This short piece by Vaclav Smil asks why we do talk so much about the Spanish flu, as a benchmark for Covid19, whereas we do not compare it with influenza pandemics after WWII. Smil’s crucial argument is that, if we do not have good numbers for the Spanish flu, we do have very good numbers for more recent pandemics. He points out that:
these more virulent pandemics had such evanescent economic consequences. The United Nations’ World Economic and Social Surveys from the late 1950s contain no references to a pandemic or a virus. Nor did the pandemics leave any deep, traumatic traces in memories. Even if one very conservatively assumes that lasting memories start only at 10 years of age, then 350 million of the people who are alive today ought to remember the three previous pandemics, and a billion people ought to remember the last two.
But I have yet to come across anybody who has vivid memories of the pandemics of 1957 or 1968. Countries did not resort to any mass-scale economic lockdowns, enforce any long-lasting school closures, ban sports events, or cut flight schedules deeply.
Today’s pandemic has led to a deep (50 to 90 percent) reduction in flights, but during the earlier pandemics, aviation was marked by notable advances. On 17 October 1958, half a year after the end of the second pandemic wave in the West and about a year before the pandemic ended (in Chile, the last holdout), PanAm inaugurated its Boeing 707 jet service to Europe. And the Boeing 747, the first wide-body jetliner, entered scheduled service months before the last wave of the contemporary pandemic ended, in March 1970.
Why were things so different back then? Was it because we had no fear-reinforcing 24/7 cable news, no Twitter, and no incessant and instant case-and-death tickers on all our electronic screens? Or is it we ourselves who have changed, by valuing recurrent but infrequent risks differently?
I am afraid that 24/7 cable news, Twitter and incessant case-and-death tickers on all our electronic screens will not only twist memory, but they are also having a strong impact over political decision making.
Take the Italian case. After a very severe lockdown (schools were kept closed for six months), we had more or less a good summer, with progressive reopening and small numbers of contagions, grave hospitalizations, and deaths. With the fall, we have been hit by the much-awaited “second wave”. The government’s preparations have been lacking if not altogether paradoxical: school hours have not been changed, and the supply of public transport has not been varied (in spite of the fact private bus companies are being kept idle, whereas they could have been contracted to help cope with the rush hour traffic). Swab tests were strictly monopolized by hospitals and pharmacists; doctors and private healthcare structures have not been mobilized in order to increase test capacity. Now, the numbers of contagions are rising sharply and doubling once every seven days. They will be around 30,000 a day by the end of the month. Alas, deaths seem to double every week, too.
What has the government done? At first, it went for a dripping of closures, with new measures coming up once a week: a couple of weeks ago it made wearing facemasks mandatory, then we introduced curfews. Now gyms and swimming pools and ski resorts have been closed and restaurants won’t be free to serve dinner. The country is entering a lockdown, though softer than the first one.
“There are no libertarians in a pandemic;” but somehow that is a problem. One of the key insights of modern libertarianism is that a complex society is a tangle of knowledge problems, which central authorities are not very good at unraveling. This has been lost on decision-makers, who think they can win the “war against the virus” with top-down decisions, irrespective of continuous and abrupt change. They are always lagging a step behind.
A few days ago Federico Giugliano has written that somehow, in this second wave, Europe has quietly “turned Swedish”: “Governments are happy to impose more stringent measures on cities and regions with bad outbreaks (as Sweden itself is starting to do) but they’re extremely reluctant to crack down too heavily on social interactions, as they did in the spring.”
That was hardly sustainable, politically speaking, with, as Smil put it, “24/7 cable news, Twitter and incessant case-and-death tickers on all our electronic screens”. With cases quickly rising, we see stronger pressure for a new lockdown: the media are breeding anxiety and anxiety elicits a call for political resolve.
When it comes to Italy, the numbers are way above Italy’s test and tracing capacity. The lockdown is an implicit admission of the inability of doing anything else. In an article on Politico.eu, I asked “Why did the Italian government, after navigating one of the first and fiercest coronavirus outbreaks earlier this year, not learn from the experience?” My answer is: ideology. The government spent lots of energy and political capital in negotiating European aid and has planned great advancement in its building of an “entrepreneurial state”.
I do hope that these new measures will be able to flatten the curve and reduce stress on the national health care service. But if the government is capable only of using the hammer, how can we expect it to be able to “dance” with the virus?
READER COMMENTS
Thomas Hutcheson
Oct 31 2020 at 8:51am
“Why did the Italian government, after navigating one of the first and fiercest coronavirus outbreaks earlier this year, not learn from the experience?”
Maybe it was the failure of critics to advocate for “correct” policies. “Ideology” does not seem to be a specific enough explanation. If A was a better policy than B, exactly how and why did policy makers choose B?
Jon Murphy
Nov 2 2020 at 7:39am
Too bad there isn’t a vast, empirical literature that could provide us an answer (or, at least, a framework to consider) that question. Perhaps one dealing with how a public makes choices, the incentives facing politicians, voters, and bureaucrats. Such a vast empirical literature would surely have a quarterly, highly ranked academic journal, if it existed. Perhaps even a yearly conference and multiple seminars at universities around the world? Indeed, if anyone were to found such a school of analysis, surely they would win a Nobel Prize for their efforts.
Todd Kreider
Oct 31 2020 at 2:57pm
Italy increase in Covid-19 deaths percentage by day and per week:
Sep 27 to Oct 3…….. 0.13%….150 deaths
Oct 4 to Oct 10………0.07%….170…….15% increase
Oct 11 to Oct 17…… 0.12%…..600…..250% increase
Oct 18 to Oct 24……..0.3%…..750…….25% increase
Oct 25 to Oct 31……..0.5%….1,400…..85% increase
As for case increases, Italy has been testing 2 to 3 times as much as it did in the spring and is testing asymptomatic people unlike in spring, something which has never been done before. Until this summer on planet Earth, a case meant a person had symptoms and/or a positive test.
“Governments are happy to impose more stringent measures on cities and regions with bad outbreaks (as Sweden itself is starting to do)”
Actually, Sweden has not done this. For the city of Uppsala with a population of 230,000, the government asked people to avoid public transportation if possible and socialize with family for two weeks. It is voluntary and restaurants remain open there although the government advised people not stay late into the evening.
Michael Pettengill
Nov 3 2020 at 3:40pm
Post WWII, the developed world has stopped or mitigated epidemics and pandemics by government action, eg, robust public health care systems.
Its hard to argue the “Spanish flu” has repeated every decade or two when there are so few deaths not attributed to war. And how many WWI war deaths were actually flu.
We do have a couple of cases of “over reaction”, eg, Ford and Obama, to flu.
Note, generally ignored is the “warp speed” vaccine production that made over 200 million does available by December 2009 because in Jan 2010, the H1N1 (2009) flu just “went away” as Trump says SARS-CoV2 will just go away any day now. Perhaps Obama implementing the epidemic plan Bush gave him, developed out of fear of terrorism a la anthrax and sarin, but with small pox or something, made that flu pandemic irrelevant.
Trump seems to purposely did the opposite of Obama who rejected Trump’s call for banning travel from nations to prevent disease spread. Obama argued disease has no nationality. And the SARS-CoV2 outbreaks in Boston, NYC, Chicago came from European travelers, not Chinese or Asian travelers.
And, as a listener to TWiV podcasts, other than a Wuhan Trump, China has not kept SARS-CoV2 secret with scientific and medical information flowing freely. SARS-CoV2 is unique in its course of action from cold and flu, like the vapping disease outbreak of 2019. The Good Doctor season opener condensed 6 months into 42 minutes pretty well.
Peter Wisten
Nov 4 2020 at 2:43am
The FHM in Sweden ( public health ageny) states on their home page there are some 5900 cases of death, BUT they cant confirm Covid-19 was cause of death only that these people had the virus.
I find this highly disturbing because it is more of an organized scare show rather than proper facts brought forward to the public as this reporting method is being used on a global scale.
It is well known that elderly and people with underlying health issues are overrepresented among the deceased and that reporatedly had Covid-19. Every year people die from the flu and Covid-19 is really no different.
Also when they make reports on current Covid-19 status for different countries this is presented in percentage and a big BUT again as comparison is made from reported cases and on tested persons. Of course you get scary numbers and a whole different picture comes up if this comparison had been made taking in account the entire population of each country.
Lockdowns is completely devestating for the economy and Sweden has proven they didnt come out worse than those countries that were forced into lockdowns.
To me this is a very well organized hoax! Take care of the elderly and those with underlying health issues and let the rest of us live a normal life without lockdowns but with respect for the virus as we would with the yearly flu.
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