Showing posts with label disaster. Show all posts
Showing posts with label disaster. Show all posts

May 19, 2008

Dead Bodies Don't Spread Disease

One of the most frustrating things I see on the news after a natural disaster is how there are dead bodies laying around just waiting to spread disease. Reporters love this line and use it to spark some interest in the story all the time. But the fact is that dead bodies don't spread disease. Friday the World Health Organization (WHO) stepped in to help back up this claim.

Dr. Arturo Pesigan, from the WHO's Western Pacific Region's headquarters said, "There has never been a documented case of a post-natural-disaster epidemic that could be traced to dead bodies.. the microorganisms responsible for the decomposition of the bodies are not capable of causing disease in living people...most infectious agents of public health concern that may be present at the time of death will themselves die within hours of the person dying." (AFP)

Here's a quick lesson in biology and ecological succession. The microorganisms that we carry with us, whether good such as gut-loving E. Coli or bad like Staphylococcus aureus (the dreaded MRSA), live in a finely-tuned niche environment that must maintain a delicate balance to not only support the microorganisms, but the host as well. Immediately after death these conditions begin two deteriorate with the cooling of the body, the production of enzymes and proteins stop, and the life giving food the host continually provides ceases to replenish itself. At this time, the little guys that depended on us for a world to live in start to have trouble. Even those nasty viruses are frozen without the machinery of living cells to reproduce. For everything that many of these nasty bugs can do to us we do a lot for them. Providing them with the environmental oxygen, amino acids, carbohydrates, and pH conditions that allow them to survive. Without these mechanisms they ultimately fail, and pretty rapidly.

As the body changes it essentially becomes a new environment and bugs that would not be able to survive in living tissue start to found colonies and begin the process of decomposition. Since factors of a dead body favor these organisms much more intensely than infectious agents they soon outcompete and outpopulate the organisms who once called the body home.

The real threat after a natural disaster comes in the way of contaminated water, food, famine and poor sanitation. These 4 elements combine to present the most easily transmissible routes of infection. Diarrheal disease is really the big threat as it becomes a terrible positive feedback loop once it gets into the water system.

The big issue when it comes to dead bodies after a natural disaster is what to do with them. This hysteria over infectious diseases has led rise to the practice of digging mass graves or mass incinerations to protect the community. But that is unfair to those who are searching for their loved ones after a devastating incident. Of course food, water, and aid are all necessary to the recovery after a disaster, but so is calming the minds of the citizens who suffered through it. They want to know their relatives didn't just become a number in the body count and then thrown into a ditch with thousands of other bodies. These families deserve, just like any other family to be able to see and put to rest the bodies of their loved ones however they see fit. The WHO's Pan American Health Organization makes some important points about this.
-Mass graves should never be used for burying disaster victims;
-Under no circumstances should mass cremation of bodies take place when this goes against the cultural and religious practices of the affected population. The population will be reassured and can better bear the pain from the loss of loved ones when they follow their beliefs and carry out religious rituals, and know that there is a possibility of identifying and recovering the bodies.
-It is necessary to exhaust every effort to identify the bodies, and as a last resort bury unidentified corpses in individual niches or graves. This is a basic human right of surviving family members.

More After the Fold...

0 comments:

May 12, 2008

Freedom of the Press, Voices of the People Stifled

Events is recent weeks have highlighted a problem in growing nations as well as long established powers, the dissolution of a free press, or the access of foreign press. Tibet, Zimbabwe, and now Myanmar are all refusing access to journalists who want to report on the hardships of their people.

In Tibet, the Chinese are stamping out all means of unrest that could spoil the summer Olympics in Bejing; Tibetans complain of beatings and brutal killings. In Zimbabwe, President Robert Mugabe is hanging on grimly, trying to overthrow an apparent election loss by subterfuge and violence, after running his country into the ground for twenty years. And in Myanmar, after 46 years of iron rule by a military junta, the generals want to stop outsiders from witnessing the devastation of Cyclone Nargis. They're afraid of a threat to their power.

Unfortunately for their people, major disasters and human rights violations have caused a series of devastating events in the past weeks. In China, a severe earthquake has buries hundreds of schoolchildren and killed upwards of 10,000 people. The Chinese, for all of the consternation shown from Humanitarian agencies, is actually doing their part to help their citizens through disaster.

But Myanmar is a world removed from that reality. The government, just a day after a devastating cyclone claimed 32,000 lives (with another 33,000 still missing), decided to hold a constitutional referendum rather than delay it in order to help the victims. Girls danced and balloons were released into the air to celebrate the vote.

And the Myanmar government continues to block aid from foreign countries (and no doubt is redistributing and profiting off of the given supplies and aid) and allow their citizens to suffer. An undercover British correspondent said that as many as 100,000 may now be dead with as many as a million at risk due to disease and improper nutrition or water supply. As of now, over 2 million residents are without clean water or government assisted intervention.

It is a far cry away from the US, but instead of pressuring Myanmar to recognize its citizens (kinda like we did in Iraq) we have sent billions and will not ask where or how that money is being spent. I'm sure in 5 years there will be a beautiful new palace and government buildings, and maybe they'll even send a thank you note so the elite could live in luxury.

More After the Fold...

0 comments: