CDC

Framing the Ebola epidemic

“CDC estimates Ebola epidemic could be over in Liberia and Sierra Leone by January!”

So ran the headline of exactly no news outlets.  Instead, a typical headline ran the following sort of dire prediction: “Ebola cases could reach 1.4 million within four months, CDC estimates.”  Only a few went with what is arguably the fairest sort of headline: “CDC offers sharply differing forecasts for Ebola epidemic.”  I would suggest that, while on its face the more dire headline is somewhat deceptive and driven by bad journalistic practices, it is all things considered preferable to the alternatives.   Continue reading

US Congress shutsdown CDC, also other unimportant agencies

So the US government is likely being shutdown, which will suspend the work of many government agencies, including the Center for Disease Control (CDC). But, fair citizens, I reassure you – in its wisdom, the US Congress has decided that the military’s salaries will be excluded from the shutdown.

With all due respect to military personnel, this is ludicrous. The US military is by far the world’s largest, there is little likelihood of any major war (the last great power war was in 1953), and no sign of minor wars starting, either. Suspended salaries may be bad for morale and long term retention, but they aren’t going to compromise US military power.

Contrast with the CDC’s work. The world’s deadliest war was the second world war, with 60 million dead, over a period of years (other wars get nowhere close to this). The Spanish flu killed 50-100 million on its own, in a single year. Smallpox couldn’t match that yearly rate, but did polish off 300-500 million of us during the 20th century. Bog standard flu kills between a quarter and a half million every year, and if we wanted to go back further, the Black Death wiped out at least a third of the population of Europe. And let’s not forget HIV with its 30 million deaths to date.

No need to belabour the point… Actually there is: infectious diseases are the greatest killers in human history, bar none. If any point needs belabouring, that’s one. And a shutdown would have an immediate negative impact on public health: for instance, the CDC would halt its influenza monitoring program. Now, of course, this year’s flu may not turn out to be pandemic – we can but hope, because that’s all we can do now! And if we have another SARS starting somewhere in the United States, it will be a real disaster.

We’re closing our eyes and hoping that the greatest killer in human history will be considerate enough to not strike while we sort out our politics.

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