When I first started blogging about a possible H5N1 pandemic some 15 years ago, one of the questions I couldn't find an answer for was this: What happens to people who get sick from other diseases, or who need regular checkups in clinics and hospitals, when a pandemic has hit?
Well, the answer eventually arrived: They're collateral damage. During the West African Ebola outbreak, more people died of measles than of Ebola itself. With every serious outbreak, the health system is swamped and its ordinary patients understandably stay away from the system.
Now it's happening again, and in the US it means a likely surge in mosquito-borne diseases like dengue and West Nile. That's the argument of this excellent AP article by Anna Maria Barry-Jester and Lauren Weber: Mosquitoes flying free as health departments focus on virus. Excerpt:
Monitoring and killing mosquitoes is a key public health task used to curb the spread of deadly disease. In recent years, top mosquito-borne illnesses have killed some 200 people annually in the U.S. But those low numbers are due in part to the efforts of public health departments to keep the spread at bay, unlike in other countries where hundreds of thousands are sickened and die each year.
“Mosquitoes are the biggest nuisance and pest on this planet. Hands down,” said Ary Faraji, the president of the American Mosquito Control Association, a nonprofit that supports public agencies dedicated to mosquito control. “They are responsible for more deaths than any other organism on this planet, including humans.”
This is a physical job that can’t be done by telecommuting from home. Keeping track of mosquitoes and the diseases they carry requires setting up traps, and searching backyards and commercial lots. Public health workers patrol irrigation ditches, and overturn the backyard tires, plastic bins and garbage that can hold standing water where mosquitoes breed.
Around the U.S., more than half of public health departments combat mosquitoes. In some states, including Florida and California, specific departments are dedicated to tracking and preventing their spread. The goal is to find infected mosquito populations and kill them before they get to humans, or at least warn the community about their presence as mosquito-borne epidemics are happening more frequently nationally as temperatures rise.
But a joint investigation published this month by KHN and The Associated Press detailed how state and local public health departments across the U.S. have been starved for decades, leaving them underfunded and without adequate resources to confront the coronavirus pandemic, let alone the other work like mosquito control they are tasked to handle at the same time. Over 38,000 public health worker jobs have been lost since 2008. Per capita spending on local health departments has been cut by 18% since 2010.
So as public health workers scramble to summon enough of a workforce to address a once-in-a-generation pandemic, they’re being pulled from normal mosquito-related tasks. The short staffing is leaving many localities — especially those without separate, dedicated control districts — flying blind on potential mosquito threats.
