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    COVID-19 Chapter 20: Looking forward by looking back

    enJune 08, 2021

    Podcast Summary

    • Impact of COVID-19 on Vulnerable Populations: Hospice Patients and Special Education StudentsThe pandemic's isolation hinders peaceful dying for hospice patients and challenges special education students and teachers in meeting service requirements and adapting to remote learning.

      The COVID-19 pandemic has significantly impacted vulnerable populations, such as those receiving hospice care and students with special education needs. For hospice patients, the inability to have in-person visits with loved ones during their final days causes emotional distress and hinders the peaceful dying process. Special education teachers and students face challenges in meeting mandated service minutes and adapting to remote learning, causing frustration for both teachers and parents. These situations highlight the importance of finding creative solutions to connect people during times of isolation and ensuring that essential services are accessible despite restrictions.

    • Impact of Pandemic on Special Education Teachers and Public Sector WorkersSpecial education teachers face overwhelming paperwork, impacting student relationships. Recent graduates struggle to find jobs, while older workers draw parallels to wartime efforts. All demonstrate resilience and adaptability in the face of pandemic challenges.

      The ongoing pandemic has significantly disrupted both education and workforce, particularly impacting special education teachers and those in the public sector. Special education teachers have been overwhelmed with paperwork and bureaucracy, leaving less time for forming relationships with students. Meanwhile, recent graduates like Millie have struggled to find jobs in their desired fields, instead taking on roles in COVID-19 test centers. Millie's experience highlights the inconsistent guidance and the collective effort required to adapt to the ever-changing circumstances. Older workers, who remember their parents' involvement in wartime efforts, have drawn parallels between the current crisis and a war effort. Despite the challenges, both special education teachers and public sector workers have shown remarkable resilience and adaptability in the face of these unprecedented times.

    • Exploring the impacts of the COVID-19 pandemic and learning from historyThe COVID-19 pandemic has brought people together, raised important questions, and inspired reflection on historical parallels, including the 1918 influenza pandemic.

      The COVID-19 pandemic, covered extensively in This Podcast Will Kill You's 20-episode series, has brought people together despite the hardships, much like during the 1918 influenza pandemic. Erin Welsh and Erin Allman Updike have enjoyed exploring various perspectives on the pandemic's impacts, acknowledging that there are still many unanswered questions and unexplored lenses. They are considering a future episode on the potential future implications of the pandemic by looking back at the 1918 influenza pandemic. In the present episode, they discuss the Corpse Reviver number 1 cocktail, which they believe is an appropriate choice given the historical context. Listeners can find the full recipe and other resources on the podcast's website, along with merchandise, a Goodreads list, a bookshop.org affiliate account, transcripts, and promo codes.

    • Comparing COVID-19 and 1918 Influenza PandemicsBoth COVID-19 and 1918 influenza pandemics originated from animals and spread through respiratory droplets, but 1918 had a higher reproductive number, affected different cells, and occurred during World War 1 with a higher case fatality rate. Understanding the differences can inform post-COVID strategies.

      While the COVID-19 and 1918 influenza pandemics share some similarities, they are also distinct in important ways. Both pandemics began with viruses jumping from animals to humans and spreading through respiratory droplets. However, the 1918 influenza had a higher reproductive number and bound to different cells in the body, leading to more severe cases. The groups affected and the historical context were also different, with the 1918 pandemic occurring during World War 1 and having a higher case fatality rate. Despite these differences, understanding the lessons learned from the 1918 influenza pandemic can provide valuable insights for navigating the post-COVID world. Joining us to discuss these similarities and differences is John Barry, award-winning author and historian, who has extensively studied the 1918 influenza pandemic.

    • Learning from Historical Parallels: COVID-19 vs. the 1918 FluAccurate information, virulence, duration, and political context shape the course and aftermath of a pandemic. Historical parallels between COVID-19 and the 1918 flu reveal the importance of truth, understanding the severity of the virus, and the impact of public response and political context.

      Although COVID-19 and the 1918 flu pandemic share some similarities, such as affecting various organs and having neurological complications, they have significant differences. The 1918 flu was much more virulent, with a much higher case fatality rate, and progressed much faster. The politicization of the 1918 pandemic was different from today, as it was during a time of war, and the government focused on the war effort, suppressing bad news and spreading false information. Unlike today, there was no partisanship involved. If we look at these historical parallels, we can learn valuable lessons about the importance of accurate information, the significance of the virulence and duration of the virus, and the impact of public response and political context on the course and aftermath of a pandemic.

    • Honesty and NPIs in Pandemics: Lessons from the 1918 FluHonesty from leaders and effective NPIs are vital in managing pandemics and maintaining public trust. Misinformation spread during the 1918 flu led to societal chaos, while countries like Australia that told the truth and implemented NPIs had lower death tolls.

      Honesty and effective non-pharmaceutical interventions (NPIs) are crucial in managing pandemics. The 1918 flu pandemic serves as a stark reminder of this. Countries that told the truth and implemented NPIs, such as Australia, experienced significantly lower death tolls compared to countries that did not, like the United States. In the US during the 1918 pandemic, misinformation spread through newspapers, leading to a loss of trust and societal chaos. Today, with the internet and social media, the spread of information, both factual and false, is even more challenging. In 1918, there was a lack of alternatives to newspapers for accessing public health information. Now, while there is an abundance of information available, it can be difficult to determine what is true. Honesty from leaders and effective NPIs remain essential in managing pandemics and maintaining public trust.

    • 1918 influenza pandemic led to temporary changes in people's behavior towards public health measuresThe 1918 influenza pandemic resulted in temporary changes in people's behavior towards public health measures, but these changes did not last long after the pandemic subsided.

      The 1918 influenza pandemic, despite the lack of a robust public health infrastructure and the impact of World War I, led to temporary changes in people's behavior towards public health measures. During the pandemic, people wore masks, social distanced, and avoided large gatherings. However, once the pandemic subsided, people quickly returned to their normal lives, with minimal long-term changes in their perception of public health. The war did not significantly impact the spread of the disease, but it may have accelerated it in Western Europe. The pandemic lasted only a few weeks in most places, and businesses remained open, leading to a rapid return to normalcy. Despite the horrific experience, the end of the war brought about a sense of exuberance, further contributing to the quick recovery.

    • Impact of COVID-19 on our behaviors and cultureThe COVID-19 pandemic may lead to lasting changes in architecture, work culture, and social norms such as open windows and virtual communication tools. Scientific collaboration and sharing of information have been crucial in understanding and combating the virus.

      The COVID-19 pandemic, due to its longer duration compared to past pandemics, may leave a more lasting impact on our collective consciousness and habits. This includes changes in architecture, work culture, and social norms. For instance, we may see a resurgence of open windows in buildings and a continued use of virtual communication tools like Zoom. However, it's unclear how much our behaviors will ultimately change. Another notable aspect of the COVID-19 pandemic is the unprecedented collaboration and sharing of scientific information within the global scientific community. Despite the challenges posed by the ongoing pandemic and the lack of such cooperation during the 1918 influenza pandemic due to war and communication limitations, scientists have made significant progress in understanding the virus and developing vaccines and treatments. This collaboration has been facilitated by advanced communication technologies and a more interconnected scientific infrastructure. Following the end of the 1918 influenza pandemic, there was a significant shift in lifestyle and economic growth, often referred to as the Roaring Twenties. While this period was marked by dramatic lifestyle changes and economic growth, it's important to note that the end of the pandemic was just one of several factors contributing to this era. The end of World War 1 also played a significant role in shaping the social and economic landscape of the time.

    • Comparing the 1918 influenza pandemic and COVID-19 crisisBoth crises emphasize transparency and non-pharmaceutical interventions, but the contexts and responses differ due to historical and global factors.

      While the 1918 influenza pandemic and the current COVID-19 crisis share some similarities, such as the importance of transparency and non-pharmaceutical interventions, the contexts in which they occur are vastly different. The roaring twenties, which followed the 1918 pandemic, were shaped by the aftermath of World War 1, widespread fatalism, and economic depression. In contrast, the post-COVID-19 world is likely to be economically robust, with a strong recovery and a focus on fun and activity, rather than desperation and fatalism. However, there are limitations to drawing direct comparisons between the two eras. For instance, the global society today is much more interconnected, and the response to the current crisis has been more coordinated on a global scale. Additionally, the lessons from the 1918 pandemic, such as the importance of transparency and non-pharmaceutical interventions, have been validated by the experiences of countries that have effectively managed the crisis. Ultimately, while the past can provide valuable insights, it is essential to recognize the unique challenges and opportunities of the present.

    • Transparency from political leaders during public health crisesPolitical leaders should be transparent about the facts to earn public trust and cooperation in implementing effective non-pharmaceutical interventions during public health crises, while downplaying or politicizing the virus can undermine efforts and cost lives.

      Transparency and truthfulness from political leaders are crucial during public health crises. The 1918 influenza pandemic and the current COVID-19 pandemic have shown that non-pharmaceutical interventions like social distancing and face masks work, but their implementation relies on public cooperation. Political leaders can earn the public's trust and respect by being transparent about what they know and don't know, which is essential for controlling the spread of a pathogen. Conversely, downplaying the virus or using it for political gain can undermine public health efforts and cost lives. The COVID-19 pandemic has highlighted the importance of accurate information and the potential dangers of politicization and misinformation. While the internet makes it easier to access factual information, it also poses new challenges. The 1918 influenza pandemic offers valuable lessons, and it's essential to learn from history to better respond to future crises.

    • The 1918 influenza and COVID-19 pandemics differ significantly from each otherDespite both being respiratory viruses, the 1918 pandemic lasted for a shorter time but killed millions, leading to scientific advancements. The COVID-19 pandemic, ongoing for over a year and a half, has drastically changed our lives and its long-term effects on society are unknown.

      While both the 1918 influenza virus and SARS CoV 2 are respiratory viruses that can cause significant disease, the key differences between them, such as transmissibility, duration, and age groups affected, have led to vastly different outbreaks and public responses. The 1918 pandemic, which lasted for a shorter period but killed millions, led to significant scientific advancements. However, the much longer duration of the COVID-19 pandemic, which has affected nearly every aspect of our lives, makes it difficult to predict what a post-COVID world will look like. Unlike the 1918 pandemic, which burned through cities in a matter of weeks, the COVID-19 pandemic has been ongoing for over a year and a half, drastically changing the way we live, work, and interact with each other. The long-term effects of this pandemic on society remain to be seen.

    • Lessons from the past: learning from historical crisesHistorical crises, such as wars and pandemics, can lead to a desire to live life to the fullest while carrying lessons learned into the future. It's essential to remember these lessons and apply them to the future as pandemics are not a thing of the past.

      The experiences of surviving a global crisis, such as a war or a pandemic, can lead to a desire to move forward and live life to the fullest, while also carrying the lessons learned from those experiences into the future. This was evident during the 1920s, following the end of World War I and the 1918 pandemic. And it's a pattern that may repeat itself in the years to come as we navigate through the COVID-19 pandemic and potential future health crises. Historian John R. Gillis emphasized the importance of remembering these lessons and applying them to the future, as pandemics are not a thing of the past. As we reflect on the past, it's essential to recognize the impact of historical events on our present and future, and use that knowledge to shape a better tomorrow. We've learned a great deal throughout this series, and we're grateful for your stories and insights as we continue to explore the history of diseases and their impact on our world. Thank you for joining us on this journey. Remember, wash your hands and stay healthy!

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