#Cholera (Ship)
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unanchored-ship · 5 months ago
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Cholera the blue one and typhoid
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omg thanks for feeding me these designs...
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c0l0rsp1k3 · 1 month ago
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Ship names for things i ship both as jokes or not or whatevs which is which is up to you to decide
BacterioPhage - Nano/Hal x Colossus
Arrhythmia - Nano/Hal x Jestar
AquaPhage/Cholera - Nano/Hal x Siren
ÒwÓ - Nowo x Kitcat
Chimera - Puffer x Medusa
Tis all
UNTILL NEXT TIME PROJECT ARRHYTHMIA COMMUNITY
MwuahAHAHAHAHAHA
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ulkaralakbarova · 4 months ago
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In Colombia just after the Great War, an old man falls from a ladder; dying, he professes great love for his wife. After the funeral, a man calls on the widow – she dismisses him angrily. Flash back more than 50 years to the day Florentino Ariza, a telegraph boy, falls in love with Fermina Daza, the daughter of a mule trader. Credits: TheMovieDb. Film Cast: Florentino Ariza: Javier Bardem junger Florentino: Unax Ugalde Juvenal Urbino: Benjamin Bratt Hildebranda Sanchez: Catalina Sandino Moreno Don Leo: Hector Elizondo Lotario Thurgot: Liev Schreiber Transito Ariza: Fernanda Montenegro Sara Noriega: Laura Harring Lorenzo Daza: John Leguizamo Olympia Zuleta: Ana Claudia Talancón Escolastica: Alicia Borrachero America Vicuna: Marcela Mar Junge Witwe: Angie Cepeda Fermina Daza: Giovanna Mezzogiorno Rosalba: Rubria Negrao capitán samaritano: Andrés Parra Diego: Horacio Tavera Alcalde de la ciudad: Salvatore Basile Institutriz: Margalida Castro Gran dama hija: Carolina Cuervo gran dama: Patricia Castañeda Doña Blanca: Alejandra Borrero Mujer Atractiva: Paola Turbay Mujer Atractiva: Noëlle Schonwald Ricardo Faro: Jhon Álex Toro dulce vendedor: Julián Díaz Doliente: Carlos Duplat Sanjuan Ofelia Urbino – 40’s: catalina botero puta lotario: Denis Mercado Moreno Madre superior: Dora Cadavid …: Indhira Serrano Film Crew: Director of Photography: Affonso Beato Screenplay: Ronald Harwood Editor: Mick Audsley Executive Producer: Michael Nozik Executive Producer: Robin Greenspun Costume Design: Marit Allen Executive Producer: Chris Law Director: Mike Newell Executive Producer: Scott LaStaiti Original Music Composer: Antonio Pinto Novel: Gabriel García Márquez Executive Producer: Andrew Molasky Executive Producer: Danny Greenspun Executive Producer: Dylan Russell Producer: Scott Steindorff Executive Producer: Michael Roban Production Design: Wolf Kroeger Art Direction: Roberto Bonelli Art Direction: John King Art Direction: Paul Kirby Art Direction: Jonathan McKinstry Set Decoration: Elli Griff Supervising Sound Editor: Mark Auguste Sound Re-Recording Mixer: Simon H. Jones Sound Re-Recording Mixer: Mark Paterson Sound Re-Recording Mixer: Mike Prestwood Smith Sound Effects Editor: Jack Whittaker Dialogue Editor: Paul Apted Foley Artist: Peter Burgis Foley Artist: Andie Derrick Foley Mixer: Ed Colyer ADR Mixer: Mark DeSimone ADR Editor: Howard Halsall Foley Editor: Derek Trigg Dialogue Editor: Sam Auguste Casting: Susie Figgis Hairstylist: Diana Isabel Agudelo Hairstylist: Edith I. Amezcua Hairstylist: Isabel Amezcua Makeup Artist: Ann Buchanan Hairstylist: Aurora Gambelli Makeup Department Head: John E. Jackson Hairstylist: Maribel Romo Makeup Artist: Henry Vargas Wigmaker: Victoria Wood Wigmaker: Lynne Watson Co-Producer: Brantley Dunaway Movie Reviews:
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bookishbrigitta · 9 months ago
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dathen · 1 year ago
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We’re so used to the sexual reading of the entire book of Dracula, which takes the sensuality of the early chapters and jams everything that follows it into the same metaphor no matter how poorly it fits, but I feel the segment we’re approaching works much better with a lens of chronic illness and disease.
Vampire legends are inextricably intertwined with disease. Many of them are said to have been birthed by burying victims of disease too soon, who later seem to rise from the dead. But what’s more is that Stoker and his family have deep-seated trauma over disease: his mother had to flee her hometown at the age of 14 because of a horrific cholera epidemic, and Stoker himself was bedridden as a child from an illness that no one could identify.
Found this quote from Irish Historian Mary McGarry:
Bram as an adult asked his mother to write down her memories of the epidemic for him, and he supplemented this using his own historic research of Sligo’s epidemic. Scratching beneath the surface (of this essay), I found parallels with Dracula. [For instance,] Charlotte says cholera enters port towns having traveled by ship, and can travel overland as a mist—just like Dracula, who infects people with his unknown contagion.
I bring this up because a lot of academic analysis insists that Lucy sleepwalking is proof of her being the Slutty Woman archetype that needs to be punished. This suggested symbolism is hilarious when put next to the text saying she inherited it from her father, but I’d like to suggest a different angle from the lens of disease suggested earlier:
Lucy’s sleepwalking is a condition that predates Dracula but makes her an easy target for him to prey on. Through the lens of disease symbolism, she now is someone with chronic illness or disability who is especially vulnerable to infectious disease. This becomes a cross-section of Stoker’s trauma regarding disease: his own mystery illness and his mother fleeing a plague.
To wind down my rambles with a bit of a soapbox, I feel this adds a very poignant layer to the struggle to keep Lucy alive. The COVID pandemic showed a horrifying level of casual ableism vs disabled and immunodeficient individuals, shrugging off their vulnerability and even their deaths with “well COVID only kills them.” There’s something deeply gratifying at seeing the way everyone around Lucy fights to the bitter end to protect her and refuses to just give her up to Dracula, whether it’s Mina physically chasing him away or the suitor squad pouring their blood into her veins or Van Helsing desperately searching for cures. The vulnerable deserve no less than this. They’re not acceptable casualties.
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wonderjanga · 4 days ago
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Warfare
You see, Marvel’s mentioned the Wisdom of Solomon before. The JL never really thought much about it. As a result, the JL just thinks Marvel has all these… interesting ideas but just never says anything about them. Though, there are a couple times the ideas are actually voiced. (They don’t know Billy is just parroting whatever Solomon or occasionally another God with tell him)
Like the time Batman and Marvel got stranded on a planet that was stuck in the middle of war. They were promised
Rebel Leader: “Do either of you have any ideas to bring to the table?”
Batman: “No. Marvel?”
Marvel: “Huh? Oh uh… well I could magic a plague into the water near them. You said they’re using it for their water source, right? Then, when they’re weak, we can go around and take them out.” *sounds hesitant*
Batman: “Hmm… That could be a good idea, but what sort of plague are we talking about?”
Marvel: “Cholera.”
Batman: “What.”
Marvel: “Cholera.”
Batman: “Marvel, that’s fatal.”
Marvel: “Oh.”
Batman: “Yeah.”
*silence*
Marvel: “Well, if we’re quick, it we can get to them before they die.”
Batman: *stares for a bit, holding back a sigh* “We don’t even know if Cholera will affect their biology the same way it does humans.”
Rebel Leader: “What is this Cholera?”
Batman: “It’s a deadly waterborne disease.”
Rebel Leader: “I see… And you’re unsure whether it will work with our physiology… might I propose a different disease?”
So yes, biological warfare, that’s our first thing. Batman proceeded to spend a lot of time convincing the Rebel Leader not to nearly kill an entire group of people with their version of Cholera.
Then there was the time Bruce and Marvel were working together and got held up in a shootout at a lab.
Marvel: *looking at the various chemicals in the lab* “Gosh, I remember my first exposure to chlorine gas.” *getting nostalgic* (He’s from the 1940s in this one, guys)
Batman: “You’ve been exposed to chlorine gas?”
Marvel: “Yeah, and let me tell you, those dang Nazis were horrified when it didn’t work on me. Don’t worry though, we’re gonna be making mustard gas instead.”
Batman: “Captain, we are not doing that.”
Marvel: “Why? We have all the available ingredients.”
Batman: “Marvel.” *puts a hand on his shoulder* “Mustard gas can be fatal.”
Marvel: “Oh.”
Batman: “Yeah.”
*silence*
Marvel: “My bad.”
*more silence*
Batman: “Is this why you always let others plan?”
Marvel: “Are you gonna look at me weird if I say yes?”
Batman: “Hn.” (Translation: Yes, but it won’t be visible through my cowl)
This incident checks chemical warfare off the list. Bruce is now concerned as to why most of Marvel’s ideas are either nearly fatal or just fatal.
Then there was the time Marvel went undercover with Bruce Wayne, not Batman for whatever reason. They then got attacked by pirates while on a ship trying to gather information about some supervillain.
Bruce and Marvel: *taken cover under a table while the pirates fire cannon balls at them*
Bruce: “Any ideas?” *peaks over the cover only for a cannonball to whiz right past his head*
Marvel: “I think I have one. So here’s what I’m thinking. I take out their mast, steal all their oars, and then push them out to sea and let them drift wherever.
Bruce: “That’s… Intense. Wouldn’t they starve if you just let them drift?”
Marvel: “I guess. If they’re not saved, I mean.”
Bruce: *stares with the most deadpan face* “How about I come up with a plan instead?”
Marvel: “You got it boss.”
And last but not least, the physical warfare.
By the way, Billy doesn’t know Bruce is the Bat. No, no, no, he just thinks the guy is someone Batman wants him to work with. He was a little surprised to see the dude act all brooding like Mr. Batman when he had heard from others that he was a party boy. Oh well, not his business. Meanwhile, Bruce doesn’t know Marvel thinks he’s just interacting with a capable civilian.
That last part was inspired by @helps-the-writing-brain-go’s reblog of this post. Thanks for letting me write with your idea :)
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lilianade-comics · 2 days ago
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Stolen Sanguine's Storyline
@taptrial2 requested information about my Danny Phantom vampire AU, Stolen Sanguine. I previously made a post about the AU's world-building. This post will summarize the story as far as I've developed it.
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*Vlad begins the relevant history of this AU as a vampire, and the details of his turning are not important as they are not the inciting incident of his revenge plot.
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THE PAST.
A little over thirteen years ago, Vlad was a rich, powerful vampire living the typical vampiric lifestyle with the added bonus of some mad science human/vampire experimentation on the side. But after years of living like that, he realized it wasn't satisfying him and there was something very big and important missing from his existence. Under the weight of crushing loneliness, and knowing it's supposed to be against vampiric nature to form real connections, Vlad decides to run an experiment: Is it possible for him, a vampire, to form a real relationship with a human and never introduce blood consumption to the dynamic? Is it possible for him to experience genuine love?
Enter Jack and Maddie. Maddie was about six months pregnant at the time, and the story she tells Vlad is that her husband was a merchant whose ship sank recently. Jack is in the role of her servant. They quickly form a friendship with Vlad and in Maddie's case, she allows Vlad to believe he's wooing her. They run the long game on Vlad, waiting for the perfect moment to strike, and that moment comes a few months after Maddie's twins are born. Jack and Maddie, vampire hunting husband and wife, turn on Vlad and attempt to slay him, citing his many, many crimes against humanity and evil, blood consuming nature as the reason he's a fool to think they ever cared about him at all.
Vlad escapes Jack and Maddie because his castle is full of secret passageways, but he's suffering a nasty facial wound from a stake and reeling from the betrayal. He watches from a distance as they burn his home down and destroy his immortal life's work, and bitter hatred takes root in his black heart because he actually had hope his experiment was working. That he could love and be loved and finally feel satisfied...
Immediate revenge is the only option. Maddie gave all number of excuses why she wouldn't let Vlad meet her infant (the cholera outbreak in the area is too dangerous) in a thin attempt to protect them should the plan go awry, but she didn't realize Vlad's powers far extend the norm. With a trace of Jack's blood on one hand and Maddie's on the other, Vlad can taste both and have an approximate idea of where their offspring resides, so he sets off to destroy Jack and Maddie's world.
Jack and Maddie would never have expected Vlad to find their little traveling murder wagon, so it's relatively undefended save the ridiculous amount of anti-vampire measures, half of which are useless and the other half pose no more than a slight inconvenience. The biggest obstacle is the fact that Vlad can't enter the dwelling uninvited and keep his powers, but he's beyond caring at this point and he meets no opposition from the cowering caretaker tasked with minding the treacherous leeches's spawn.
He wasn't expecting two babies, and after forcing entry Vlad is feeling more fatigued, vulnerable, in pain, and anxious than he anticipated, so he makes the hasty choice to take one and leave the other. Had he been more decisive, he probably would have done something far more grisly, but this choice sealed the fate of both children for better or for worse. Vlad flees the Fenton's traveling home with his stolen prize and vanishes into the beyond, never to be found.
(Jack and Maddie return some time later, exhausted and emotionally spent from hours of trying and failing to find their prey. To say that day went from bad to worse for them is an understatement. They continue to search for Vlad and their daughter for weeks, but the day they find a blood soaked baby blanket in the woods is the day they lose all hope.)
Vlad's retreat from his pursuers was stressful and made more difficult due to the fact that he was injured from the attempted slaying and powerless from forcing entry, but fortunately for him the tiny object of his revenge will conveniently provide the blood needed for his expedient recovery. Vlad has never eaten a child before--the thought is somewhat distasteful to him, but he puts this discomfort aside in the face of his hunger and seething, furious need to hurt Jack and Maddie.
It's funny, then, how when he removes the infant from its blanket and looks into its blue eyes and observes its little fisted hands and feet, holding it aloft and away from his body like the sacrifice it's supposed to be, Vlad hesitates. In those best days with Jack and Maddie, he could have sworn his experiment was working. That if they had never tried to kill him, Vlad could have seen fully past his desire for blood and simply be their friend, no strings attached. That he could have fully loved them. That they could fully love him. It was they who had ruined everything, they who were the monsters, not him. Vampires could love, if they chose to. He just needed to find someone without prejudice, someone without hate...
Danielle's life was spared that day. As she grows up far, far away from her birthplace, Vlad ensures she knows what he wants her to know: That he, a vampire, adopted her after her evil parents used her as bait in an attempt to kill him. It's not the unedited truth, of course. But it's true enough. What's even more true is that Danielle loves him wholeheartedly, and Vlad, in his own disturbed way, loves her too. He shields her from the darkness of his world and does everything in his considerable power to keep her happy, healthy, and safe. He's not lying when he claims he's never bitten her. She's his daughter, a word that isn't in the average vampire's vocabulary. It's the sweetest revenge imaginable: the child of vampire hunters, now the child of a vampire.
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PRESENT DAY.
Danny is turned inside his own home. It was a freak accident, and he wasn't even bitten. All it takes is one little scratch and a tiny drop of venom; and he wakes up the following night with a craving for the unimaginable. Brought up to believe vampires are the most evil creatures alive and terrified of what he might do to his parents, he flees home and camps out at the Foley farm, where Tucker sneaks him livestock just to keep him alive.
Jack and Maddie were going to let Danny apprentice at an astronomer's guild in the near future, so Danny leaves them a note to tell them he was so excited about it he left early. The truth is too terrifying to admit, and he knows they're too caught up in the hunt for the vampire that got away from them thirteen years ago to question it. They kept saying they were close; which means Danny is free to...do what, exactly?
He has nowhere to go. Tucker can't hide him forever, and as much as Sam pretends that she's a witch she can't undo his curse. And Danny feels that hunger still, that hunger driving him to hurt his closest friends. So he leaves them too, fearing their safety.
He travels for a bit by night, subsisting off animals and avoiding people as much as he can. He has some close calls: a white-clad vampire slaying cult nearly catches him after he gets a little too bold going after livestock, and even though Danny knows he needs to avoid people, he can't help but take advantage of his newfound immortality and help people who need it. A victim of highway robbery here, a stuck wagon there. One freezing cold river and one rescued swimmer later and Danny discovers that he's exceptionally pathetic for a vampire; he can't die by hypothermia or drowning, but he lacks the resistance and recovery speed these monsters are supposed to have. He spends hours staring at the stars, hoping no one finds him like this, and all he can think about is blood.
It's at one rural village miles away that he hears whispers that he's officially in vampire territory. He's passingly familiar with these concepts: vampires aren't typically nomadic and usually reside in one or two locations, amassing enough power and wealth and political or economic influence so as to be untouchable, and presiding over a handful of villages or even a city that don't dare to oppose them. This particular area apparently has a relatively high concentration of vampires, which normally would have him going the other direction. But one name stands out from the rest, one name gives him pause. Vlad Masters, or Plasmius as he is colloquially known underground. The one who escaped from his parents, all those years ago. The one who killed his baby twin sister.
Curiosity is only a fraction of what drives Danny into Vlad's domain. Is it anger? A sense of vengeance for a sister he never had the chance to know? Misguided heroic principles telling him to save the poor people in Vlad's village? Or something far more complicated, the need to look at another vampire and compare himself--to understand---what he is. What he might become. Either way Danny finds himself readying a wooden stake on the way to the manor and realizing he might be more like his parents than he's willing to admit.
It's midday when Danny arrives. He long ago picked up a heavy cloak to shield him from the sun, and he figures that Vlad is more likely to be inactive and less powerful when it isn't night. And since Danny has never drank human blood, he has no powers to lose when he enters the manor uninvited. He doesn't know what he's looking for. A murder dungeon, probably. Body parts strewn everywhere. Blood smeared on the walls. Evidence of a terrifying vampiric mad scientist's crimes. Not prim little houseplants and stacks and stacks of gaudy decorations. Unfortunately for him, Vlad has been functionally diurnal for years at this point, and Danny doesn't notice he's been snuck up on until Vlad is right behind him and inquiring just what does this little intruder think he is doing?
Coming face to face with his sister's murderer with no warning wasn't ideal, but Danny has been on the open road long enough that his reaction time is sharpened to a knife's point. Or a stake's point, as it were. And perhaps if he were facing a human he might have managed to do something with it. But Vlad catches his swing comically easily and holds it in place, like he's trying to decide if it was meant to be a feeble joke. Danny wrests his arm away and falls back, and his hood slips back from his head, revealing his face.
Vlad's unprecedented expression of shock and recognition is all Danny needs to see, and he's on his feet again in a blink. "Recognize me?" he inquires. Vlad audibly confirms it, that Danny must be Jack and Maddie's son, the other baby in the cradle. The twin left behind. And at this Danny's anger and panic gives way to bloodlust, a terrible surge of violence with one target. He can't believe he's endured weeks of pushing down his monsterous urges just to give in here, but Danny can't let the death of his sister slide.
Attacking Vlad again goes no better than it did the first time, and now Vlad's mostly recovered from the shock and remarking on how....amusing it is that Danny has found him after all these years. And look at that! Are those adorable canines pointed? Why, that's just the most delicious cosmic irony possible, and Vlad's smug musing at how this must have utterly destroyed his parents only enrages Danny more. Try as he might, he never even comes close to harming Vlad, who dances around him like it's all a very cute game.
Vlad maintains the insufferable veneer until Danny, furious and panting, reminds him that he happens to be the bastard who killed an innocent baby- his baby sister, and Vlad shows a glimmer of genuine irritation for the first time. Suddenly he's closer than he was a second ago, and he playfully tells Danny that being a presumptuous brat will not improve his chances of making it out of the manor alive. Danny takes the golden opportunity to swing at him again, but Vlad finally goes on the offensive and grabs him in a vicelike chokehold.
Still conversational, Vlad tells Danny he has left him in a most interesting position. Shall he kill him? That would certainly be fair, since Danny has tried to kill him already, and he's clearly unable to control himself. Or should he spare him, and reveal the true nature of his sister's fate? Danny struggles for air, with no idea what Vlad is talking about. He tries to wheeze something goading, but the moment ends abruptly when a door swings open behind them and Danielle runs into the room, not finishing her sentence when she sees the confrontation.
Saved by his sister's appearance, Vlad reluctantly releases Danny and lets him cough pitifully on the floor while he attends to Danielle, who has forgotten what she wanted and is staring wide eyed at the strange boy, not letting Vlad coax her out of the room. Danny recovers his breath, bloodlust long gone, and stares right back. Vlad, for once in his life, briefly looks at a loss, before deciding that an explanation is definitely necessary and he introduces Danielle to the impertinent little intruder who just tried to stab him, her long lost twin brother Daniel. And to Danny, he introduces Danielle, placing great stress on my beloved daughter.
Dinner that night is unbelievably awkward. For Vlad and Danny, that is. Danielle is thrilled. It comes to light that Danielle not only knows she's adopted, she knows the whole story of how she came to be with Vlad...or, at least, Vlad's edited version of it. Danny is appalled, especially when Danielle excitedly exclaims that now that he's escaped his parents, he can live with her and Vlad forever! Vlad chokes on his wine (or is it blood?) while Danny shoots him a thunderous look. Danny inquires why Dani thinks he escaped his parents, and she, sensing his unhappiness, explains that they probably tried to hurt him for being a vampire like they tried to hurt her father, didn't they? Vlad watches Danny closely, because that's exactly the assumption he made as well, but Danny manages to grind out that his parents love him and are good people, and would never, ever hurt him.
Later, after Danielle has shown Danny every nook and cranny of the manor and babbled excitedly about her life and asked him a million questions about his, after Vlad finally sends her to bed, Danny finds himself alone with his sister's murderer again. No, not her murderer. Her kidnapper. Her manipulative liar of a "father". He tells Vlad as much, sitting across from him with a lit fireplace between them. Vlad only scoffs and asks when, exactly, did he lie to Danielle? Did he lie when he said Jack and Maddie used her and Daniel as bait? Maddie was with child when she courted Vlad. Bait, my dear boy. What sort of parents knowingly place their unborn children in the sights of a vampire? Did he lie, then, when he said he rescued her from them? Judging by Daniel's unfortunate fate, no.
Danny's face colors with rage, but he can't say anything for a moment. You're still evil, you're still a monster, you won't get away with this, all flit through his mind, but he settles for telling Vlad that his parents had nothing to do with his "condition" and he's not afraid of them hurting him. Vlad smirks in that punchable way of his, and says that's evident in the way he ran for miles just to fall at the feet of their worst enemy. Danny doesn't rise to this bait. He goes on to say that he's not scared of his parents hurting him, he's scared of the reverse. Of the very real urge he feels to hurt them.
Then Danny brings up the thing that has been eating at him since he first saw Dani. The fact that she was not only happy and alive, but whole and unbitten. She's been living with a vampire for thirteen years and Vlad's never...? Vlad regards him and says nothing, face impassive save an amused quirk to the side of his mouth. How? Danny wonders. How is that even possible? Vampires aren't supposed to be able to treat humans like anything other than food. How did Vlad figure out how to resist the hunger?
Seeing that Danny is being earnest, Vlad asks him why he's here and what he wants. And Danny falters, thinking. As much as his skin crawls at the thought, he wants Vlad to teach him the secret to beating the hunger. He wants to stay close to his sister's side. And he wants to hold onto that glimmer of hope that maybe he doesn't have to be a monster. Vlad drums his fingers against the rich texture of the armchair and remarks how fortunate Daniel is that he bears such a striking resemblance to the one person in the world Vlad would never deny anything. And with how happy Daniel's presence has made Danielle, it would be a pity to separate the siblings again so soon. So with the wary promise that Daniel will do exactly what Vlad tells him to and that he will do nothing on pain of death to endanger Dani's safety whether it be by word or deed, Vlad agrees to teach him his secrets.
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clove-pinks · 1 year ago
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book--brackets · 4 months ago
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Anansi Boys by Neil Gaiman (2005)
When Fat Charlie's dad named something, it stuck. Like calling Fat Charlie "Fat Charlie." Even now, 20 years later, Charlie Nancy can't shake that name, one of the many embarrassing "gifts" his father bestowed-before he dropped dead on a karaoke stage and ruined Fat Charlie's life. Because Mr. Nancy left Fat Charlie things. Things like the tall, good-look-ing stranger who appears on Charlie's doorstep, who appears to be the brother he never knew. A brother as different from Charlie as night is from day, a brother who's going to show Charlie how to lighten up and have a lit-the fun. And all of a sudden, things start getting very interesting for Fat Charlie. Exciting, scary, and deeply funny, Anansi Boys is a kaleidoscopic journey deep into myth, a wild adventure, as Neil Gaiman shows us where gods come from, and how to survive your family.
Gemma Doyle by Libba Bray (2003-2007)
It's 1895, and after the suicide of her mother, 16-year-old Gemma Doyle is shipped off from the life she knows in India to Spence, a proper boarding school in England. Lonely, guilt-ridden, and prone to visions of the future that have an uncomfortable habit of coming true, Gemma's reception there is a chilly one. To make things worse, she's been followed by a mysterious young Indian man, a man sent to watch her. But why? What is her destiny? And what will her entanglement with Spence's most powerful girls—and their foray into the spiritual world—lead to?
Babel: An Arcane History by R. F. Kuang (2022)
Traduttore, traditore: An act of translation is always an act of betrayal.
1828. Robin Swift, orphaned by cholera in Canton, is brought to London by the mysterious Professor Lovell. There, he trains for years in Latin, Ancient Greek, and Chinese, all in preparation for the day he'll enroll in Oxford University's prestigious Royal Institute of Translation — also known as Babel. Babel is the world's center of translation and, more importantly, of silver-working: the art of manifesting the meaning lost in translation through enchanted silver bars, to magical effect. Silver-working has made the British Empire unparalleled in power, and Babel's research in foreign languages ​​serves the Empire's quest to colonize everything it encounters.
Oxford, the city of dreaming spires, is a fairytale for Robin; a utopia dedicated to the pursuit of knowledge. But knowledge serves power, and for Robin, a Chinese boy raised in Britain, serving Babel inevitably means betraying his motherland. As his studies progress Robin finds himself caught between Babel and the shadowy Hermes Society, an organization dedicated to sabotaging the silver-working that supports imperial expansion. When Britain pursues an unjust war with China over silver and opium, Robin must decide: Can powerful institutions be changed from within, or does revolution always require violence? What is he willing to sacrifice to bring Babel down?
Magnus Chase and the Gods of Asgard by Rick Riordan (2015-2017)
Magnus Chase has seen his share of trouble. Ever since that terrible night two years ago when his mother told him to run, he has lived alone on the streets of Boston, surviving by his wits, staying one step ahead of the police and the truant officers.
One day, Magnus learns that someone else is trying to track him down—his uncle Randolph, a man his mother had always warned him about. When Magnus tries to outmaneuver his uncle, he falls right into his clutches. Randolph starts rambling about Norse history and Magnus's birthright: a weapon that has been lost for thousands of years.
The more Randolph talks, the more puzzle pieces fall into place. Stories about the gods of Asgard, wolves, and Doomsday bubble up from Magnus's memory. But he doesn't have time to consider it all before a fire giant attacks the city, forcing him to choose between his own safety and the lives of hundreds of innocents. . . .
Sometimes, the only way to start a new life is to die.
Abhorsen by Garth Nix (1995-2016)
Sent to a boarding school in Ancelstierre as a young child, Sabriel has had little experience with the random power of Free Magic or the Dead who refuse to stay dead in the Old Kingdom. But during her final semester, her father, the Abhorsen, goes missing, and Sabriel knows she must enter the Old Kingdom to find him. She soon finds companions in Mogget, a cat whose aloof manner barely conceals its malevolent spirit, and Touchstone, a young Charter Mage long imprisoned by magic, now free in body but still trapped by painful memories.
As the three travel deep into the Old Kingdom, threats mount on all sides. And every step brings them closer to a battle that will pit them against the true forces of life and death--and bring Sabriel face-to-face with her own destiny.
The Starless Sea by Erin Morgenstern (2019)
Zachary Ezra Rawlins is a graduate student in Vermont when he discovers a mysterious book hidden in the stacks. As he turns the pages, entranced by tales of lovelorn prisoners, key collectors, and nameless acolytes, he reads something strange: a story from his own childhood. Bewildered by this inexplicable book and desperate to make sense of how his own life came to be recorded, Zachary uncovers a series of clues--a bee, a key, and a sword--that lead him to a masquerade party in New York, to a secret club, and through a doorway to an ancient library, hidden far below the surface of the earth. 
What Zachary finds in this curious place is more than just a buried home for books and their guardians--it is a place of lost cities and seas, lovers who pass notes under doors and across time, and of stories whispered by the dead. Zachary learns of those who have sacrificed much to protect this realm, relinquishing their sight and their tongues to preserve this archive, and also those who are intent on its destruction. 
Together with Mirabel, a fierce, pink-haired protector of the place, and Dorian, a handsome, barefoot man with shifting alliances, Zachary travels the twisting tunnels, darkened stairwells, crowded ballrooms, and sweetly-soaked shores of this magical world, discovering his purpose--in both the mysterious book and in his own life.
The Roots of Chaos by Samantha Shannon (2019-2023) The House of Berethnet has ruled Inys for a thousand years. Still unwed, Queen Sabran the Ninth must conceive a daughter to protect her realm from destruction--but assassins are getting closer to her door. 
Ead Duryan is an outsider at court. Though she has risen to the position of lady-in-waiting, she is loyal to a hidden society of mages. Ead keeps a watchful eye on Sabran, secretly protecting her with forbidden magic. 
Across the dark sea, Tané has trained all her life to be a dragonrider, but is forced to make a choice that could see her life unravel. 
Meanwhile, the divided East and West refuse to parley, and forces of chaos are rising from their sleep.
The Winternight Trilogy by Katherine Arden (2017-2019)
Winter lasts most of the year at the edge of the Russian wilderness, and in the long nights, Vasilisa and her siblings love to gather by the fire to listen to their nurse’s fairy tales. Above all, Vasya loves the story of Frost, the blue-eyed winter demon. Wise Russians fear him, for he claims unwary souls, and they honor the spirits that protect their homes from evil.
Then Vasya’s widowed father brings home a new wife from Moscow. Fiercely devout, Vasya’s stepmother forbids her family from honoring their household spirits, but Vasya fears what this may bring. And indeed, misfortune begins to stalk the village.
But Vasya’s stepmother only grows harsher, determined to remake the village to her liking and to groom her rebellious stepdaughter for marriage or a convent. As the village’s defenses weaken and evil from the forest creeps nearer, Vasilisa must call upon dangerous gifts she has long concealed—to protect her family from a threat sprung to life from her nurse’s most frightening tales.
The Tale of Despereaux by Kate DiCamillo (2003)
As the only surviving mouse of the litter, Despereaux was always considered the loser, the runt, so naturally, he falls in love with a princess named Pea. The story also tells of a mouse called Roscuro, who lives in the darkness but wishes for light, and Miggery Sow, a serving girl who wants one wish. They set off on a journey that will end them up in a terrible dungeon, a wonderful castle, and of course, with each other.
Legends & Lattes by Travis Baldree (2022-2024)
Worn out after decades of packing steel and raising hell, Viv the orc barbarian cashes out of the warrior’s life with one final score. A forgotten legend, a fabled artifact, and an unreasonable amount of hope lead her to the streets of Thune, where she plans to open the first coffee shop the city has ever seen.
However, her dreams of a fresh start pulling shots instead of swinging swords are hardly a sure bet. Old frenemies and Thune’s shady underbelly may just upset her plans. To finally build something that will last, Viv will need some new partners and a different kind of resolve.
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covid-safer-hotties · 1 month ago
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SARS-CoV-2 is now circulating out of control worldwide. The only major limitation on transmission is the immune environment the virus faces. The disease it causes, COVID-19, is now a risk faced by most people as part of daily life.
While some are better than others, no national or regional government is making serious efforts towards infection prevention and control, and it seems likely this laissez-faire policy will continue for the foreseeable future. The social, political, and economic movements that worked to achieve this mass infection environment can rejoice at their success.
Those schooled in public health, immunology or working on the front line of healthcare provision know we face an uncertain future, and are aware the implications of recent events stretch far beyond SARS-CoV-2. The shifts that have taken place in attitudes and public health policy will likely damage a key pillar that forms the basis of modern civilized society, one that was built over the last two centuries; the expectation of a largely uninterrupted upwards trajectory of ever-improving health and quality of life, largely driven by the reduction and elimination of infectious diseases that plagued humankind for thousands of years. In the last three years, that trajectory has reversed.
The upward trajectory of public health in the last two centuries Control of infectious disease has historically been a priority for all societies. Quarantine has been in common use since at least the Bronze Age and has been the key method for preventing the spread of infectious diseases ever since. The word “quarantine” itself derives from the 40-day isolation period for ships and crews that was implemented in Europe during the late Middle Ages to prevent the introduction of bubonic plague epidemics into cities.
Modern public health traces its roots to the middle of the 19th century thanks to converging scientific developments in early industrial societies:
The germ theory of diseases was firmly established in the mid-19th century, in particular after Louis Pasteur disproved the spontaneous generation hypothesis. If diseases spread through transmission chains between individual humans or from the environment/animals to humans, then it follows that those transmission chains can be interrupted, and the spread stopped. The science of epidemiology appeared, its birth usually associated with the 1854 Broad Street cholera outbreak in London during which the British physician John Snow identified contaminated water as the source of cholera, pointing to improved sanitation as the way to stop cholera epidemics. Vaccination technology began to develop, initially against smallpox, and the first mandatory smallpox vaccination campaigns began, starting in England in the 1850s.
The early industrial era generated horrendous workplace and living conditions for working class populations living in large industrial cities, dramatically reducing life expectancy and quality of life (life expectancy at birth in key industrial cities in the middle of the 19th century was often in the low 30s or even lower). This in turn resulted in a recognition that such environmental factors affect human health and life spans. The long and bitter struggle for workers’ rights in subsequent decades resulted in much improved working conditions, workplace safety regulations, and general sanitation, and brought sharp increases in life expectancy and quality of life, which in turn had positive impacts on productivity and wealth.
Florence Nightingale reemphasized the role of ventilation in healing and preventing illness, ‘The very first canon of nursing… : keep the air he breathes as pure as the external air, without chilling him,’ a maxim that influenced building design at the time.
These trends continued in the 20th century, greatly helped by further technological and scientific advances. Many diseases – diphtheria, pertussis, hepatitis B, polio, measles, mumps, rubella, etc. – became things of the past thanks to near-universal highly effective vaccinations, while others that used to be common are no longer of such concern for highly developed countries in temperate climates – malaria, typhus, typhoid, leprosy, cholera, tuberculosis, and many others – primarily thanks to improvements in hygiene and the implementation of non-pharmaceutical measures for their containment.
Furthermore, the idea that infectious diseases should not just be reduced, but permanently eliminated altogether began to be put into practice in the second half of the 20th century on a global level, and much earlier locally. These programs were based on the obvious consideration that if an infectious agent is driven to extinction, the incalculable damage to people’s health and the overall economy by a persisting and indefinite disease burden will also be eliminated.
The ambition of local elimination grew into one of global eradication for smallpox, which was successfully eliminated from the human population in the 1970s (this had already been achieved locally in the late 19th century by some countries), after a heroic effort to find and contain the last remaining infectious individuals. The other complete success was rinderpest in cattle9,10, globally eradicated in the early 21st century.
When the COVID-19 pandemic started, global eradication programs were very close to succeeding for two other diseases – polio and dracunculiasis. Eradication is also globally pursued for other diseases, such as yaws, and regionally for many others, e.g. lymphatic filariasis, onchocerciasis, measles and rubella. The most challenging diseases are those that have an external reservoir outside the human population, especially if they are insect borne, and in particular those carried by mosquitos. Malaria is the primary example, but despite these difficulties, eradication of malaria has been a long-standing global public health goal and elimination has been achieved in temperate regions of the globe, even though it involved the ecologically destructive widespread application of polluting chemical pesticides to reduce the populations of the vectors. Elimination is also a public goal for other insect borne diseases such as trypanosomiasis.
In parallel with pursuing maximal reduction and eventual eradication of the burden of existing endemic infectious diseases, humanity has also had to battle novel infectious diseases40, which have been appearing at an increased rate over recent decades. Most of these diseases are of zoonotic origin, and the rate at which they are making the jump from wildlife to humans is accelerating, because of the increased encroachment on wildlife due to expanding human populations and physical infrastructure associated with human activity, the continued destruction of wild ecosystems that forces wild animals towards closer human contact, the booming wildlife trade, and other such trends.
Because it is much easier to stop an outbreak when it is still in its early stages of spreading through the population than to eradicate an endemic pathogen, the governing principle has been that no emerging infectious disease should be allowed to become endemic. This goal has been pursued reasonably successfully and without controversy for many decades.
The most famous newly emerging pathogens were the filoviruses (Ebola, Marburg), the SARS and MERS coronaviruses, and paramyxoviruses like Nipah. These gained fame because of their high lethality and potential for human-to-human spread, but they were merely the most notable of many examples.
Such epidemics were almost always aggressively suppressed. Usually, these were small outbreaks, and because highly pathogenic viruses such as Ebola cause very serious sickness in practically all infected people, finding and isolating the contagious individuals is a manageable task. The largest such epidemic was the 2013-16 Ebola outbreak in West Africa, when a filovirus spread widely in major urban centers for the first time. Containment required a wartime-level mobilization, but that was nevertheless achieved, even though there were nearly 30,000 infections and more than 11,000 deaths.
SARS was also contained and eradicated from the human population back in 2003-04, and the same happened every time MERS made the jump from camels to humans, as well as when there were Nipah outbreaks in Asia.
The major counterexample of a successful establishment in the human population of a novel highly pathogenic virus is HIV. HIV is a retrovirus, and as such it integrates into the host genome and is thus nearly impossible to eliminate from the body and to eradicate from the population (unless all infected individuals are identified and prevented from infecting others for the rest of their lives). However, HIV is not an example of the containment principle being voluntarily abandoned as the virus had made its zoonotic jump and established itself many decades before its eventual discovery and recognition, and long before the molecular tools that could have detected and potentially fully contained it existed.
Still, despite all these containment success stories, the emergence of a new pathogen with pandemic potential was a well understood and frequently discussed threat, although influenza viruses rather than coronaviruses were often seen as the most likely culprit. The eventual appearance of SARS-CoV-2 should therefore not have been a huge surprise, and should have been met with a full mobilization of the technical tools and fundamental public health principles developed over the previous decades.
The ecological context One striking property of many emerging pathogens is how many of them come from bats. While the question of whether bats truly harbor more viruses than other mammals in proportion to their own species diversity (which is the second highest within mammals after rodents) is not fully settled yet, many novel viruses do indeed originate from bats, and the ecological and physiological characteristics of bats are highly relevant for understanding the situation that Homo sapiens finds itself in right now.
Another startling property of bats and their viruses is how highly pathogenic to humans (and other mammals) many bat viruses are, while bats themselves are not much affected (only rabies is well established to cause serious harm to bats). Why bats seem to carry so many such pathogens, and how they have adapted so well to coexisting with them, has been a long-standing puzzle and although we do not have a definitive answer, some general trends have become clear.
Bats are the only truly flying mammals and have been so for many millions of years. Flying has resulted in a number of specific adaptations, one of them being the tolerance towards a very high body temperature (often on the order of 42-43ºC). Bats often live in huge colonies, literally touching each other, and, again, have lived in conditions of very high density for millions of years. Such densities are rare among mammals and are certainly not the native condition of humans (human civilization and our large dense cities are a very recent phenomenon on evolutionary time scales). Bats are also quite long-lived for such small mammals – some fruit bats can live more than 35 years and even small cave dwelling species can live about a decade.
These are characteristics that might have on one hand facilitated the evolution of a considerable set of viruses associated with bat populations. In order for a non-latent respiratory virus to maintain itself, a minimal population size is necessary. For example, it is hypothesized that measles requires a minimum population size of 250-300,000 individuals. And bats have existed in a state of high population densities for a very long time, which might explain the high diversity of viruses that they carry. In addition, the long lifespan of many bat species means that their viruses may have to evolve strategies to overcome adaptive immunity and frequently reinfect previously infected individuals as opposed to the situation in short-lived species in which populations turn over quickly (with immunologically naive individuals replacing the ones that die out).
On the other hand, the selective pressure that these viruses have exerted on bats may have resulted in the evolution of various resistance and/or tolerance mechanisms in bats themselves, which in turn have driven the evolution of counter strategies in their viruses, leading them to be highly virulent for other species. Bats certainly appear to be physiologically more tolerant towards viruses that are otherwise highly virulent to other mammals. Several explanations for this adaptation have been proposed, chief among them a much more powerful innate immunity and a tolerance towards infections that does not lead to the development of the kind of hyperinflammatory reactions observed in humans, the high body temperature of bats in flight, and others.
The notable strength of bat innate immunity is often explained by the constitutively active interferon response that has been reported for some bat species. It is possible that this is not a universal characteristic of all bats – only a few species have been studied – but it provides a very attractive mechanism for explaining both how bats prevent the development of severe systemic viral infections in their bodies and how their viruses in turn would have evolved powerful mechanisms to silence the interferon response, making them highly pathogenic for other mammals.
The tolerance towards infection is possibly rooted in the absence of some components of the signaling cascades leading to hyperinflammatory reactions and the dampened activity of others.
An obvious ecological parallel can be drawn between bats and humans – just as bats live in dense colonies, so now do modern humans. And we may now be at a critical point in the history of our species, in which our ever-increasing ecological footprint has brought us in close contact with bats in a way that was much rarer in the past. Our population is connected in ways that were previously unimaginable. A novel virus can make the zoonotic jump somewhere in Southeast Asia and a carrier of it can then be on the other side of the globe a mere 24-hours later, having encountered thousands of people in airports and other mass transit systems. As a result, bat pathogens are now being transferred from bat populations to the human population in what might prove to be the second major zoonotic spillover event after the one associated with domestication of livestock and pets a few thousand years ago.
Unfortunately for us, our physiology is not suited to tolerate these new viruses. Bats have adapted to live with them over many millions of years. Humans have not undergone the same kind of adaptation and cannot do so on any timescale that will be of use to those living now, nor to our immediate descendants.
Simply put, humans are not bats, and the continuous existence and improvement of what we now call “civilization” depends on the same basic public health and infectious disease control that saw life expectancy in high-income countries more than double to 85 years. This is a challenge that will only increase in the coming years, because the trends that are accelerating the rate of zoonotic transfer of pathogens are certain to persist.
Given this context, it is as important now to maintain the public health principle that no new dangerous pathogens should be allowed to become endemic and that all novel infectious disease outbreaks must be suppressed as it ever was.
The death of public health and the end of epidemiological comfort It is also in this context that the real gravity of what has happened in the last three years emerges.
After HIV, SARS-CoV-2 is now the second most dangerous infectious disease agent that is 'endemic' to the human population on a global scale. And yet not only was it allowed to become endemic, but mass infection was outright encouraged, including by official public health bodies in numerous countries.
The implications of what has just happened have been missed by most, so let’s spell them out explicitly.
We need to be clear why containment of SARS-CoV-2 was actively sabotaged and eventually abandoned. It has absolutely nothing to do with the “impossibility” of achieving it. In fact, the technical problem of containing even a stealthily spreading virus such as SARS-CoV-2 is fully solved, and that solution was successfully applied in practice for years during the pandemic.
The list of countries that completely snuffed out outbreaks, often multiple times, includes Australia, New Zealand, Singapore, Taiwan, Vietnam, Thailand, Bhutan, Cuba, China, and a few others, with China having successfully contained hundreds of separate outbreaks, before finally giving up in late 2022.
The algorithm for containment is well established – passively break transmission chains through the implementation of nonpharmaceutical interventions (NPIs) such as limiting human contacts, high quality respirator masks, indoor air filtration and ventilation, and others, while aggressively hunting down active remaining transmission chains through traditional contact tracing and isolation methods combined with the powerful new tool of population-scale testing.
Understanding of airborne transmission and institution of mitigation measures, which have heretofore not been utilized in any country, will facilitate elimination, even with the newer, more transmissible variants. Any country that has the necessary resources (or is provided with them) can achieve full containment within a few months. In fact, currently this would be easier than ever before because of the accumulated widespread multiple recent exposures to the virus in the population suppressing the effective reproduction number (Re). For the last 18 months or so we have been seeing a constant high plateau of cases with undulating waves, but not the major explosions of infections with Re reaching 3-4 that were associated with the original introduction of the virus in 2020 and with the appearance of the first Omicron variants in late 2021.
It would be much easier to use NPIs to drive Re to much below 1 and keep it there until elimination when starting from Re around 1.2-1.3 than when it was over 3, and this moment should be used, before another radically new serotype appears and takes us back to those even more unpleasant situations. This is not a technical problem, but one of political and social will. As long as leadership misunderstands or pretends to misunderstand the link between increased mortality, morbidity and poorer economic performance and the free transmission of SARS-CoV-2, the impetus will be lacking to take the necessary steps to contain this damaging virus.
Political will is in short supply because powerful economic and corporate interests have been pushing policymakers to let the virus spread largely unchecked through the population since the very beginning of the pandemic. The reasons are simple. First, NPIs hurt general economic activity, even if only in the short term, resulting in losses on balance sheets. Second, large-scale containment efforts of the kind we only saw briefly in the first few months of the pandemic require substantial governmental support for all the people who need to pause their economic activity for the duration of effort. Such an effort also requires large-scale financial investment in, for example, contact tracing and mass testing infrastructure and providing high-quality masks. In an era dominated by laissez-faire economic dogma, this level of state investment and organization would have set too many unacceptable precedents, so in many jurisdictions it was fiercely resisted, regardless of the consequences for humanity and the economy.
None of these social and economic predicaments have been resolved. The unofficial alliance between big business and dangerous pathogens that was forged in early 2020 has emerged victorious and greatly strengthened from its battle against public health, and is poised to steamroll whatever meager opposition remains for the remainder of this, and future pandemics.
The long-established principles governing how we respond to new infectious diseases have now completely changed – the precedent has been established that dangerous emerging pathogens will no longer be contained, but instead permitted to ‘ease’ into widespread circulation. The intent to “let it rip” in the future is now being openly communicated. With this change in policy comes uncertainty about acceptable lethality. Just how bad will an infectious disease have to be to convince any government to mobilize a meaningful global public health response?
We have some clues regarding that issue from what happened during the initial appearance of the Omicron “variant” (which was really a new serotype) of SARS-CoV-2. Despite some experts warning that a vaccine-only approach would be doomed to fail, governments gambled everything on it. They were then faced with the brute fact of viral evolution destroying their strategy when a new serotype emerged against which existing vaccines had little effect in terms of blocking transmission. The reaction was not to bring back NPIs but to give up, seemingly regardless of the consequences.
Critically, those consequences were unknown when the policy of no intervention was adopted within days of the appearance of Omicron. All previous new SARS-CoV-2 variants had been deadlier than the original Wuhan strain, with the eventually globally dominant Delta variant perhaps as much as 4× as deadly. Omicron turned out to be the exception, but again, that was not known with any certainty when it was allowed to run wild through populations. What would have happened if it had followed the same pattern as Delta?
In the USA, for example, the worst COVID-19 wave was the one in the winter of 2020-21, at the peak of which at least 3,500 people were dying daily (the real number was certainly higher because of undercounting due to lack of testing and improper reporting). The first Omicron BA.1 wave saw the second-highest death tolls, with at least 2,800 dying per day at its peak. Had Omicron been as intrinsically lethal as Delta, we could have easily seen a 4-5× higher peak than January 2021, i.e. as many as 12–15,000 people dying a day. Given that we only had real data on Omicron’s intrinsic lethality after the gigantic wave of infections was unleashed onto the population, we have to conclude that 12–15,000 dead a day is now a threshold that will not force the implementation of serious NPIs for the next problematic COVID-19 serotype.
Logically, it follows that it is also a threshold that will not result in the implementation of NPIs for any other emerging pathogens either. Because why should SARS-CoV-2 be special?
We can only hope that we will never see the day when such an epidemic hits us but experience tells us such optimism is unfounded. The current level of suffering caused by COVID-19 has been completely normalized even though such a thing was unthinkable back in 2019. Populations are largely unaware of the long-term harms the virus is causing to those infected, of the burden on healthcare, increased disability, mortality and reduced life expectancy. Once a few even deadlier outbreaks have been shrugged off by governments worldwide, the baseline of what is considered “acceptable” will just gradually move up and even more unimaginable losses will eventually enter the “acceptable” category. There can be no doubt, from a public health perspective, we are regressing.
We had a second, even more worrying real-life example of what the future holds with the global spread of the MPX virus (formerly known as “monkeypox” and now called “Mpox”) in 2022. MPX is a close relative to the smallpox VARV virus and is endemic to Central and Western Africa, where its natural hosts are mostly various rodent species, but on occasions it infects humans too, with the rate of zoonotic transfer increasing over recent decades. It has usually been characterized by fairly high mortality – the CFR (Case Fatality Rate) has been ∼3.6% for the strain that circulates in Nigeria and ∼10% for the one in the Congo region, i.e. much worse than SARS-CoV-2. In 2022, an unexpected global MPX outbreak developed, with tens of thousands of confirmed cases in dozens of countries. Normally, this would be a huge cause for alarm, for several reasons.
First, MPX itself is a very dangerous disease. Second, universal smallpox vaccination ended many decades ago with the success of the eradication program, leaving the population born after that completely unprotected. Third, lethality in orthopoxviruses is, in fact, highly variable – VARV itself had a variola major strain, with as much as ∼30% CFR, and a less deadly variola minor variety with CFR ∼1%, and there was considerable variation within variola major too. It also appears that high pathogenicity often evolves from less pathogenic strains through reductive evolution - the loss of certain genes something that can happen fairly easily, may well have happened repeatedly in the past, and may happen again in the future, a scenario that has been repeatedly warned about for decades. For these reasons, it was unthinkable that anyone would just shrug off a massive MPX outbreak – it is already bad enough as it is, but allowing it to become endemic means it can one day evolve towards something functionally equivalent to smallpox in its impact.
And yet that is exactly what happened in 2022 – barely any measures were taken to contain the outbreak, and countries simply reclassified MPX out of the “high consequence infectious disease” category in order to push the problem away, out of sight and out of mind. By chance, it turned out that this particular outbreak did not spark a global pandemic, and it was also characterized, for poorly understood reasons, by an unusually low CFR, with very few people dying. But again, that is not the information that was available at the start of the outbreak, when in a previous, interventionist age of public health, resources would have been mobilized to stamp it out in its infancy, but, in the age of laissez-faire, were not. MPX is now circulating around the world and represents a future threat of uncontrolled transmission resulting in viral adaptation to highly efficient human-to-human spread combined with much greater disease severity.
While some are better than others, no national or regional government is making serious efforts towards infection prevention and control, and it seems likely this laissez-faire policy will continue for the foreseeable future. The social, political, and economic movements that worked to achieve this mass infection environment can rejoice at their success.
Those schooled in public health, immunology or working on the front line of healthcare provision know we face an uncertain future, and are aware the implications of recent events stretch far beyond SARS-CoV-2. The shifts that have taken place in attitudes and public health policy will likely damage a key pillar that forms the basis of modern civilized society, one that was built over the last two centuries; the expectation of a largely uninterrupted upwards trajectory of ever-improving health and quality of life, largely driven by the reduction and elimination of infectious diseases that plagued humankind for thousands of years. In the last three years, that trajectory has reversed.
The upward trajectory of public health in the last two centuries Control of infectious disease has historically been a priority for all societies. Quarantine has been in common use since at least the Bronze Age and has been the key method for preventing the spread of infectious diseases ever since. The word “quarantine” itself derives from the 40-day isolation period for ships and crews that was implemented in Europe during the late Middle Ages to prevent the introduction of bubonic plague epidemics into cities1.
Rat climbing a ship's rigging. Modern public health traces its roots to the middle of the 19th century thanks to converging scientific developments in early industrial societies:
The germ theory of diseases was firmly established in the mid-19th century, in particular after Louis Pasteur disproved the spontaneous generation hypothesis. If diseases spread through transmission chains between individual humans or from the environment/animals to humans, then it follows that those transmission chains can be interrupted, and the spread stopped. The science of epidemiology appeared, its birth usually associated with the 1854 Broad Street cholera outbreak in London during which the British physician John Snow identified contaminated water as the source of cholera, pointing to improved sanitation as the way to stop cholera epidemics. Vaccination technology began to develop, initially against smallpox, and the first mandatory smallpox vaccination campaigns began, starting in England in the 1850s. The early industrial era generated horrendous workplace and living conditions for working class populations living in large industrial cities, dramatically reducing life expectancy and quality of life (life expectancy at birth in key industrial cities in the middle of the 19th century was often in the low 30s or even lower2). This in turn resulted in a recognition that such environmental factors affect human health and life spans. The long and bitter struggle for workers’ rights in subsequent decades resulted in much improved working conditions, workplace safety regulations, and general sanitation, and brought sharp increases in life expectancy and quality of life, which in turn had positive impacts on productivity and wealth. Florence Nightingale reemphasized the role of ventilation in healing and preventing illness, ‘The very first canon of nursing… : keep the air he breathes as pure as the external air, without chilling him,’ a maxim that influenced building design at the time. These trends continued in the 20th century, greatly helped by further technological and scientific advances. Many diseases – diphtheria, pertussis, hepatitis B, polio, measles, mumps, rubella, etc. – became things of the past thanks to near-universal highly effective vaccinations, while others that used to be common are no longer of such concern for highly developed countries in temperate climates – malaria, typhus, typhoid, leprosy, cholera, tuberculosis, and many others – primarily thanks to improvements in hygiene and the implementation of non-pharmaceutical measures for their containment.
Furthermore, the idea that infectious diseases should not just be reduced, but permanently eliminated altogether began to be put into practice in the second half of the 20th century3-5 on a global level, and much earlier locally. These programs were based on the obvious consideration that if an infectious agent is driven to extinction, the incalculable damage to people’s health and the overall economy by a persisting and indefinite disease burden will also be eliminated.
The ambition of local elimination grew into one of global eradication for smallpox, which was successfully eliminated from the human population in the 1970s6 (this had already been achieved locally in the late 19th century by some countries), after a heroic effort to find and contain the last remaining infectious individuals7,8. The other complete success was rinderpest in cattle9,10, globally eradicated in the early 21st century.
When the COVID-19 pandemic started, global eradication programs were very close to succeeding for two other diseases – polio11,12 and dracunculiasis13. Eradication is also globally pursued for other diseases, such as yaws14,15, and regionally for many others, e.g. lymphatic filariasis16,17, onchocerciasis18,19, measles and rubella20-30. The most challenging diseases are those that have an external reservoir outside the human population, especially if they are insect borne, and in particular those carried by mosquitos. Malaria is the primary example, but despite these difficulties, eradication of malaria has been a long-standing global public health goal31-33 and elimination has been achieved in temperate regions of the globe34,35, even though it involved the ecologically destructive widespread application of polluting chemical pesticides36,37 to reduce the populations of the vectors. Elimination is also a public goal for other insect borne diseases such as trypanosomiasis38,39.
In parallel with pursuing maximal reduction and eventual eradication of the burden of existing endemic infectious diseases, humanity has also had to battle novel infectious diseases40, which have been appearing at an increased rate over recent decades41-43. Most of these diseases are of zoonotic origin, and the rate at which they are making the jump from wildlife to humans is accelerating, because of the increased encroachment on wildlife due to expanding human populations and physical infrastructure associated with human activity, the continued destruction of wild ecosystems that forces wild animals towards closer human contact, the booming wildlife trade, and other such trends.
Because it is much easier to stop an outbreak when it is still in its early stages of spreading through the population than to eradicate an endemic pathogen, the governing principle has been that no emerging infectious disease should be allowed to become endemic. This goal has been pursued reasonably successfully and without controversy for many decades.
The most famous newly emerging pathogens were the filoviruses (Ebola44-46, Marburg47,48), the SARS and MERS coronaviruses, and paramyxoviruses like Nipah49,50. These gained fame because of their high lethality and potential for human-to-human spread, but they were merely the most notable of many examples.
Pigs in close proximity to humans. Such epidemics were almost always aggressively suppressed. Usually, these were small outbreaks, and because highly pathogenic viruses such as Ebola cause very serious sickness in practically all infected people, finding and isolating the contagious individuals is a manageable task. The largest such epidemic was the 2013-16 Ebola outbreak in West Africa, when a filovirus spread widely in major urban centers for the first time. Containment required a wartime-level mobilization, but that was nevertheless achieved, even though there were nearly 30,000 infections and more than 11,000 deaths51.
SARS was also contained and eradicated from the human population back in 2003-04, and the same happened every time MERS made the jump from camels to humans, as well as when there were Nipah outbreaks in Asia.
The major counterexample of a successful establishment in the human population of a novel highly pathogenic virus is HIV. HIV is a retrovirus, and as such it integrates into the host genome and is thus nearly impossible to eliminate from the body and to eradicate from the population52 (unless all infected individuals are identified and prevented from infecting others for the rest of their lives). However, HIV is not an example of the containment principle being voluntarily abandoned as the virus had made its zoonotic jump and established itself many decades before its eventual discovery53 and recognition54-56, and long before the molecular tools that could have detected and potentially fully contained it existed.
Still, despite all these containment success stories, the emergence of a new pathogen with pandemic potential was a well understood and frequently discussed threat57-60, although influenza viruses rather than coronaviruses were often seen as the most likely culprit61-65. The eventual appearance of SARS-CoV-2 should therefore not have been a huge surprise, and should have been met with a full mobilization of the technical tools and fundamental public health principles developed over the previous decades.
The ecological context One striking property of many emerging pathogens is how many of them come from bats. While the question of whether bats truly harbor more viruses than other mammals in proportion to their own species diversity (which is the second highest within mammals after rodents) is not fully settled yet66-69, many novel viruses do indeed originate from bats, and the ecological and physiological characteristics of bats are highly relevant for understanding the situation that Homo sapiens finds itself in right now.
Group of bats roosting in a cave. Another startling property of bats and their viruses is how highly pathogenic to humans (and other mammals) many bat viruses are, while bats themselves are not much affected (only rabies is well established to cause serious harm to bats68). Why bats seem to carry so many such pathogens, and how they have adapted so well to coexisting with them, has been a long-standing puzzle and although we do not have a definitive answer, some general trends have become clear.
Bats are the only truly flying mammals and have been so for many millions of years. Flying has resulted in a number of specific adaptations, one of them being the tolerance towards a very high body temperature (often on the order of 42-43ºC). Bats often live in huge colonies, literally touching each other, and, again, have lived in conditions of very high density for millions of years. Such densities are rare among mammals and are certainly not the native condition of humans (human civilization and our large dense cities are a very recent phenomenon on evolutionary time scales). Bats are also quite long-lived for such small mammals70-71 – some fruit bats can live more than 35 years and even small cave dwelling species can live about a decade. These are characteristics that might have on one hand facilitated the evolution of a considerable set of viruses associated with bat populations. In order for a non-latent respiratory virus to maintain itself, a minimal population size is necessary. For example, it is hypothesized that measles requires a minimum population size of 250-300,000 individuals72. And bats have existed in a state of high population densities for a very long time, which might explain the high diversity of viruses that they carry. In addition, the long lifespan of many bat species means that their viruses may have to evolve strategies to overcome adaptive immunity and frequently reinfect previously infected individuals as opposed to the situation in short-lived species in which populations turn over quickly (with immunologically naive individuals replacing the ones that die out).
On the other hand, the selective pressure that these viruses have exerted on bats may have resulted in the evolution of various resistance and/or tolerance mechanisms in bats themselves, which in turn have driven the evolution of counter strategies in their viruses, leading them to be highly virulent for other species. Bats certainly appear to be physiologically more tolerant towards viruses that are otherwise highly virulent to other mammals. Several explanations for this adaptation have been proposed, chief among them a much more powerful innate immunity and a tolerance towards infections that does not lead to the development of the kind of hyperinflammatory reactions observed in humans73-75, the high body temperature of bats in flight, and others.
The notable strength of bat innate immunity is often explained by the constitutively active interferon response that has been reported for some bat species76-78. It is possible that this is not a universal characteristic of all bats79 – only a few species have been studied – but it provides a very attractive mechanism for explaining both how bats prevent the development of severe systemic viral infections in their bodies and how their viruses in turn would have evolved powerful mechanisms to silence the interferon response, making them highly pathogenic for other mammals.
The tolerance towards infection is possibly rooted in the absence of some components of the signaling cascades leading to hyperinflammatory reactions and the dampened activity of others80.
Map of scheduled airline traffic around the world, circa June 2009 Map of scheduled airline traffic around the world. Credit: Jpatokal An obvious ecological parallel can be drawn between bats and humans – just as bats live in dense colonies, so now do modern humans. And we may now be at a critical point in the history of our species, in which our ever-increasing ecological footprint has brought us in close contact with bats in a way that was much rarer in the past. Our population is connected in ways that were previously unimaginable. A novel virus can make the zoonotic jump somewhere in Southeast Asia and a carrier of it can then be on the other side of the globe a mere 24-hours later, having encountered thousands of people in airports and other mass transit systems. As a result, bat pathogens are now being transferred from bat populations to the human population in what might prove to be the second major zoonotic spillover event after the one associated with domestication of livestock and pets a few thousand years ago.
Unfortunately for us, our physiology is not suited to tolerate these new viruses. Bats have adapted to live with them over many millions of years. Humans have not undergone the same kind of adaptation and cannot do so on any timescale that will be of use to those living now, nor to our immediate descendants.
Simply put, humans are not bats, and the continuous existence and improvement of what we now call “civilization” depends on the same basic public health and infectious disease control that saw life expectancy in high-income countries more than double to 85 years. This is a challenge that will only increase in the coming years, because the trends that are accelerating the rate of zoonotic transfer of pathogens are certain to persist.
Given this context, it is as important now to maintain the public health principle that no new dangerous pathogens should be allowed to become endemic and that all novel infectious disease outbreaks must be suppressed as it ever was.
The death of public health and the end of epidemiological comfort It is also in this context that the real gravity of what has happened in the last three years emerges.
After HIV, SARS-CoV-2 is now the second most dangerous infectious disease agent that is 'endemic' to the human population on a global scale. And yet not only was it allowed to become endemic, but mass infection was outright encouraged, including by official public health bodies in numerous countries81-83.
The implications of what has just happened have been missed by most, so let’s spell them out explicitly.
We need to be clear why containment of SARS-CoV-2 was actively sabotaged and eventually abandoned. It has absolutely nothing to do with the “impossibility” of achieving it. In fact, the technical problem of containing even a stealthily spreading virus such as SARS-CoV-2 is fully solved, and that solution was successfully applied in practice for years during the pandemic.
The list of countries that completely snuffed out outbreaks, often multiple times, includes Australia, New Zealand, Singapore, Taiwan, Vietnam, Thailand, Bhutan, Cuba, China, and a few others, with China having successfully contained hundreds of separate outbreaks, before finally giving up in late 2022.
The algorithm for containment is well established – passively break transmission chains through the implementation of nonpharmaceutical interventions (NPIs) such as limiting human contacts, high quality respirator masks, indoor air filtration and ventilation, and others, while aggressively hunting down active remaining transmission chains through traditional contact tracing and isolation methods combined with the powerful new tool of population-scale testing.
Oklahoma’s Strategic National Stockpile. Credit: DVIDS Understanding of airborne transmission and institution of mitigation measures, which have heretofore not been utilized in any country, will facilitate elimination, even with the newer, more transmissible variants. Any country that has the necessary resources (or is provided with them) can achieve full containment within a few months. In fact, currently this would be easier than ever before because of the accumulated widespread multiple recent exposures to the virus in the population suppressing the effective reproduction number (Re). For the last 18 months or so we have been seeing a constant high plateau of cases with undulating waves, but not the major explosions of infections with Re reaching 3-4 that were associated with the original introduction of the virus in 2020 and with the appearance of the first Omicron variants in late 2021.
It would be much easier to use NPIs to drive Re to much below 1 and keep it there until elimination when starting from Re around 1.2-1.3 than when it was over 3, and this moment should be used, before another radically new serotype appears and takes us back to those even more unpleasant situations. This is not a technical problem, but one of political and social will. As long as leadership misunderstands or pretends to misunderstand the link between increased mortality, morbidity and poorer economic performance and the free transmission of SARS-CoV-2, the impetus will be lacking to take the necessary steps to contain this damaging virus.
Political will is in short supply because powerful economic and corporate interests have been pushing policymakers to let the virus spread largely unchecked through the population since the very beginning of the pandemic. The reasons are simple. First, NPIs hurt general economic activity, even if only in the short term, resulting in losses on balance sheets. Second, large-scale containment efforts of the kind we only saw briefly in the first few months of the pandemic require substantial governmental support for all the people who need to pause their economic activity for the duration of effort. Such an effort also requires large-scale financial investment in, for example, contact tracing and mass testing infrastructure and providing high-quality masks. In an era dominated by laissez-faire economic dogma, this level of state investment and organization would have set too many unacceptable precedents, so in many jurisdictions it was fiercely resisted, regardless of the consequences for humanity and the economy.
None of these social and economic predicaments have been resolved. The unofficial alliance between big business and dangerous pathogens that was forged in early 2020 has emerged victorious and greatly strengthened from its battle against public health, and is poised to steamroll whatever meager opposition remains for the remainder of this, and future pandemics.
The long-established principles governing how we respond to new infectious diseases have now completely changed – the precedent has been established that dangerous emerging pathogens will no longer be contained, but instead permitted to ‘ease’ into widespread circulation. The intent to “let it rip” in the future is now being openly communicated84. With this change in policy comes uncertainty about acceptable lethality. Just how bad will an infectious disease have to be to convince any government to mobilize a meaningful global public health response?
We have some clues regarding that issue from what happened during the initial appearance of the Omicron “variant” (which was really a new serotype85,86) of SARS-CoV-2. Despite some experts warning that a vaccine-only approach would be doomed to fail, governments gambled everything on it. They were then faced with the brute fact of viral evolution destroying their strategy when a new serotype emerged against which existing vaccines had little effect in terms of blocking transmission. The reaction was not to bring back NPIs but to give up, seemingly regardless of the consequences.
Critically, those consequences were unknown when the policy of no intervention was adopted within days of the appearance of Omicron. All previous new SARS-CoV-2 variants had been deadlier than the original Wuhan strain, with the eventually globally dominant Delta variant perhaps as much as 4× as deadly87. Omicron turned out to be the exception, but again, that was not known with any certainty when it was allowed to run wild through populations. What would have happened if it had followed the same pattern as Delta?
In the USA, for example, the worst COVID-19 wave was the one in the winter of 2020-21, at the peak of which at least 3,500 people were dying daily (the real number was certainly higher because of undercounting due to lack of testing and improper reporting). The first Omicron BA.1 wave saw the second-highest death tolls, with at least 2,800 dying per day at its peak. Had Omicron been as intrinsically lethal as Delta, we could have easily seen a 4-5× higher peak than January 2021, i.e. as many as 12–15,000 people dying a day. Given that we only had real data on Omicron’s intrinsic lethality after the gigantic wave of infections was unleashed onto the population, we have to conclude that 12–15,000 dead a day is now a threshold that will not force the implementation of serious NPIs for the next problematic COVID-19 serotype.
UK National Covid Memorial Wall. Credit: Dominic Alves Logically, it follows that it is also a threshold that will not result in the implementation of NPIs for any other emerging pathogens either. Because why should SARS-CoV-2 be special?
We can only hope that we will never see the day when such an epidemic hits us but experience tells us such optimism is unfounded. The current level of suffering caused by COVID-19 has been completely normalized even though such a thing was unthinkable back in 2019. Populations are largely unaware of the long-term harms the virus is causing to those infected, of the burden on healthcare, increased disability, mortality and reduced life expectancy. Once a few even deadlier outbreaks have been shrugged off by governments worldwide, the baseline of what is considered “acceptable” will just gradually move up and even more unimaginable losses will eventually enter the “acceptable” category. There can be no doubt, from a public health perspective, we are regressing.
We had a second, even more worrying real-life example of what the future holds with the global spread of the MPX virus (formerly known as “monkeypox” and now called “Mpox”) in 2022. MPX is a close relative to the smallpox VARV virus and is endemic to Central and Western Africa, where its natural hosts are mostly various rodent species, but on occasions it infects humans too, with the rate of zoonotic transfer increasing over recent decades88. It has usually been characterized by fairly high mortality – the CFR (Case Fatality Rate) has been ∼3.6% for the strain that circulates in Nigeria and ∼10% for the one in the Congo region, i.e. much worse than SARS-CoV-2. In 2022, an unexpected global MPX outbreak developed, with tens of thousands of confirmed cases in dozens of countries89,90. Normally, this would be a huge cause for alarm, for several reasons.
First, MPX itself is a very dangerous disease. Second, universal smallpox vaccination ended many decades ago with the success of the eradication program, leaving the population born after that completely unprotected. Third, lethality in orthopoxviruses is, in fact, highly variable – VARV itself had a variola major strain, with as much as ∼30% CFR, and a less deadly variola minor variety with CFR ∼1%, and there was considerable variation within variola major too. It also appears that high pathogenicity often evolves from less pathogenic strains through reductive evolution - the loss of certain genes something that can happen fairly easily, may well have happened repeatedly in the past, and may happen again in the future, a scenario that has been repeatedly warned about for decades91,92. For these reasons, it was unthinkable that anyone would just shrug off a massive MPX outbreak – it is already bad enough as it is, but allowing it to become endemic means it can one day evolve towards something functionally equivalent to smallpox in its impact.
Colorized transmission electron micrograph of Mpox virus particles. Credit: NIAID And yet that is exactly what happened in 2022 – barely any measures were taken to contain the outbreak, and countries simply reclassified MPX out of the “high consequence infectious disease” category93 in order to push the problem away, out of sight and out of mind. By chance, it turned out that this particular outbreak did not spark a global pandemic, and it was also characterized, for poorly understood reasons, by an unusually low CFR, with very few people dying94,95. But again, that is not the information that was available at the start of the outbreak, when in a previous, interventionist age of public health, resources would have been mobilized to stamp it out in its infancy, but, in the age of laissez-faire, were not. MPX is now circulating around the world and represents a future threat of uncontrolled transmission resulting in viral adaptation to highly efficient human-to-human spread combined with much greater disease severity.
This is the previously unthinkable future we will live in from now on in terms of our approach to infectious disease.
What may be controlled instead is information. Another lesson of the pandemic is that if there is no testing and reporting of cases and deaths, a huge amount of real human suffering can be very successfully swept under the rug. Early in 2020, such practices – blatant denial that there was any virus in certain territories, outright faking of COVID-19 statistics, and even resorting to NPIs out of sheer desperation but under false pretense that it is not because of COVID-19 – were the domain of failed states and less developed dictatorships. But in 2023 most of the world has adopted such practices – testing is limited, reporting is infrequent, or even abandoned altogether – and there is no reason to expect this to change. Information control has replaced infection control.
After a while it will not even be possible to assess the impact of what is happening by evaluating excess mortality, which has been the one true measure not susceptible to various data manipulation tricks. As we get increasingly removed from the pre-COVID-19 baselines and the initial pandemic years are subsumed into the baseline for calculating excess mortality, excess deaths will simply disappear by the power of statistical magic. Interestingly, countries such as the UK, which has already incorporated two pandemic years in its five-year average, are still seeing excess deaths, which suggests the virus is an ongoing and growing problem.
It should also be stressed that this radical shift in our approach to emerging infectious diseases is probably only the beginning of wiping out the hard-fought public health gains of the last 150+ years. This should be gravely concerning to any individuals and institutions concerned with workers and citizens rights.
This shift is likely to impact existing eradication and elimination efforts. Will the final pushes be made to complete the various global eradication campaigns listed above? That may necessitate some serious effort involving NPIs and active public health measures, but how much appetite is there for such things after they have been now taken out of the toolkit for SARS-CoV-2?
We can also expect previously forgotten diseases to return where they have successfully been locally eradicated. We have to always remember that the diseases that we now control with universal childhood vaccinations have not been globally eradicated – they have disappeared from our lives because vaccination rates are high enough to maintain society as a whole above the disease elimination threshold, but were vaccination rates to slip, those diseases, such as measles, will return with a vengeance.
The anti-vaccine movement was already a serious problem prior to COVID-19, but it was given a gigantic boost with the ill-advised vaccine-only COVID-19 strategy. Governments and their nominal expert advisers oversold the effectiveness of imperfect first generation COVID-vaccines, and simultaneously minimized the harms of SARS-CoV-2, creating a reality gap which gave anti-vaccine rhetoric space to thrive. This is a huge topic to be explored separately. Here it will suffice to say that while anti-vaxxers were a fringe movement prior to the pandemic, “vaccination” in general is now a toxic idea in the minds of truly significant portions of the population. A logical consequence of that shift has been a significant decrease in vaccination coverage for other diseases as well as for COVID-19.
This is even more likely given the shift in attitudes towards children. Child labour, lack of education and large families were the hallmarks of earlier eras of poor public health, which were characterized by high birth-rates and high infant mortality. Attitudes changed dramatically over the course of the 20th century and wherever health and wealth increased, child mortality fell, and the transition was made to small families. Rarity increased perceived value and children’s wellbeing became a central concern for parents and carers. The arrival of COVID-19 changed that, with some governments, advisers, advocacy groups and parents insisting that children should be exposed freely to a Severe Acute Respiratory Syndrome virus to ‘train’ their immune systems.
Infection, rather than vaccination, was the preferred route for many in public health in 2020, and still is in 2023, despite all that is known about this virus’s propensity to cause damage to all internal organs, the immune system, and the brain, and the unknowns of postinfectious sequelae. This is especially egregious in infants, whose naive immune status may be one of the reasons they have a relatively high hospitalization rate. Some commentators seek to justify the lack of protection for the elderly and vulnerable on a cost basis. We wonder what rationale can justify a lack of protection for newborns and infants, particularly in a healthcare setting, when experience of other viruses tells us children have better outcomes the later they are exposed to disease? If we are not prepared to protect children against a highly virulent SARS virus, why should we protect against others? We should expect a shift in public health attitudes, since ‘endemicity’ means there is no reason to see SARS-CoV-2 as something unique and exceptional.
We can also expect a general degradation of workplace safety protocols and standards, again reversing many decades of hard-fought gains. During COVID-19, aside from a few privileged groups who worked from home, people were herded back into their workplaces without minimal safety precautions such as providing respirators, and improving ventilation and indoor air quality, when a dangerous airborne pathogen was spreading.
Can we realistically expect existing safety precautions and regulations to survive after that precedent has been set? Can we expect public health bodies and regulatory agencies, whose job it is to enforce these standards, to fight for workplace safety given what they did during the pandemic? It is highly doubtful. After all, they stubbornly refused to admit that SARS-CoV-2 is airborne (even to this very day in fact – the World Health Organization’s infamous “FACT: #COVID19 is NOT airborne” Tweet from March 28 2020 is still up in its original form), and it is not hard to see why – implementing airborne precautions in workplaces, schools, and other public spaces would have resulted in a cost to employers and governments; a cost they could avoid if they simply denied they needed to take such precautions. But short-term thinking has resulted in long-term costs to those same organizations, through the staffing crisis, and the still-rising disability tsunami. The same principle applies to all other existing safety measures.
Worse, we have now entered the phase of abandoning respiratory precautions even in hospitals. The natural consequence of unmasked staff and patients, even those known to be SARS-CoV-2 positive, freely mixing in overcrowded hospitals is the rampant spread of hospital-acquired infections, often among some of the most vulnerable demographics. This was previously thought to be a bad thing. And what of the future? If nobody is taking any measures to stop one particular highly dangerous nosocomial infection, why would anyone care about all the others, which are often no easier to prevent? And if standards of care have slipped to such a low point with respect to COVID-19, why would anyone bother providing the best care possible for other conditions? This is a one-way feed-forward healthcare system degradation that will only continue.
Finally, the very intellectual foundations of the achievements of the last century and a half are eroding. Chief among these is the germ theory of infectious disease, by which transmission chains can be isolated and broken. The alternative theory, of spontaneous generation of pathogens, means there are no chains to be broken. Today, we are told that it is impossible to contain SARS-CoV-2 and we have to "just live with it,” as if germ theory no longer holds. The argument that the spread of SARS-CoV-2 to wildlife means that containment is impossible illustrates these contradictions further – SARS-CoV-2 came from wildlife, as did all other zoonotic infections, so how does the virus spilling back to wildlife change anything in terms of public health protocol? But if one has decided that from here on there will be no effort to break transmission chains because it is too costly for the privileged few in society, then excuses for that laissez-faire attitude will always be found.
And that does not bode well for the near- and medium-term future of the human species on planet Earth.
(Follow the link for more than 100 references and sources)
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ltwilliammowett · 2 months ago
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The mysterious lake fever
When the Battle of Lake Erie was fought on 10 September,1813, of Perry's 532 men, 116 were ill with an unknown fever. They all showed symptoms of malaria or yellow fever or even just severe influenza, but on a freshwater lake in America?
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Perry at the Battle of Lake Erie, by James Edward Kelly, 19th century (x)
And then it wasn't just the 116, after the battle there were even more and only a few of the sick survived the whole thing. But what it was, the surgeons could not explain with the best will in the world, because they all showed different symptoms that could fit to one of the above mentioned diseases. But one thing they did know was that the men had all drunk from the water of the lake, which was generally considered drinkable.
Even though a lot of sewage was discharged into it, the men filled up their barrels upstream from a ship, because the water was good and clear. However, it was deadly. What exactly the fever was has not been fully elucidated to this day, even though the water led to a great cholera epedemy in the 1830s. It was considered drinkable until the 1970s, but had already been filtered since the 1850s, and the sick people who still came were simply accepted.
It is assumed that mosquitoes and other pathogens are in fact not only responsible for one type of disease, but also for malaria, typhoid, yellow fever and cholera.
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nikomedes · 7 months ago
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ive seen some great bingo sheets going around for malevolent s5 but i would ask you to go further. lets invent some new 13th century miseries for our failsons arthur and john
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EDIT: people in the notes have mentioned they don’t know what some of these are, so i jotted down some quick and dirty explanations below the cut.
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the bubonic plague or black death is pretty well known, a horrific illness mostly transmitted by fleas and rats that was responsible for mass death in europe.
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marginalia are funky little drawings made in the margins of illuminated manuscripts, largely by bored monks and scriveners. my favorite is the penis beast.
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a medieval lord’s military might wasnt made up mostly of knights, who were typically low in number and expensive to field. they largely relied on levies, groups of able-bodied men raised from their land holdings and basically given a pike (a long spear), the bare minimum of equipment/livery, and a slap on the ass, and sent to fight one of the many english civil wars.
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leprosy was another greatest hit of medieval diseases that fucked your whole life up.
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catholic heresies are super fun! christianity has existed in a sort of perpetual state of “fuck around and find out,” but the medieval period saw a supreme amount of fucking around. here’s a great post rating many of these heresies. check out marcionism for some great Demiurge Discourse
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middle english was the form english took at this time. it can be very musical, but its, uh, yknow. difficult to parse these days.
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crusades were basically the greatest pastime of medieval rulers. not sure what to do with a heap of gold and all your vassal lords getting antsy and potentially fomenting ANOTHER civil war? ship them off to the middle east to fight a holy war on any pretext you can think of, including “because i can.”
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tunic malfunction is mostly a goof, but between hose, sumptuary laws governing specific colors and items different races/religions/classes could wear, tunic length discourse, and how expensive making clothes could be, well. it could be a hurdle
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legal proceedings weren’t just for people back in the day. sometimes animals would be dragged to the stand and accused of crimes. pigs in particular were often accused of eating limbs, children, and promoting sin.
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13th century well water is your one stop shop for some all-time hit fatal diseases, such as cholera and dysentery! also, even if it didnt kill you, frequent contamination means it usually smelt or looked bad. poisoning wells was a common warfare tactic as well.
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medicinalmoth · 9 months ago
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🧫 Germs in a Petri Dish Shaker Charm
USD $14.00 -> International shipping available -> Calculated shipping -> Offers enabled
Acrylic petri dish shaker charm featuring 4 mini virus/bacteria pieces inside, Cholera (yellow), Staphylococcus (purple), Salmonella (orange), and Streptococcus (teal). The top layer of the charm represents the rim of the dish along with an inoculating loop while the lower layer represents agar gel.
With or without glitter! The glitter in the charm featured in the photos is the multicolor mixed glitter. If you want a mix of specific colors and/or have a preference on how much/little glitter to put inside, let me know in the personalization section. The charms CANNOT be opened back up once I assemble them.
Features a metal swivel lobster clasp and an easily removable chain. I don't recommend attaching it to things that see rough use like keys, as to avoid scratching the plastic.
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viric-dreams · 5 months ago
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Going to put a rough timeline together for Ockham:
1781:
Eduard Ackerman is born in Antwerp, in what was then the Austrian Netherlands, the second of what would be five children (and only one of two to survive to adulthood).
1792:
Antwerp falls under French control. Ackerman has since become the oldest living child.
1796:
Ackerman begins working on a merchant ship, involved in minor trade between nearby European ports, and sending money back to his family.
1804:
Whilst away, Ackerman receives a letter that the entire family is ill with cholera. Rather than try to gain passage back to Antwerp on another ship, he makes the decision to stay the course and return as planned, with pay for the full journey. By the time he returns, he learns his younger brother is the only one to have survived. This leads to a massive row between the two of them, in which his brother accused him of being callous and caring more about money than their own family. Ackerman argued that with the benefit of hindsight it would not have many any difference--even if he had taken the next boat back he wouldn't have arrived in time. And was it not his wages that was, in no insignificant part, supporting them all? His brother did not appreciate the logic of this argument, and it became the last time the two ever spoke.
1804-1812:
Ackerman continues work as a sailor, semi-consistently changing ships and never holding onto interpersonal relationships for long. In this time he has no fixed address, yet spent significant time in both Rotterdam and Hamburg.
Autumn 1812:
Whilst on shore leave in London, he's impressed into the Royal Navy.
1812-1814:
Ackerman serves against his will on a British warship, his desertion attempts unsuccessful. Shortly after conscription, the officers give him the nickname Ockham, seemingly unable or unwilling to pronounce his name correctly. He maintains sanity during this period with minor forms of rebellion.
Summer 1814:
His ship engages with a French vessel. Amidst the chaos and cannon fire he's thrown from the deck into the mirrored surface of the sea.
1814-1899:
Viric dreams under a cosmogone sun
1899 (Pt. 3):
Ockham wakes up in Fallen London during Whitsun of 1899.
Much has changed since hishertheir last memories of the place. Ockham tries hishertheir best to get back on hishertheir feet and adapt. Heshethey gets a job on the docks.
Things don't always seem to add up in the Neath. Acquaintances seem to struggle to understand Ockham, to remember details of their interactions, often yawning in boredom when Ockham's speaking. It only serves to worsen Ockham's already negative impression on Londoners, and the English specifically.
And then there are the dreams. Ockham dreams of a jungle, impossibly green. Heshethey lies on a cushioned bed of moss, soft as any cloud. Warm bodies surround himherthem, slithering and sliding across hishertheir limbs, like the sway of floating in a gentle sea. The mellow sounds of the jungle at rest are broken by the low drone of many conversations and it’s so easy to get lost in that hum. Sunlight trickles through the canopy of leaves, warming them all. The smell of saltwater hangs in the air, and the occasional call of gulls hint at a shore not far from here. This is peace. This is home.
Ockham learns of the existence of Parabola, the likely source of hishertheir recurring dreams (memories?) and vows to find it.
At some point in this saga, Ockham gets looped into killing the Vake. Sure, heshethey'll do it, if it enables hishertheir ultimate goal of crossing through the mirror.
Ockham becomes a silverer and begins exploring Parabola, searching for that clearing from hishertheir dreams. All the while, a familiar-looking figure seems to lurk just in the corners of hishertheir vision, never quite in catchable range.
1899 (Pt. 4)
Ockham continues the search for the location in hishertheir dreams. Heshethey decides to petition the Fingerkings for information. There's some sort of connection between them, Ockham can sense it. They seem, however, to be unusually elusive. Not a reptile in sight.
An unpleasant entanglement with The Thieving Stowaway (The Youthful Naturalist) results in Ockham zailing to Irem. There, heshethey finally corners a powerful Cacophony of serpents at the Market. Ockham tries to broker a deal with them, to take himherthem back to that place, or possibly back into their fold. That's why they have the connection, right? That's why some of Ockham's memories (dreams?) are so distinctly inhuman. The Fingerkings don't see it that way. They don't want Ockham. They have no use for himherthem. What would they do with a Parabolan reflection, especially when they already have the original. It's at this point that Ockham finally comes face to face with the familiar figure--the surface sailor whose face Ockham's mirrors. But appearances is where the resemblance ends. If there was once a person in there, any trace of life is long gone, an empty husk puppeted by the Cacophony. Whatever may have once been behind those eyes is gone now, leaving Ockham the sole steward of what used to be Ackerman, now woven together with a patchwork of Parabola.
Furious and frustrated, Ockham zails back to London, nearly drowning in the process during the harrowing voyage. Upon docking, heshethey sets hishertheir zub on fire, wrung out and thoroughly done with the Zee, and vowing never to step foot on a ship again.
Ockham spends the next several months coming to terms with the fact that heshethey're not human, but a creature of Parabola, imbued with the spirit and memories of what once was a person, and many of those of the Fingerkings.
Ockham bounces from job to job, untethered, slowly becoming involved in ventures in the Upper River.
Around this point, heshethey meets Tamara, and seeing someone so clearly lost and in need of a place to stay offers her a spare room in hishertheir flat.
This awkward but tentatively friendly relationship goes slightly pear-shaped upon Tamara discovering what Ockham is. They do manage to eventually mend it to an extent, and slowly begin to understand each other better, both figuratively and literally, as they both gain a common language.
Ockham is often away from London, busy in the Upper River and also Parabola. Heshethey begins a business selling Parabolan-grown ghost peppers to the Stags and rich Bohemians with more money than self-preservation skills.
All this draws to a violent end when the Cacophony makes their move, attempting to kill Ockham and break out of Parabola, something they couldn't do as long as Ockham was in the Is. They don't succeed, and Ockham manages to make it back to London, but it's no longer safe for himherthem to cross through the mirror.
Ockham needs to regroup and find a new profession.
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inthemiddle0feverywhere · 8 months ago
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Why is everyone shipping Crosshair and Ventress all of a sudden?? She fist fights all three of them and all he does is help her on to the ship it’s a micro second of touching! Shut up you Victorian Era cholera victims who saw an ankle for the first time! Them being together would be the worst thing ever! Not because I’d be jealous
Whenever there is a love interest in Star Wars it ends in disaster!
See: Tech and Phee (ok it wasn’t official but we know it is ok)
See: Padme and Anakin
See: Hera and Kanan
See: Obi wan and Satine
See: Leia and Han (taken out by his own son like wtfff)
See: Rey and Kylo/Ben Solo
I do not need things ending in disaster for Crosshair ok! Stop it
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theheirofthesharingan · 8 months ago
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What do you think about naruita/sasunaru? Some people say it’s illegal because of the age gap but isn’t fugaku and mikoto’s age difference is also 5-6 years?
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I meant sasuita in the last ask sorry
I wrote my thoughts on NaruIta/ItaNaru in the previous ask and I don't think age gap in FICTION should be anyone's concern. Real people aren't getting hurt.
Onto Sasuita/Itasasu because I have a lot of thoughts on them. I think age-gap is the least concerning thing from a moral and legal standpoint in this ship. KisaIta, Kakaita have age gap too, even more than Itasasu, but it's not considered illegal. Even Shisui is quite older than Itachi. Itachi was 11-12 when Shisui died and Shisui looked older. Maybe he was 15-16. None of these ships are illegal.
One of the major factors this ship is problematic is because it's incest. And usually always age-gaps (when family members are concerned) cause severe power imbalance in the dynamic of the said characters which is directly attributed to grooming and manipulation and sexual exploitation, and all of this is criminal.
I haven't explored the shipping side of Sasuke and Itachi, so I don't know how they're portrayed in the fics and how the relevant non-platonic aspects of their relationship are handled. I did see arts, but those aren't very telling in this regard as well. Over all, I've only explored a handful of fics with Itachi and Sasuke as a main focus and I don't like their characterization in most of them.
Anyway, even if it is illegal because of incest and age gap what are antis going to do? Throw the writers and artists in jail? Make the world go against them so the artists stop creating those arts? They could just mind their own business and outrage over the things that need their attention instead of bullying the artists. We're living in 2024, not 1800s where writers were jailed because some puritans got offended.
Problematic themes have always existed in fiction and as long as no one acts upon them it's alright to explore. Flowers in the Attic by V. C. Andrews also deals with incest. Haruki Murakami's Kafka on the Shore also has implied incest and age gap. Love in the Time of Cholera is the story of a stalker who becomes a fuckboy because the woman he used to stalk refuses to marry him. And he's also groomed a 14 year old kid at the age of 70 or something. Lolita is about a child predator who abuses and threatens a little girl.
Mainstream media has always dealt with these things. I don't understand the point of going after the artists who do their work in free time and moral policing them.
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