One headline last week suggested that future pandemics are "a bigger threat than nukes." Hence, my allusion to T. S. Eliot's poem The Hollow Men in my title. Pandemics may or may not be a bigger threat than nuclear war, but the assertion highlights the increasing concern some of those in the medical community have regarding ongoing failed policies in addressing COVID even as a summer surge of cases hits the United States. Our own response and behavior is not only sustaining COVID infections, but also setting the stage for new pandemics.
For example, concern remains that the ongoing "bird flu" infections of cattle will lead to variants capable of being spread human-to-human. It's worth reiterating that since 2003 half of the 889 people worldwide known to have contracted the virus called H5N1 have died.
While what is called the case fatality rate for COVID is notoriously difficult to estimate—because so many cases have gone unreported—one estimate puts it at 0.7 percent. That means the rate for the small number of bird flu cases in humans is more than 71 times higher than COVID. And, yet there seems to be little effort in the United States to check the spread of bird flu among cattle, let alone poultry. Some 99 million chickens and turkey have been infected since a new "highly pathogenic strain" appeared in early 2022. These developments seem like they should be "hair on fire" events given the potential seriousness of the outcome. Finland is so far the only country to offer bird flu vaccinations for people, in this case, those who work with potentially infected animals.