Thursday, April 9, 2020

SOCIETY AFTER COVID-19

LESSONS FROM THE COVID-19 PANDEMIC: A TENTATIVE BLUEPRINT TO PRESERVE HUMAN LIFE ON EARTH





Presented by the Meeroff family

Susana B. Director of Administration and Health Services 

                 

Myrna L. Adjunct Professor of Music, Executive Director at South Florida Chamber Ensemble

Daniel E. Professor and Associate Chair Florida Atlantic University, College of Engineering and Computer Science Department of Civil, Environmental & Geomatics Engineering

Diego H. Director, College Relations and Marketing at Palm Beach State College

Jamie G. Research Scientist/Engineer at NASA Ames Research Center and

Jose C. Clinical Associate Professor of Integrated Medical Sciences; Director Florida Institute for Integrative Medicine




Luck is what happens when preparation meets opportunity” Seneca, the Younger (Lucius Annaeus Seneca), 4 BC-65 AC, Roman Stoic philosopher.

“The greatest threat to our planet is the belief that someone else will save it”.  Robert Swan, b 1959 History greatest explorer.

“Insanity is doing the same thing over and over again and expecting different results.” Albert Einstein,1879-1955, Human greatest genius.




Introduction

The spread among human communities of unfriendly germs (bacteria, virus, parasites, etc.) has been exponentially escalating in past decades (1) and it certainly defied precedence in late 2019 and early 2020 with the COVID-19 pandemic. It sadly uncovered the weakness of our current social, political and health care systems and it will certainly demand important adjustments to maintain safe life conditions on Planet Earth.
The following is a list of the major items that will need to be implemented in order to produce meaningful and beneficial changes:

1     Reduce nomadism: less traveling & relocations
2     Maintain world human population at manageable levels
3     Keep maximal individual and collective hygiene
4     Take personal and social responsibility for our actions
5     Increase level of education and factual information
6     Guard the body, the mind and the spirit
7     Maintain and protect the environment
8     Treat other species with love and concern
9     Eliminate frivolous consumption of goods
10 Support scientific research and development
11 Plan ahead to prepare for catastrophic events
12 Modify working habits to become more efficient

This ideas follows what Erich Fromm emphatically pointed out more than a half of a century ago “Life is neither a game of chance nor a business deal and we must seek elsewhere for an appreciation of the real possibilities for salvation: in the healing art of Medicine” (2)


Reducing nomadism: less traveling and relocations

One of the reasons Homo Sapiens became the dominant species on planet earth was the fact that they settle down and became socially integrated. Now the opposite is true: people travel relentlessly and move/relocate permanently without creating any solid social, political and/or health roots (3). Rootedness, the need to establish foundations and to feel at home in some part of the world (sense of identity), is essential to create a “sane society”. Unfortunately in recent times traveling for leisure and/or for work and frequently relocating had become an addiction. The negatives of our contemporary nomad conduct include:
a Travel transmits infectious conditions such as gastrointestinal infections, respiratory infections, urinary tract infections, mosquito transferred diseases, water spread diseases, etc. Here one poorly understood evil is the absence of immunity to the local endemic germs the nomad population faces while traveling and/or relocating.
b Travel harms the environment  Driving, cruising, flying, train traveling, eating out, etc., all have a negative impact on the environment. Between 2009 and 2013 global carbon dioxide concentration in the atmosphere increased from 3.9 to 4.5 gigatones (tCO2e), that is four times more than previously estimated. It is estimated that tourism accounted for about 8% of such global greenhouse gas emissions (4). Most people while traveling constantly use and misuse supplies in hotel rooms, leave the air conditioner working hard, forget to turn off the lights, etc. Flying around the world in gigantic airplanes, traveling by water in mega cruise ships, exploring distant places using transcontinental trains or driving around in large RVs all contribute to climate change. The travel industry increases construction, and produces excessive pollution and too much waste. Tourism, while often altruistic in nature, often directly and indirectly ends up destroying the places people visit.
c Travel endangers local cultures – The globalization of language, tradition and goods weakens the very same culture people traveled to discover. Instead of going to see the unknown, most people stay in “me too, all alike” resorts and hotels, eat in universal food franchises (the McDonalds/KFC model) and never experience the real culture of the country they are visiting.
d Travel makes the world Disneyland –The popular American blogger Matthew Kepnes, aka Nomadic Matt (5), put it very succinctly:  “From the hill tribes of Thailand to the Andes to cowboys of America, travelers have a certain expectation of what a place is and how the people should act. We travel to see that expectation. We travel to see Crocodile Dundee, Mayans, Native Americans, and hill tribe cultures in Asia. Cultures around the world then put on a show to give us what we want and, in the process, “Disneyize” their culture. I hate seeing the little hill tribes in Thailand or Native American shows in America or “traditional” dance in Vietnam. It’s not how they really act. It’s how they act for tourists. Doesn’t that just cheapen the experience and, in the end, cause more harm than good?”
e Travel devastates local economies – Most of the travelling is managed by large corporations. The fact that travelers stay in franchised hotels and eat in global restaurants certainly doesn’t help the local economy since the profits generated by tourism go to the corporation headquarters. Travelers give preference to what they are familiar with (or have been programmed to be familiar with), so they stay at those international hotels rather than staying at local housing facilities never thinking about where the profit goes. Travel can be a huge economic boom if the money stays local, but that is not the case.
Moving and relocating is another serious problem today. It is a sort of compulsion related to numerous factors from looking for a better deal, a better space, or a better neighborhood to escape from poverty or political persecution. The common factor is that moving produces intense emotional experiences (usually movers are seeking for external changes to change unsolved internal problems), sometimes leading to an increased risk of suicide, substance abuse and even early death. The distress of frequently moving may also lead to a weaker immune system and slow wound healing, contribute to obesity, and drive inflammation that can cause cancer. Finally moving may increase pollution and waste. (6)

Maintaining world human population at manageable levels

The preference of our contemporary, hasty-profit driven, society, is the notion of “quantity over quality”. Conventional economists, no matter what political affiliation they maintain, persuaded us to adore the “throw- away society” with utopic unlimited growth and perpetual expansion. In such a paradigm human beings are disposable conveniences and if they are no longer available for profit, they must be replaced with new ones. Accordingly, the world political leaders have promoted ageism (discarding “old” people) and unlimited population growth (replace the “old” with the “young”) that is now unmanageable. In our opinion, everything is wrong with such a model. By promoting unlimited growth and quantity over quality global society has become very ineffective in a way that will have long-term devastating effects for the economy and the environment.
The current world population is near 8 billon people, significantly too large for Planet Earth to accommodate. The ideal total earth population is still controversial, but most experts agree that the current one is enormous and dangerous. As famous physician and Nobel Prize winner Paul Ehrlich said decades ago the optimum population of Earth, enough to guarantee the minimal physical ingredients of a decent life to everyone, should be 1.5 to 2 billion people (7) rather than the 8 billion who are alive today or the 10 billion expected by 2040. Today we live mostly in megacities that are far too massive and indeed promote crowdedness, pollution and poor health. Even the strongest advocate for largest cities, the famous Swiss-French architect Charles-Edouard Jeanneret, better known as Le Corbusier, suggested that 3 million would be an ideal size for a city of 60 story tower blocks centered in wide open parkland surrounded by residential blocks of some six story high houses (8). We have largely surpassed those limits: New York has a population of 8 million, London 8 million, Sao Paulo 12 million, Tokyo 13.5 million, etc. There are even larger metropolitan areas that encompass several cities and municipalities in one solid urban conglomerate  (megalopolis) such as greater New Delhi with 17 million,  greater Shanghai with 25 million, etc. The greater Tokyo area is the world’s most densely populated metropolitan region with some 38 million residents packed into about 5,200 sq. miles. In the US, about 80% of the total population – roughly 250 million people – live in urban areas, mostly in micro- apartments, some as small as 30 sq. feet (6.5 sq. meters). This new housing facilities prove to be inhumane and unhealthy.  Surprisingly, modern economic planners follow the preference of a contemporary society that is comfortable with the idea that cities can grow bigger and bigger without suffering any disadvantages of pollution, overcrowding, and/or disease ( 9,10). Clearly the COVID-19 pandemic has shown that these large cities suffer when hygiene and isolation are paramount. Cities like Madrid, New York and Los Angeles bore the brunt of the COVID-19 outbreak.
The British non-conventional economist E.F. Schumacher once explained that “Modern economics does not distinguish between renewable and non-renewable materials, as its very method is to equalize and quantify everything by means of a money price”…In the excitement over unfolding of his scientific and technical powers, modern man has built a system of production that ravishes nature and a type of society that mutilates man”(11). Regrettably, such a system exists today in our modern world.
In our opinion, the evidence clearly indicates that it is necessary to reduce both, the world population and the size of our cities in order to maintain a healthy living pattern.

Keeping maximal individual and collective hygiene

Humanity has, somehow, forgotten that sanitation was the greatest medical milestone of the last century and a half. Sanitation and hygiene are critical to maintain health, survival, and development. Many countries are unable, either for economic or cultural reasons, to provide adequate cleanliness for their entire population, leaving people at risk for water, sanitation and hygiene (WASH)-related diseases (12,13).
Throughout the world, an estimated 2.5 billion people (1/3 of the world’s population) lack basic sanitation. Basic sanitation is described as having access to facilities for the safe disposal of human waste (feces and urine), as well as having the ability to maintain hygienic conditions, through services such as garbage collection, industrial/hazardous waste management, and wastewater treatment and disposal.
The world failed to achieve the United Nations’ Millennium Development Goal (MDG) sanitation target (i.e., to reduce by half the proportion of people without sustainable access to basic sanitation by 2015). Now, the United Nations’ Sustainable Development goal (SDG) is for everyone to have “adequate and equitable” sanitation by 2030 (13).
As we speak, close to 1 billion people worldwide still defecate in the open; 2.5 billion people lack access to basic sanitation,  more than a half billion lack access to basic water sources. Diarrhea is the second leading cause of death in children under five much of which is preventable by clean water and basic sanitation.
The problem is not only the lack of resources in the underdeveloped countries but also the unacceptable attitude/education/hubris of people from the developed ones that ignore hygiene and sanitation. We have news for them: providence is not the solution for the dilemma; the real solution will arrive only when we all take responsibility for the challenge and act accordingly!

Taking personal and social responsibility for our actions

Serendipity is the occurrence and development of events by chance in a happy or beneficial way. Many people believe that God and/or Nature will take care of all our problems, sins and errors unreservedly. The scientific evidence tells us just the opposite. We must confront and solve our own problems in a proactive manner. As Sophocles said in ancient times "No good ever comes of leisure purposeless; and heaven never helps the men who will not act”. Benjamin Franklin reaffirmed this notion in the 18 century when he said “God helps those who help themselves” (14). Frankly, the social irresponsibility of contemporary people is monumental. Just think how many times you, as a car driver in a developed country, use the turning signs or how many times you comply with the street stop signs. This example may seem trite, but it exposes a larger problem: civil society only survives if everyone chips in and takes responsibility for its survival.

Increasing level of information and education

For human beings, education is as important as oxygen. Education gives people the knowledge and skills necessary not only to survive but to thrive. Unfortunately, basic education remains inaccessible for millions of people around the world. Globally, more than 75 million children are not in school and almost 800 million adults are illiterate and do not have the awareness necessary to improve both their living conditions and those of their children. Still even more worrisome is the quality of education provided to those in in developed countries.
Similarly, admittance to real and useful information, despite all the technological innovations in recent times, is very limited. Multiple factors contribute to such deficiencies such as limited access, control by authorities and political forces, cost, security, media bias etc.
Without education and with very limited or unreliable information humans cannot strive and improve. Education is not equal to technical indoctrination as we see employed in the US and other industrialized countries. Education must be broad and thorough. It must include the sciences, the arts, the humanities, the history, the languages, the philosophy, etc. Education ought to cover all aspects of knowledge so individuals can think independently and be able to make judicious decisions.

Guarding the body, the soul, the mind and the spirit

Human beings are characterized (different from all other animal species) for having mind and consciousness. The two most important qualities of the mind are intuition and logic.  With consciousness come uncertainties and elusive ideas such as the meaning of life. According to the gnostic view, the human being is formed by the amalgamation of several components, some material (body, energy) and some immaterial (mind, soul, spirit) that are completely integrated and functioning together allowing the proper balance indispensable for well being and survival. Therefore, we must take care of ourselves, by being responsible for all the elements in harmony with their own belief and principles. One important caveat: taking care of the components doesn’t mean being always totally under mind control since the body and the soul can heal themselves spontaneously (15). Relaxation using different methods available such as meditation, Reiki, exercise, pray, etc., is an active process that allows this to occur.
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Protecting the environment

Human life exists on Planet Earth, an eco-system (ES) that we depend on to sustain life as the Gaia theory explains (16, 17). It is a human moral obligation to protect the environment from pollution and other deleterious anthropogenic activities that lead to ecological degradation and endanger life.
Unfortunately, many leaders of the world do not take this issue seriously. The young environmental activist Greta Thunberg summarized the state we are in succinctly when she said, "Since our leaders are behaving like children, we will have to take the responsibility they should have taken long ago." …."I want you to act as if the house is on fire, because it is."…. "You must unite behind the science. You must take action. You must do the impossible. Because giving up can never ever be an option” (18). Instead of making choices to protect the environment, world leaders are still making decisions to protect the short-term profits of an industrial class in order to garner financial support for elections. Scientists are ignored and the people suffer.
We strongly believe that the enemy is not the political rival; instead it is the invisible threats to human existence such as the COVID-19. Consequently, we must set aside trivial differences an all work together to solve the crisis.

Treating other species with love and concern

We should remember that humans are the dominant animal species on earth. Hence, we have the obligation of treating other species with love and respect.
As researcher Anca Gheaus (19) once said “ philosophers working on animal ethics have focused, with good reasons, on the wrongness of cruelty toward animal and on devaluating their lives”…”love for animals should not be a reason for treating them ethically. It is animals’ sentient nature and/or their being right –holders, not the emotional bonds they have with human beings, that generates the ethical aspect of the animal-human relationship”. We must re-evaluate the conflicts and problems caused by misunderstanding the difference between taming and domesticating animals (20).

Eliminating frivolous consumerism

Consumerism is part of human life and will continue to be an integral part of our behavior since we need to consume things to survive. However, the excessive acquisition and accumulation of material goods is not constructive. Owning less can be a great benefit to individuals (less stress, less debt, more time, more freedom) as well as to the community (less waste, less pollution, less misuse of resources). The COVID-19 pandemic may be an important turning point leading to less market society and hyper-individualism. Instead we will need more family and community integration.

Supporting scientific research and development

Scientific research is indispensable for developing understanding of the world around us. This understanding drives innovation and allows us to live healthier and safer lives.
Generally the world agrees with this: a solid majority of adults in the world do agree that government investment in both basic science research and in engineering and technology pay off in the long run. Still government investment in research is extremely limited as fundamental research is often not profitable, especially to large multinational corporations that spend obscene amounts of money lobbying government officials. Such missteps have proven fatal for thousands during recent infectious epidemics and pandemics (Zika, Dengue, COVID-19, etc.). Furthermore, most research is currently undertaken with the intent to make a profit or build weapons. To effectively benefit humankind, research must be separated from application in industry and defense.

Long term planning to prepare for catastrophic events


Unfortunately, most of the world neglects disaster preparedness. It takes knowledge, effort, time and a great deal of money in the short term to be ready for any kind of disaster.

Tragically, failure to invest in the short term often leads to higher costs (both in lives and property) when the disaster does strike. Such a tragedy occurred when Hurricane Katrina devastated the city of New Orleans as critical infrastructure to prevent flooding was neglected for decades

Governments must spend the time, resources and money to be fully prepared for situations such as the COVID-19 pandemic. Former vice president Al Gore recommended in 2006 “Is it possible that we should prepare for other serious threats in addition to terrorism? It’s time to focus on other dangers as well” (21). Bill Gates advised us of the same in 2010 (22) and now says “Billions of dollars for anti-pandemic efforts is a lot of money. But that’s the scale of investment required to solve the problem. And given the economic pain that an epidemic can impose — we’re already seeing how Covid-19 can disrupt supply chains and stock markets, not to mention people’s lives — it will be a bargain”(23).


 Finally, we strongly and emphatically argue that the science, art and practice of Medicine ought to be transformed. Medicine should not be a for-profit industry; instead it should be a basic right of the people. The industrialization of health care promised widespread benefits, but that has not proven to be the case. Industrialized medicine is based on the old fashion biomedical paradigm that is more bureaucratic, less humane, very expensive, extremely inefficient, imperceptibly scientific and doesn’t solve most of the patients’ health problems. We strongly endorse Integrative Medicine, a healing patient-oriented form of Medicine that takes into account of the whole person, including all psychosomatic and social aspects of life. It emphasizes the therapeutic relationship between doctor and patient, it is informed by evidence, makes use of all appropriate forms of therapy and promotes preventive Medicine, sanitation, hygiene, proper nutrition and moderate physical exercise as pillars of good health.



Modifying working habits, slowing down and becoming more efficient

Among other factors, the COVID-19 pandemic was the result of the eccentric attitude of contemporary civilization “where people wear busy like a badge of honor, not being busy can feel awkward and unnatural” (24) and when not busy working, people have been traveling fiercely without sense. Contemporary society has been living thinking that possessing material goods is the only important issue. “Constantly grinding and churning leads to burnout, anxiety, and stress-related illnesses. Our immunity weakens, we age faster and we become more susceptible to colds (viral infections).Very few people thought about accomplishing something.” (24, 25).
Consequently and in response, society should shift their social attitude, becoming more united and tribalistic to cope with future threats
In the future we shall be working more from home and slowing down. Paradoxically this change will increase productivity. Working from home, when possible, has many crucial advantages such as flexibility, more work done in less time, less unnecessary travel, less exposure to germs, better communications, etc. (26). There are many recipes for slowing down that can be implemented including focusing on most important thing first, making fewer decisions, avoiding multitasking, using the Paretto Principle (27), etc. We are suddenly facing a new reality and we must learn how to change accordingly.


FINAL CONCLUSIONS

The current viral pandemic shocked the world and brought us to painful reality. It reminded the entire humanity that we didn’t learn much from previous health crisis and that changing social attitudes is very difficult to implement. The cost of being reactive and not proactive is enormous and we must act responsibly since it is possible that we will face similar situations in the very near future. Approaches and plans should be based on scientific data but it will demand profound changes in other areas such as politics, economics, education and communications. 
Regrettably, we suspect that “At the end of the day, things will get worse before they get better".


REFERENCES

1 Institute of Medicine (US) Forum on Microbial Threats. Microbial Evolution and Co-Adaptation: A Tribute to the Life and Scientific Legacies of Joshua Lederberg: Workshop Summary. Washington (DC): National Academies Press (US); 2009. 5, Infectious Disease Emergence: Past, Present, and Future. Available from: https://www.ncbi.nlm.nih.gov/books/NBK45714/

2 Fromm E, (1976). To have or to be.  Chapter IX, page 197.The Continuum Int Pub Co, New York

3 Cohen SA & Gossling S A (2015) Darker side of hypermobility. Environment and Planning 47: 1661-1679

4 Lenzen M et al (2018)  The carbon footprint of global tourism. Nature Clime Change; 8: 522–528).

 

5 Kepnes MA (2016)  Contrarian view: why travel is bad for the world. https://www.nomadicmatt.com/travel-blogs/why-travel-is-bad-for-the-world/

 

6 Webb RT et al. (2016) Adverse outcomes to early middle age linked with childhood residential mobility. AJPM https://doi.org/10.1016/j.amepre.2016.04.011

7 Daily GC, Ehrlich AH, & Ehrlich PR. (1994) Optimum Human Population Size. Population & Environment; 15, 6: 469-475

 

8 Le Corbusier (1987) The city of tomorrow and its planning. Dover, New York

 

9 Batty M. ( 2015). Cities in a completely urbanized world Environment and Planning B 42 381–383


10 Batty M (2015) Optimal cities, ideal cities

https://doi.org/10.1177/02658135155957656

 

11 Schumacher EF(1973) Small is beautiful. Blond & Briggs Ltd, London

 

12 Center for Control Disease Control and Prevention (2020 ) https://www.cdc.gov/healthywater/global/sanitation/index.html

 

13 GWPP (2020) Introduction to the importance of Sanitation. https://www.waterpathogens.org/book/introduction

 

14 Franklin R (1739) Poor Richard Almanack. Richard Saunders Inc. Philadelphia

 

15 Weil A. (1995) Spontaneous healing  The Random House Pub Co, New York

 

16 Lovelock, J.E. & Margulis, L.(1974). "Atmospheric homeostasis by and for the biosphere. The Gaia hypothesis". Tellus 26 (1): 2–10.

 

17 Lovelock, James. (2009). The Vanishing Face of Gaia. Basic Books, 2009, p. 255. ISBN 978-0-465-01549-8

 

18 Thunberg G., (2019) Greta Thunberg quotes: 10 famous lines from teen activist. https://www.bbc.co.uk/newsround/49812183

 

19 Gheaus A (2012).The role of love in Animal Ethics. Hypatia; 27: 583-600


20 Diamond, J (1997) Guns, germs and steel. The fates of human societies. W.W. Norton, New York.

 

21 Gore A. (2006). An inconvenient truth. Rodale, New York

 

22 Gates W (2010). A better response to the next pandemic. https://www.gatesnotes.com/Health/A-Better-Response-to-the-Next-Pandemic

 

23 Gates W (2020) Responding to Covid-19 — A Once-in-a-Century Pandemic? DOI: 10.1056/NEJMp2003762

 

24 Blaschla A. (2019) https://www.forbes.com/sites/amyblaschka/

2019/07/23/the-fastest-way-to-be-more-productive-is-to-slow-down   

 

25 Robson D. (2019) The intelligence trap: why smart people make dumb mistakes. WW Norton & Co, New York

 

26 Bloom NA et al. (2015). Does Working from Home Work? Evidence from a Chinese Experiment. The Quarterly Journal of Economics.; 130: 165-218

 

27 Sanders R (1987) The Pareto Principle: its use and abuse. J Services Marketing Mark. 1: 37-4

 


 

JCMeeroff, MD, © Copyright 2020. All rights 


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How to cite this article:

 

Meeroff S et al. (2020)). Lessons from the COVID-19 pandemic: A tentative blueprint to preserve human live on earth. https://www.meeroffmedicine.com/articles/Society after COVID-19






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