The Tyee has published my review of Richard Horton's new book The COVID-19 Catastrophe: What's Gone Wrong and How to Stop It Happening Again: Only a Newly ‘Vigilant Society’ Can Stop the Next Pandemic. Excerpt:
Feeling a bit under the weather, you go to your doctor. He knows your medical history, he checks your symptoms, he comes up with a diagnosis, and then he chews you out for behaving precisely as you’re not supposed to, thereby making yourself sick. What’s worse, you’re now a menace to the health of everyone around you. If you don’t shape up, you’ll ship out — in a body bag.
That’s the structure of this short, angry, and powerful book, written while the author was in lockdown in the U.K. Richard Horton is a doctor, but for a quarter-century he has been editor-in-chief of The Lancet, flagship of a fleet of important medical journals. As such, he has monitored global health through outbreaks of Ebola, SARS, MERS, cholera, H1N1 influenza, Zika, and the steady, deadly background noise of malaria, measles, and other diseases.
While locked down and dealing with a flood of incoming reports on COVID-19, Horton has also managed to write a clear, concise account of our own incompetence and folly — both in preparing for a pandemic everyone knew was coming, and in responding to it once it arrived. While politicians and bureaucrats take much of the blame, so do scientists. And so does everyone else.
His summary of the emergence of COVID-19 covers the key points and the questions they raise. If the first cases were noted at the beginning of last December, why wasn’t World Health Organization notified until New Year’s Eve? And once notified, why didn’t WHO respond more quickly, and why didn’t it engage health scientists from around the world in learning about the new virus from their Chinese colleagues?
Slow and confused
The world’s response to clear signs of impending disaster was woefully slow and confused. Governments, especially those of the U.K. and the U.S., come in for Horton’s condemnation: “The science and politics of COVID-19 became exercises in radical dehumanization.… At press conference after press conference, government ministers and the medical and scientific advisors described the deaths of their neighbours as ‘unfortunate.’ But these were not unfortunate deaths. They were not unlucky, inappropriate, or even regrettable. Every death was evidence of government misconduct — reckless acts of omission that constituted breaches in the duties of public office.… Missed opportunities and appalling misjudgments were leading to the avoidable deaths of tens of thousands of citizens.”
