism by the Gates Foundation for the six months up to June, 2020,. Recipients included BBC, NBC, Al-Jazeera, ProPublica, National Journal, The Guardian, Univision, Medium, The Financial Times, The Atlantic, The Texas Tribune, Gannett, Washington Monthly, Le Monde, and the Center for Investigative Reporting, as well as the BBC’s Media Action and The New York Times’ Neediest Cases Fund.

    Schwab adds: ‘In some cases, recipients say they distributed part of the funding as subgrants to other journalistic organizations—which makes it difficult to see the full picture of Gates’s funding into the fourth estate.’

    As a result, he says:

    During the pandemic, news outlets have widely looked to Bill Gates as a public health expert on covid—even though Gates has no medical training and is not a public official. PolitiFact and USA Today (run by the Poynter Institute and Gannett, respectively—both of which have received funds from the Gates Foundation) have even used their fact-checking platforms to defend Gates from “false conspiracy theories” and “misinformation,” like the idea that the foundation has financial investments in companies developing covid vaccines and therapies. In fact, the foundation’s website and most recent tax forms clearly show investments in such companies, including Gilead and CureVac.

    ‘Undermining Scientific Creativity’

    The Gates Foundation’s pivotal role in funding global health has long raised concerns. In 2008, Dr. Arata Kochi, the former head of WHO’s malaria programme argued the Gates Foundation was undermining scientific creativity in a way that ‘could have implicitly dangerous consequences on the policymaking process in world health.’ He worried that Gates-funded institutions – including Imperial College London (MRC Centre for Global Infectious Disease Analysis) – were adopting ‘a uniform framework approved by the Foundation,’ leading to homogeneity of thinking: ‘Gates has created a ‘cartel,’ with research leaders linked so closely that each has a vested interest to safeguard the work of others. The result is that obtaining an independent review of scientific evidence (…) is becoming increasingly difficult.’

    GAVI, the Vaccine Alliance, is the most obvious example of the Gates Foundation’s engagement. GAVI has successfully immunized large numbers of children, but been criticized by other NGOs for inadequate funding of health system strengthening.

    One of GAVI’s senior representatives reported that Bill Gates often told him in private conversations ‘that he is vehemently ‘against’ health systems (…) he basically said it is a complete waste of money, that there is no evidence that it works, so I will not see a dollar or cent of my money go to the strengthening of health systems.’

    As of 2017 only 10.6 percent (US$862.5 million) of GAVI’s total commitments between 2000 and 2013 had been dedicated to health system strengthening, whereas more than 78.6 percent (US$6,405.4 million) have been used for vaccine support. Doctors Without Borders (MSF) states that, while GAVI has helped to lower prices of new and underused vaccines for eligible countries, the cost to fully immunize a child was 68-times more expensive in 2014 than it was in 2001.

    According to long-time Gates critic James Love, Gates ‘uses his philanthropy to advance a pro-patent agenda on pharmaceutical drugs, even in countries that are really poor.’

    Safe Treatment?

    This article makes no bold claims regarding the efficacy of any treatments, but the overwhelmingly negative reaction of legacy media to research pointing to the efficacy of the off-patent drug Ivermectin suggests that vested pharmaceutical interests wished to undermine public confidence in any scientific arguments regarding its efficacy.

    In June, 2020, a laboratory study demonstrated it was ‘an inhibitor of the causative virus’ (Caly, 2020). Later, a Systematic Review, Meta-analysis that included twenty-four randomized controlled trials said: ‘Moderate-certainty evidence finds that large reductions in COVID-19 deaths are possible using ivermectin.’

    In a predictable example of “fact-checking” where an outlandish claim is used to discredit a compelling hypothesis, the Poynter Institute quoted a social media post ‘rating’ the claim that Ivermectin basically ‘basically obliterates’ as ‘false.’

    The Guardian’s dedication to discrediting the meta-analysis also suggested vested interests were at work, and contrasts with a failure to report on the British Medical Journal’s account of a whistle blower alleging serious data integrity issues during Pfizer’s vaccine trial.

    It should hardly be controversial – let alone dismissed as a conspiracy theory – to argue that the weight of evidence points to a ‘Gates-Approach’ lying behind ongoing adoption by most Western governments of unprecedented suppression measures in support of universal vaccination – notwithstanding potential treatment alternatives – leading to the introduction of vaccine passports, as Gates “predicted” in April, 2020. This also occurred alongside a familiar ‘rhetoric supportive of ‘holistic’ health systems.’

    It is now clear that consent for lockdowns, especially in the Anglophone world, was manufactured through wildly inaccurate epidemiological assessments of an infection fatality rate of 0.9% in the notorious Imperial College paper. This estimate has since been adjusted to 0.2% (available on the WHO website), a figure which Joffe argues is likely ‘a large over-estimate.’

    It is also clear that globally mortality statistics for COVID-19 have been systematically exaggerated. This manipulation can be traced to a WHO document from April, 2020 entitled International Guidelines for Certification and Classification (Coding) of COVID-19 as Cause of Death’. It set out strict rules for the registration of COVID-19 deaths, which differ fundamentally from registration for other causes. The guidelines define a COVID-19 mortality as ‘a death resulting from a clinically compatible illness, in a probable or confirmed COVID-19 case, unless there is a clear alternative cause of death that cannot be related to COVID disease (e.g. trauma).’

    It is revealingly that in a country such as Ireland since the pandemic began the mean age of death from COVID-19 has been eighty years of age (eight-two being the median age), just two years younger than the average age of death, and that level of mortality through the years 2018-2020 (2018: 31,116; 2019: 31,134; 2020: 31,765) show little difference.[vi]

    For most people COVID-19 is a virus that poses little danger. Prior to the arrival of a vaccine, a U.K. study from October, 2020 found 76.5% of a random sample who tested positive reported no symptoms, and 86.1% reported none specific to COVID-19. Moreover, an article from Peter Doshi in the British Medical Journal in September, 2020, stated: ‘At least six studies have reported T cell reactivity against SARS-CoV-2 in 20% to 50% of people with no known exposure to the virus’; apparently vindicating Sunetra Gupta’s “controversial” paper, over which the Financial Times cast doubt.

    It should not be controversial to argue that morbidity and mortality from COVID-19 ought to have been weighed against the global impact of lockdowns. On that score, a new paper jointly by authored by researchers from Johns Hopkins University in the US, Lund University, in Sweden and the Centre for Political Studies, in Denmark concluded that lockdowns in Europe and the US decreased COVID-19 mortality by a measly 0.2% on average.

    Conclusions

    A “totalizing” discourse of a COVID-19 conspiracy theory identifies a preordained plan being set in motion by malicious actors, wherein the pandemic culminates in a dangerous vaccine being foisted on a brainwashed population. This might lead to an assumption that such vaccines invariably give rise to severe adverse reactions that are systematically covered up. Such an account does not demand evidence as events are simply unfolding “as planned.”

    In reality, however, events rarely follow a preordained pattern, and even in circumstances of regulatory capture state agencies are never entirely bereft of integrity. Moreover, such accounts divert attention from probing interrogation of the efficacy of vaccines and the desirability of universal uptake of a medication that does not block transmission, especially one rushed to the market, and which may cause unforeseen adverse reactions.

    It is also apparent that public perception of the efficacy of vaccines has been distorted by the media’s reporting of relative risk reduction, as opposed to absolute risk reduction, which is just 0·84% for the Pfizer–BioNTech vaccines.

    Moreover, importantly, in January, 2021, Peter Doshi and Donald Light in the Scientific American objected to the undermining of ‘the scientific integrity of the double-blinded clinical trial the company—and other companies—have been conducting, before statistically valid information can be gathered on how effectively the vaccines prevent hospitalizations, intensive care admissions or deaths.’

    This came after Pfizer pleaded an “ethical responsibility” to unblind its trial and offer the vaccine to those who received a placebo. The authors argue that ‘there was another way to make an unapproved vaccine available to those who need it without undermining a trial. It’s called “expanded access.” Expanded access enables any clinician to apply on behalf of their patient to the FDA for a drug or vaccine not yet approved. The FDA almost always approves it quickly.’

    In terms of any actual conspiracy or contrivance to raise prices along the lines of tendencies that Adam Smith pointed to among gentlemen of commerce, the role played by Bill Gates has been, doubtless, more complex than many conspiracy theorists allow for. However, in circumstances where a billionaire with a history of monopolistic aspirations promotes an agenda aligning with his financial interests it should come as no surprise that colourful theories abound; especially with many journalists seemingly inhibited from enquiring into his Foundation’s activities.

    Indeed, ironically, the aforementioned Guardian journalist John Naughton recently described Gates while Microsoft CEO as having acted like ‘a mogul who is incredulous that the government would dare to obstruct his route to world domination.’ Does such a leopard ever change his spots?

    Sadly, the amplification of the outlandish claims of conspiracy theorists by so-called “fact checkers” could be causing reputational damage to genuine expertise, and allow demagogues reliant on angry mobs to say: “I told you so.” The propagandist role of “fact checkers” has undermined genuine investigative reporting, much of which already occurs on the margins.

    In the early stages of the pandemic especially, difficulties in reporting were compounded by deficits in scientific understanding among overworked journalists in precarious employment, who were encouraged to justify unprecedented lockdowns as a form of social solidarity. The assumption that by “following the science” a journalist is adequately performing his or her role is a dangerous fallacy, which does not take account of how diverging scientific arguments may be concealed.

    In the absence of sufficient independent journalism, and amidst censorship of alternative scientific opinion, troubling questions remain unanswered as the pandemic draws to a close. Perhaps we will never know the full story. Nonetheless, it is vital that adequate cost-benefit analyses (including with access to full trial data) are conducted on all pharmaceutical and non-pharmaceutical interventions in future.

    Feature Image (c) Daniele Idini: The Burning of “the Witch of Winter” in Cardano al Campo, Lombardy, Italy.

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    [i][i] Karl Popper (1972). Conjectures and Refutations, 4th ed. London: Routledge Kegan Paul. pp. 123–125.

    [ii] Hannah Arendt (1951) The Origins of Totalitarianism, 1951, p.140

    [iii] Adam Smith, The Wealth of Nations, book 1, chapter 10, par. 2).

    [iv] Seymour Hersh, Reporter, 2018, p.247.

    [v] Rusbridger, Alan, The Remaking of Journalism and Why it Matters, 2018, p.163-181

    [vi] Worldometre attributes 1,736 deaths to COVID-19 by December 31st, 2020.

  • Is Medicine Out of Touch?

    In a recent review, my colleague Ben Pantrey argues Richard Kearney’s Touch is itself out of touch with the ‘maddeningly Baroque … meme-ified soup of internet discourse.’ Given the Boston-based Irish philosopher is from an older generation, a relative lack of insight is perhaps unsurprising, but in dismissing the work in at times caustic terms, the reviewer perhaps missed its central thrust.

    Touch provides a compelling narrative on an intimate connection between healing and touch, pointing to a dominant tendency in Western medicine – writ large during the Covid-19 pandemic – to disregard the role of the healer, in favour of what Kearney calls a ‘model of outmanoeuvring and overcoming illness.(p.68)’

    That this view now appears risqué – in the face of coercive public health – demonstrates how the argument for the type of healing that Kearney points to is being lost.

    The flag of the World Health Organization, with a rod of Asclepius.

    Hippocratic v. Asklepion

    Kearney identifies two paradigmatic schools of medicine originating in Ancient Greece, one emanating from Chiron who taught his disciple Asclepius ‘the art of healing through touch’; and another from Hippocrates, ‘followed the way of Zeus, Chiron’s brother, who dwelt on Mount Olympus and promoted a method of optocentric supervision. (p.66)’

    Following a Hippocratic approach, the patient is viewed from a distance – objectified – before the prescribed remedy, or prophylactic, is applied to an undifferentiated ‘case.’

    In contrast:

    Chiron comes from the word kheir, meaning hand, or, more precisely, one skilled with the hands. The related term kheirourgos means surgeon. As healer, he accompanied the art of touch – often portrayed as laying on of hands and bodily massage – with medicinal plants from the earth, music, and sleep potions. (p.66)

    Asklepion healing is a two-way process that includes: ‘tactile acts of bathing, ritual massage, and the ingestion of curative herbs. (p.68)’ This sounds similar to so-called ‘alternative’ medicinal practices – dismissed as ‘unscientific’ by some doctors – and also encompasses much of the fading role of the general practitioner, where a physical presence before each distinct patient is generally considered important.

    This form of healing, however, is severely compromised by exhortations – backed up by unprecedented draconian laws – to ‘socially’ distance – which is surely an oxymoron.

    Kearney’s work points to profound damage that occurs when physical contact is lost, heightening a pre-existing epidemic of loneliness, which a report in 2014 found to have even worse effects on our health than obesity. The psychiatrist Iain McGilchrist goes so far as to argue that all medicine should be viewed ‘as a branch of psychiatry, and psychiatry as a branch of philosophy.’[i]

    Indeed, recognising a psychological origin to physical symptoms might explain our current impasse: transfixed by the challenge of a particular virus, seemingly to the exclusion of all else. This collective hysteria suggests widespread trauma, which may be the legacy of diminished physical contact in a digitally mediated age, accelerated by what Naomi Klein described as a ‘Screen New Deal,’ rolled out under cover of lockdown.

    It begs the question: what happens to society when we shrink in fear from the flesh, blood and microbes of one another? ‘Touch’, Kearney says, ‘serves as the indispensable agency of intercorporality – and by moral extension, empathy. (p.47)’

    The School of Athens by Raphael.

    Aristotelian Touchstone

    According to Kearney, Plato’s Academy held sight to be ‘the highest sense because it was deemed the most distant and mediated.’ In contrast, according to Kearney, Aristotle, ‘makes the startling claim that human perfection is the perfection of touch, (p.35)’ writing in Metaphysics (chapter 10, 105ib, 23-25):

    The being to whom logos has been given as his share is a tactile being, endowed with the finest tact.

    Kearney argues convincingly that in Western medicine the Aristotlean approach, drawing on Asklepion wisdom, has been drowned out by a Platonic, ‘heroic-Hippocratic model’, which ‘only tells half the story. (p.68-69)’

    In support of this thesis, in his history of the origins of the scientific discipline from the late eighteenth century, Richard Holmes has drawn attention to a delusional optimism wherein there emerged, ‘the dazzling idea of the solitary scientific ‘genius’, thirsting and reckless for knowledge, for its own sake and perhaps at any cost.’ This was the idea of a ‘Eureka’ moment: ‘the intuitive inspired instant of invention or discovery, for which no amount of preparation or preliminary analysis can really compare.’[ii]

    Arguably, blind faith in dazzling scientific genius distorted public health priorities in the era of COVID-19. Lockdowns were aimed at keeping the population ‘safe’ before the invention of a ‘miraculous’ vaccine. Many seemed to assume this would act as a panacea, allowing us to awaken from the nightmare of ongoing restrictions. But a cycle of anxiety endures with the arrival of each new variant, however mild the symptoms it produces, suggesting an underlying anxiety is itself the problem.

    in pursuit of a single-minded, Hippocratic “model of outmanoeuvring and overcoming illness”,  morbidity and mortality from COVID-19 was inadequately weighed against the health impacts of lockdowns. According to Ari R. Joffe, the response of Western nations threatens to make ‘and likely has already made, several Sustainable Development Goals for the most vulnerable among us in low-income countries out of reach.’ The same paper also argues the ‘destabilizing effects may lead to chaotic events (e.g., riots, wars, revolutions).’

    A van set on fire during the riots in Rotterdam on 26 January 2021.

    Merleau-Ponty

    Another philosopher Kearney cites is Maurice Merleau-Ponty who ‘took the novel step of applying the phenomenology of touch to the question of healing. (p.49)’ In response to increasing dependence on ‘optocentric’ remote diagnostics, it is worth revisiting passages Kearney quotes.

    Merleau-Ponty emphasises the importance of tactility in the treatment of psychiatric illness in particular:

    In treating (certain illnesses) psychological medicine does not act on the patient by making him know the origin of his illness: sometimes a touch of the hand puts a stop to the spasms and restores to the patient his speech.

    Moreover,

    The patient does not accept the meaning of his disturbance as revealed to him without the personal relationship formed with the doctor, or without the confidence and friendship felt towards him, and the change of existence resulting from this friendship. Neither symptom nor cure is worked out at the level of objective or positing consciousness, but below that level.

    He concludes with a revolutionary idea in the context of this pandemic, where the patient-doctor relationship is side-lined in favour of generalised prescriptions, addressing one particular disease:

    What this implies is that human symptoms cannot be explained by either biochemistry or intellectual volition alone – though both have their role. Ultimate healing involves an existential conversion of one body-subject in tactful communion with another. (p.49)

    Moreover, Kearney adds that ‘untimely withdrawal of touch may do worse psychic damage than outright hostility or anger. (p.102)’ He refers to the findings of the Austrian doctor René Spitz in 1945, concerning an orphanage, which prevented contact between children in order to reduce a risk of them being exposed to contagious diseases, while giving them excellent nutrition and medical care. Startling, thirty-seven percent of the infants died before reaching the age of two.

    Kearney also draws attention to epigenetic research demonstrating ‘key alterations in our bodies are made not just by toxins and biochemical stimulants but by the way we resonate with our fellow beings. (p.104)’

    Image: Daniele Idini (c)

    Responding to Covid

    Given Kearney completed the book just as the COVID-19 pandemic began, his observations are of a provisional nature.

    Nonetheless he makes a far-reaching claim that ‘In the first half of 2020, the virus went viral. Homo sapiens became Homo cybernens. (p.136)’ He assumes, however, an upbeat tone that now seems misplaced, saying ‘what we lost on the roundabout we won the swings’, recalling, how friends had received ‘unexpected messages from old friends and old flames (the “ex-factor”) wishing to “reconnect” at a time when physical travel and tactile contact was suddenly suspended. (p.134)’

    Almost two years into the pandemic another philosopher, Byung-Chul Han has a far less rosy assessment. Writing for The Nation he describes what he calls ‘The Tiredness Virus’ in the pandemic’s wake. A triumph of sight over touch has generated what Han describes as ‘Zoom narcissism’ such that a ‘digital mirror’ encourages ‘dysmorphia’ (an exaggerated concern with supposed flaws in one’s physical appearance).

    ‘Digital communication is a very one-sided, attenuated affair’ Han argues, ‘There is no gaze, no body. It lacks the physical presence of the other.’ Moreover, he fears this this form of communication will become the norm, recalling all that we have lost:

    The rituals we have been missing out on during the pandemic also imply physical experience. They represent forms of physical communication that create community and therefore bring happiness. Most of all, they lead us away from our egos … A physical aspect is also inherent in community as such. Digitalization weakens community cohesion insofar as it has a disembodying effect. The virus alienates us from the body.

    Prolonging Covid?

    Could an enforced absence of touch be linked to outright pathology in the context of COVID-19?

    In the U.K., on March 22nd, 2020 the Scientific Pandemic Insights Group on Behaviours, known as SPI-B., worried that ‘a substantial number of people still do not feel sufficiently personally threatened; it could be that they are reassured by the low death rate in their demographic group’; subsequently stating that: ‘the perceived level of personal threat needs to be increased among those who are complacent, using hard-hitting emotional messaging.’

    In response, Professor Robert Dingwell criticised ‘this very strong message which has effectively terrorised the population into believing that this is a disease that is going to kill you.’

    Is it possible that widespread conviction that a disease “is going to kill you” had unforeseen consequences in terms of adding to the burden of ‘Long Covid,’ or Covid ‘Long Haulers’ as it is referred to in the U.S.?

    Long Covid is a condition fitting within the general category of a post-viral syndrome, or post-viral fatigue, which is ‘a sense of tiredness and weakness that lingers after a person has fought off a viral infection.’ which ‘can arise even after common infections, such as the flu.’ Notably, prior to the pandemic there were up to 150,000 who were already affected by ‘extreme and disabling exhaustion,’ with no apparent origin in the U.K.. Yet virtually no attention was given to this condition until the pandemic.

    Moreover, in October, 2020 a leading advocates for sufferers, Professor Trish Greenhalgh clarified that Long Covid is only very rarely a long-term affliction: ‘The reviews we’ve done seem to suggest that whilst a tiny minority of people, perhaps one per cent of everyone who gets Covid-19, are still ill six months later, and whilst about a third of people aren’t better at three weeks, most people whose condition drags on are going to get better, slowly but steadily, between three weeks and three months.’

    Ordinarily, one would expect public health officials to downplay such a condition, given broad acceptance that psychological stress – including a lack of touch or loneliness – is a factor in the subjective evolution or pathogenesis of most diseases. Instead, Long Covid has been widely highlighted in the media, often as a warning to young people, who might otherwise be insufficiently scared of a virus highly unlikely to kill a person under the age of fifty.

    Frequent, graphic accounts, espeically via social media, may have had unintended consequences. Curiously, an informal survey of 450 people by Survivor Corps, a patient advocacy group for people with Long Covid, found that 171 said their condition improved after vaccination. That a vaccine would alleviate a post-viral syndrome is surely grounds for suspicion, hinting at a psychological origin to objective pain and suffering.

    Adam Gaffney, an assistant professor in medicine at Harvard Medical School, has argued for a more critical appraisal of Long Covid. Having expressed scepticism around a condition characterised by symptoms such as ‘brain fog’, he recalls being contacted by a journalist who said: ‘I’m asking as much as a person as a journalist because I’m more terrified of this syndrome than I am of death.’

    Gaffney acknowledges ‘myriad long-term effects, including physical and cognitive impairments, reduced lung function, mental health problems, and poorer quality of life’ from severe bouts of COVID-19, but cites a survey showing two-thirds of ‘long haulers’ had negative coronavirus antibody tests, and another, organised by self-identifying Long Covid patients indicating around two-thirds of those surveyed who had undergone blood testing reported negative results.

    He asserted: ‘it’s highly probable that some or many long-haulers who were never diagnosed using PCR testing in the acute phase and who also have negative antibody tests are “true negatives.” In other words, for many this may be a disease with a psychological origin, which Gaffney attributes to ‘skyrocketing levels of social anguish and mental emotional distress,’ referencing a paper showing that about half of people with depression also had unexplained physical symptoms.

    Getting Back in Touch

    Recovery from the trauma of the pandemic should lead to a reappraisal of public health priorities. It is apparent by now that no “miracle” cure is available, decisively “outmanoeuvring and overcoming” COVID-19, and that lockdown measures, including pysch-ops instilling fear, have left deep wounds.

    Works such as Kearney’s remind us of the importance of healing touch, inspired by Asclepius, which should be accorded equal importance to the Hippocratic inheritance. Now, with an ever-increasing burden of morbidity in society, particularly a veritable epidemic of mental ill-health, a paradigm shift is required.

    However, Bessel Van Der Kolk describes in a recent work quoted by Kearney how mainstream medicine ‘is firmly committed to a better life through chemistry, and the fact that we can actually change our own physiology and inner equilibrium by means other than drugs, [that is] by such basic activities as breathing moving and touching … is rarely considered.’[iii]

    For any shift to occur it will be necessary to confront the entrenched financial interests of the pharmaceutical industry that profits from the current model. A revealing question was posed at a medical conference in 2018 by a Goldman Sachs executive: ‘Is curing patients a sustainable business model?’

    This issue could become one of the most important political questions of our time, and may lead to political realignments in the wake of a pandemic that has changed our lives.

    Featured Image: A member of the Peruvian Army with a police dog enforcing curfew on 31 March 2020.

    [i] Iain McGilchrist, The Master and His Emissary: The Divided Brain and the Making of the Western World, Yale University Press, New Haven/

    [ii] Richard Holmes, The Age of Wonder: How the Romantic Generation Discovered the Beauty and Terror of Science (London, 2008) p. xvii

    [iii] Bessel Van Der Kolk, The Body Keeps the Score, New York, Penguin, 2015, p.38.

  • Covid-19: Questioning the Three Mantras

    The three mantra for this pandemic in Ireland are: wash your hands; socially distance; and wear a mask. Stated repetitively with suitable gravitas the guidelines have been internalised by most of the population. Fears around the spread of the ‘deadly’ virus are even driving people to police one another. The valley of the squinting windows is alive and well.

    But what are the inherent costs to these three injunctions? And why shouldn’t we keep measures in place when this pandemic abates, as has recently been argued?

    Throughout this pandemic we have witnessed very little meaningful scientific debate in Ireland. Irish experts are drawn from a small circle of academics, some with vested interests, supporting the government’s highly successful publicity campaign. In other countries, in contrast, there are heated public debates between scientists as to whether to adopt a dominant approach of blanket policies, or one of shielding elderly populations.

    But in Ireland Nobel laureates and professors from prestigious universities around the world are routinely dismissed with smart quips by gullible journalists. But let us examine the three mantras in a dispassionate way that acknowledges each of their adverse impacts.

    Wash Your Hands

    The first injunction to ‘wash your hands’ is sound advice, which unless you are living on another planet you will be aware of by now. Do we always follow this injunction? Probably not. Are we all dying of ghastly flesh eating infections or coughing up great globules of blood stained mucus? No we are not. Why? Because very few of the billions of micro-organisms with which we share our bodies are actually pathogenic.

    We have existed as a species for approximately a quarter of a million years, and as part of the great evolutionary flow of life for over four and half billion years. In that time adaptation to adversity has been the rule; hence homo sapiens is now thriving, sadly often to the detriment of the rest of the natural world.

    In the advanced economies at least, most of us are now almost invincible until old age. Thus, over the past two hundred years improved nutrition, housing and sanitation have brought life expectancy up to almost eighty years in many countries.

    Medical science, including antibiotics and vaccines, has contributed to this longevity, but not to the extent some of us doctors would have you believe. The authors of The Changing Body: Health, Nutrition and Human Development in the Western World since 1700 (Floud et al., Cambridge, 2011) state:

    it would be easy to exaggerate the importance of scientific medicine when one considers that much of the decline in the mortality associated with infectious diseases predated the introduction of effective medical measures to deal with it

    So yes washing your hands regularly is a good idea. Soap and water should be the principle means, not the bactericidal or viricidal gels we now find on entering every shop or building, some of which are to be avoided – especially the 52 sanitation products the Department of Education has told schools to refrain from using.

    Our skin harbours myriad micro-organisms – that form a part of the human microbiome – all vying for space to live, raise a family and grow old peacefully in a quiet stable neighbourhood. They generally live harmoniously with us in what is referred to as a state of homeostatic balance.

    What happens when we kill off all the good micro-organisms, repeatedly, just in case there is a bad micro-organism on our skin? First, these agents damage our skin’s protective oil barrier, and kill micro-organisms with which we live symbiotically, contributing to our health and wellbeing.

    These ‘good’ bacteria and other microorganisms are easily replaced by ones that are resistant to the effects of the gels, and who can then run amok when given the chance.

    Prior to this pandemic, excessive hygiene measures against infections has given rise to the hygiene hypothesis, according to which ‘the decreasing incidence of infections in western countries and more recently in developing countries is at the origin of the increasing incidence of both autoimmune and allergic diseases.’ So let us be on our guard against excessive hygiene.

    “Social” Distancing

    Hannah Arendt in 1933.

    The second part of the mantra and perhaps the most dystopian is the injunction to distance ourselves socially. It recalls Hannah Arendt’s warning in The Origins of Totalitarianism (1951) that ‘The evidence of Hitler’s as well as Stalin’s dictatorship points clearly to the fact that isolation of atomized individuals provides not only the mass basis for totalitarian rule, but is carried through to the top of the whole structure.’

    This “safe” distance is anywhere from the depth of the average grave – two metres – to imprisoning ourselves in our homes and limiting the number of fellow humans we allow to enter that space, which is no one from another household under current ‘Level 5’ Irish regulations; or previously an arbitrary number such as six, a figure no doubt chosen after repeatedly employing the reading of the runes technique.

    Not seeing anyone at all would be ideal, but the illuminati could not depend on the imbecilic general public abiding by their lofty standards, or reverting to having sex online to limit the spread of the virus, and so some meagre concessions have been made to human frailty, with the advent of support bubbles.

    Yet social isolation is a potential pathway to madness and a lonely death. We are social creatures and in solitary confinement few can flourish. A Screen New Deal is a recipe for Surveillance Capitalism, and enrichment of the billionaire class. Human touch brings emotional balance and better health.

    A person may be technically alive but is he or she really living without conversing directly with others, dancing, or otherwise demonstrating his love and empathy? We are not avatars in a complex, visually stunning computer game. We are connected physical beings. Those connections extend back into the past, embrace the present, and reach forward into an unknown future.

    It is impossible to tell whether the shocking spate of domestic homicides and suicides that occurred in the last week of October in Ireland, just as stricter measures were introduced, are the product of isolation, but the UN has described the worldwide increase in domestic abuse as a ‘shadow pandemic’ alongside Covid-19.

    Irish incidents include a murder-suicide in Cork involving a father and two sons; the apparent murder of a mother and her two children in Dublin; and the death by suicide of a Dublin nurse along with the death of her young baby through asphyxiation.

    Moving forward, we just have no idea what effect the injunction to “socially” distance – and the attendant loss of touch will have on us – a very tactile people.

    Recall that in shaking hands we make character judgements based on grip and duration; we embrace and kiss those we love with warmth and energy, and those we like with fleeting touching cheeks; we cup the faces of babies and ruffle the hair of cute children – especially if they possess more than us.

    We are now ordered to stop doing all of that, but for how long? Is there any evidence to suggest ‘the virus’ passes from one healthy person to another when we hug? Hasn’t common sense always dictated that we avoid hugging when we are under the weather?

    In this precarious age, however, it is necessary to assume we are guilty of being ‘asymptomatic’ into what seems like an interminable future, and either hug with extreme caution, or not at all. I fear these tactile behaviours will disappear altogether given Covid-19 is very unlikely to vanish.

    Mandatory Masks

    The third and final of the government’s mantras is perhaps the most pernicious: the mandating of masks. It has infantilised the population and turned people into part-time police officers.

    We’ve heard Irish and other experts overturn forty years of science, allowing celebrity doctors to demonstrate to the Irish public, with a cheeky Charlie smile, that masks will prevent contagions. In fact, the only masks that offer real protection are N95 masks or similar respirators. The popular cloth masks are of little more than symbolic value in preventing contagion.

    Instructively, in Norway, which has had among the lowest incidence of Covid-19 in Europe, but where case numbers have increased in recent weeks, the latest national measures do not include a requirement to wear masks in public, although this option is left open to municipal authorities in the event of high infection levels.

    Yet in Ireland journalists and ‘social influencers’ have accepted as self-evident that masks are a form of panacea; failing to recongise that approach is not backed by experimental data, and is in fact the lowest form of evidence.

    Now armed with the received wisdom – mumbling ‘I follow the science’ – righteous members of the public are on the lookout for slackers, and woe betide anyone not wearing a mask when shopping or travelling on public transport; it has reached a point of such absurdity that some even wear them while alone in their cars.

    But you might ask: what is the cost apart from mild to medium, or even extreme, discomfort, depending on how long it has to be worn? And as most of us don’t have to wear them other than when we enter shops then what of it?

    Masks hide our faces so that we have difficulty recognising and communicating with each other. Indeed, our brains have evolved to recognise faces. We see faces in clouds, bushes and cracked tiling, a phenomena called pareidolia. I have yet to hear of such an occurrence where the face is obscured by a mask.

    Pareidolia

    Our face has a remarkable forty-two muscles and is the site from which we deliver most of our body language. Ask a mother of a new born to stare at her child without changing her facial expression for more than a few moments and the baby will become distressed and cry. This is how hardwired our need is to read faces.

    Facial coverings – called surgical masks for good reason – are useful in clinical settings to prevent bacteria, hair, skin cells and mucus from falling into open wounds, but hardly when worn by unruly schoolchildren in class. The best reason to wear one now is simply to make people comfortable who believe they confer protection.

    Asians, have worn masks for various cultural and environmental reasons, including non-medical ones, for decades. In Japan people who feel ‘under the weather’ wear them to be polite.

    But there is no reliable scientific evidence to support widespread use, as Professor Carl Heneghan of Oxford University pointed out to the Dáil Committee on Covid-19 Response. There have only been three registered trials on the use of masks in the community: one in Denmark, one in Guinea Bissau and one in India – but none have reported outcomes so far.

    Now let us for a moment indulge in that age old technique of the thought experiment. Viruses are measured in nanometres. If we looked at the material from which most of these facial coverings are made under an electron microscope we would see more holes than material.

    A virus leaving your mouth, journeying out into the big bad world, is like a football passing through your front door. The football could hit the door frame and bounce back, but this is unlikely. The pseudo-scientific argument is that the virus travels first class in a large globule of spit and this globule gets jammed in the doorway, “proving” the efficacy of masks.

    Ahh, but wait a minute, mask are often worn for hours by kids and cashiers in shops, so what about all the other graduating viruses and their globular carriages? I doubt they are all just clinging for dear life on to the mask for fear of upsetting the Irish expert.

    Instead the globule eventually evaporates, after all it is mostly water vapour, the front of the mask dries and the viruses, being virtually weightless, just waft off on their merciless way.

    Other Approaches

    Now when I hear the mantra ‘wash your hands, social distance and wear a mask,’ I consider: are we running the risk of undermining our society to preserve some cherished scientific authority? We are supposed to be entering the second wave of a pandemic, yet while hospitals in countries such as Italy are under severe pressure – as was the case last February – few Europeans countries are now showing excess deaths. Yet the doomsday models that were wildly inaccurate last time around are being revisited.

    Excess mortality in Europe source since 2017: https://www.euromomo.eu/graphs-and-maps/#excess-mortality

    Shouldn’t our health authorities, especially in Ireland – which has had among the most stringent measures in the world throughout the pandemic – also be conscious of maintaining our humanity, and recognising the huge value – in terms of our health and wellbeing – of being able to gather, kiss, hug, talk, sing and laugh with abandon, without fear of breaking the law? We especially need to explain to our children that the world they currently live through is not going in a normal phase.

    In preventing infections with a respiratory disease such as Covid-19, we might look back on what the great American polymath and Founding Father Benjamin Franklin once observed:

    From many years’ observations on myself and others, I am persuaded we are on a wrong scent in supposing moist or cold air, the cause of that disorder we call a cold. Some unknown quality in the air may perhaps produce colds, as in the influenza, but generally, I apprehend they are the effect of too full living in proportion to our exercise.

    Franklin observed  a connection between succumbing to an infectious disease and poor dietary choices (“too full living”) and a lack of physical exercise that contributes to obesity, which we know significantly increases the likelihood of death from Covid-19.

    He also had the following to say on the benefits of being outside into the fresh air:

    I hope that after, having discovered the benefit of fresh and cool air applied to the sick, people will begin to suspect that possibly it may do no harm to the well. I have long been satisfied from observation, that besides the general colds now termed influenza (which may possibly spread by contagion, as well as by a particular quality of the air), people often catch cold from one another when shut up together in close rooms, coaches, et cetera, and when sitting near and conversing so as to breathe in each other’s transpiration, the disorder being in a certain state.

    During this pandemic, and moving forward, we should thus be addressing a pre-existing obesity pandemic that is being exacerbated by some of the current restrictions on sports especially. Franklin also seemed to have recognised the importance of adequate ventilation in buildings.

    Image (c) Daniele Idini

    Thus addressing the underlying conditions exacerbating the Covid-19 pandemic may prove to be the optimum response, as the editor of The Lancet Richard Horton has argued:

    we must confront the fact that we are taking a far too narrow approach to managing this outbreak of a new coronavirus. We have viewed the cause of this crisis as an infectious disease. All of our interventions have focused on cutting lines of viral transmission, thereby controlling the spread of the pathogen. The “science” that has guided governments has been driven mostly by epidemic modellers and infectious disease specialists, who understandably frame the present health emergency in centuries-old terms of plague. But what we have learned so far tells us that the story of COVID-19 is not so simple. Two categories of disease are interacting within specific populations—infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and an array of non-communicable diseases (NCDs). These conditions are clustering within social groups according to patterns of inequality deeply embedded in our societies. The aggregation of these diseases on a background of social and economic disparity exacerbates the adverse effects of each separate disease. COVID-19 is not a pandemic. It is a syndemic. The syndemic nature of the threat we face means that a more nuanced approach is needed if we are to protect the health of our communities.