“Disease is an outcome.” Wildlife biologist Milt Friend said that to me years ago when I was working on a story about the emergence of a frightening new virus just beginning to sweep across the country: West Nile. Friend had helped found the National Wildlife Health Center (a sort of CDC for critters), which was handling crow necropsies. After rattling off a disturbingly long list of wildlife die-offs from the last 30 years, he stopped, looked me in the eye and with a determined passion born of heartbreak said those four words. He had seen more than his share of ducks dropping dead — by the millions — from duck plague, and frogs with way too many legs, and “Mad Deer,” wobbling around with a version of the same ailment that causes Mad Cow. These were not random natural phenomena, but disasters aided and abetted by human action. Disease is an outcome.
Those words were ringing in my ears when the first reports of the Mexican swine flu outbreak began trickling in few days ago. Dozens of young, otherwise healthy men were dying. Was this an encore of the infamous 1918 pandemic? Another SARS? Patients killed by their own overzealous immune systems (“cytokine storms”)? Or poor patients who came to the hospital too late to be saved? Then came lab reports of an unusually cosmopolitan swine/avian/human virus, with genetic links to two continents. This sort of thing doesn’t just happen. An awful lot of things have to happen first to make it possible.
Those words were ringing in my ears when the first reports of the Mexican swine flu outbreak began trickling in few days ago. Dozens of young, otherwise healthy men were dying. Was this an encore of the infamous 1918 pandemic? Another SARS? Patients killed by their own overzealous immune systems (“cytokine storms”)? Or poor patients who came to the hospital too late to be saved? Then came lab reports of an unusually cosmopolitan swine/avian/human virus, with genetic links to two continents. This sort of thing doesn’t just happen. An awful lot of things have to happen first to make it possible.
