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Comment by southernplaces7

2 days ago

Nasty thing that. Bubonic plague became famous for killing nearly half the western world in the 14th century in just a few years, but for all its voracious destructiveness, the pneumonic variant left it in the dust in specific situations. I've read that in cities and towns where plague took on its pneumonic form instead of its bubonic variant, 80%+ of the local population would die in just days. In some cities struck by this, populations didn't recover until the 18th century.

I think it's innately impossible for us now in the comparatively near-sterile, social safety-laden developed world of today to imagine such grotesque death happening so suddenly on such a vast scale.

The COVID pandemic, for all the fear and emergency measures it sparked mostly killed sporadically. In any average social group, family or community, one would hear of only a very small minority of people having actually died. It was, comparatively, a sort of kid-gloves pandemic in terms of pure clinical impact.

Compare that with hearing stories of a vast and utterly mysterious dying sweeping towards all that you know, only to suddenly hear one day of inhabitants in the outermost parts of your city falling like flies in the most disgusting of ways, and then being forced to watch the same thing you'd feared from rumor unfold before your very eyes to those you love, taking each of them in turn so terribly that you can barely bring yourself to even approach (let alone try help) these same people that you'e cherished since birth. This abyss of tragedy overwhelms you and all your senses before finally, just days later, you wake up with yet another exhausting morning to the discovery of nearly every single person you know being dead, and all the social tapestry that wove you together so richly across so many years now completely erased from your personal world. All this monstrous upheaval, in just a single week.

  • This reinforces my belief that today is the best time in human history to live. Yes there is still pain and suffering but overall more humans live lives our ancestors could not begin to imagine.

    • In some ways - particularly health and food security - definitely.

      Although I wonder if loneliness, stress and lack of direction are much bigger problems today.

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    • And we know this. We can measure it and reason about it. But good times breeds weak people and we’re well into the phase of people no-longer grokking why vaccines, civil government, democracy, floodplain management, etc. need to exist.

      This social plague is proliferating and I’m not sure we really know how to fight it as it takes colleagues, friends, family, celebrities we once admired.

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  • You should write a book, if you haven't yet. I'd buy it. Love the way you convey emotion with words.

  • In the middle ages they understood quarantine, but the fact that the disease was carried by fleas made it worse: It'd break containment unless the arrival was by boat, and you didn't let anyone disembark.

    So even when warned (and people were warned) often the people bringing the warnings could spread the disease anyway.

  • > Compare that with hearing stories of a vast and utterly mysterious dying sweeping towards all that you know, only to suddenly hear one day of inhabitants in the outermost parts of your city falling like flies in the most disgusting of ways, and then being forced to watch the same thing you'd feared from rumor unfold before your very eyes to those you love, taking each of them in turn so terribly that you can barely bring yourself to even approach (let alone try help) these same people that you'e cherished since birth.

    My partner did his medical internship at UCSF in 1994. Your quote pretty perfectly describes what happened in gay communities in cities like NY and SF in the 80s and early 90s due to the AIDS epidemic.

  • > I think it's innately impossible for us now in the comparatively near-sterile, social safety-laden developed world of today to imagine such grotesque death happening so suddenly on such a vast scale

    The Black Death was so big that people struggled to comprehend it at the time, too.

    • Exactly that too. Coupled with them living in almost complete darkness about how or why diseases spread, it would have been exceptionally terrifying to behold in a way that a modern person in the middle of a pandemic wouldn't have to face in quite the same way.

  • Everyone I know lost someone to COVID. I almost croaked twice to it.

    Idk where that "small minority" is but it sounds like you might not value your friends very highly.

    Sure, it wasn't 80%, but still, it's not that isolated and I hate this narrative that it was a light cold.

    • The IFR (infection fatality rate: the chance of dying for an individual who contracted COVID) is under 1%.

      That’s a small minority by any reasonable measure, especially in a thread comparing it to the plague.

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    • I know a couple in Missouri who lost 5 family members between his and her side. All obese. I believe 4 of them died after the vaccine was available, but they refused to take it.

    • I'm sorry but you're way off base, or deliberately reacting to information that you perceive as having a political agenda that it actually doesn't have.

      How I value my friends has nothing to do with the death toll and mortality rate I saw anecdotally, of nearly nobody I know dying from it out of hundreds of people of many ages that I knew at the time. Do you imagine that me valuing my friendships more or less somehow changes the clinical mortality stats for a carefully monitored virus? Really?

      Also, COVID wasn't a light cold, but for many people, the vast majority in fact, its symptoms were moderate to mild and far from fatal. Again, this isn't politics of any kind talking, it's just the raw numbers from any reliable source you care to look at. IFR wasn't anywhere close to 10% by the way, as you say further down. Most people, by far, with COVID, were never hospitalized for it (that would have been impossible considering what percentage of the population eventually got it) and the IFR rate among them wasn't 10%. I'd truly love to see your source for that whopper.

      Globally, in absolute averaged total, as far as any source I've seen indicates, COVID had/has an IFR that roughly breaks down as follows: This is from the National Institute of Health btw.

      "For 29 countries (24 high-income, 5 others), publicly available age-stratified COVID-19 death data and age-stratified seroprevalence information were available and were included in the primary analysis. The IFRs had a median of 0.034% (interquartile range (IQR) 0.013–0.056%) for the 0–59 years old population, and 0.095% (IQR 0.036–0.119%) for the 0–69 years old. The median IFR was 0.0003% at 0–19 years, 0.002% at 20–29 years, 0.011% at 30–39 years, 0.035% at 40–49 years, 0.123% at 50–59 years, and 0.506% at 60–69 years. IFR increases approximately 4 times every 10 years. Including data from another 9 countries with imputed age distribution of COVID-19 deaths yielded median IFR of 0.025–0.032% for 0–59 years and 0.063–0.082% for 0–69 years. Meta-regression analyses also suggested global IFR of 0.03% and 0.07%, respectively in these age groups."

      In any case, all of this deviates slightly from a more basic point there's simply no comparison between COVID and the Black Death, in no scenario or circumstance, and mentioning that is not denying that COVID could be dangerous. It's just a statement of obvious facts about how much, much more horrific one of those two pandemics was historically.

    • "Sure, it wasn't 80%, but still, it's not that isolated and I hate this narrative that it was a light cold."

      All of my friends, extended family and friends of friends got Covid. Nobody died. The only people that died had pre-existing conditions.

      To the vast majority of the population, it was similar to a bad cold.

    • Compared to the plague? Absolutely, it definitely was. As a society it’s a sign of how far we’ve come that we have eliminated that kind of illness.