Unbiased Analysis of Today's Healthcare Issues

Infectious Disease: Themes

Written By: Jason Shafrin - Apr• 20•16

An interesting post by Nicolas Bagley at the Incidental Economist provides a brief overview of a class he taught on infectious diseases and the law.  Looking at diseases ranging from cholera, Spanish flu, polio, AIDS, SARS, and Ebola, Bagley claims that ten key themes emerged:

  1. Governments are typically unprepared, disorganized, and resistant to taking steps necessary to contain infectious diseases, especially in their early phases.
  2. Local, state, federal, and global governing bodies are apt to point fingers at one another over who’s responsible for taking action. Clear lines of authority are lacking.
  3. Calibrating the right governmental response is devilishly hard. Do too much and you squander public trust (Swine flu), do too little and people die unnecessarily (AIDS).
  4. Public officials are reluctant to publicize infections for fear of devastating the economy.
  5. Doctors rarely have good treatment options. Nursing care is often what’s needed most. Medical professionals of all kinds work themselves to the bone in the face of extraordinary danger.
  6. In the absence of an effective treatment, the public will reach for unscientific remedies.
  7. No matter what the route of transmission or the effectiveness of quarantine, there’s a desire to physically separate infected people.
  8. Victims of the disease are often thought to deserve the affliction, especially when those victims are mainly from marginalized groups.
  9. We plan, to the extent we plan at all, for the last pandemic. We don’t do enough to plan for the next one.
  10. Historical memory is short. When diseases fall from the headlines, the public forgets and preparation falters.

The post also has a recommended reading list for people interested in the intersection of infectious disease, history, and public health. Go check it out.

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