Saturday, November 14, 2009

Ukraine And The Internet Rumor Mill

 

 

# 4010

 

 

A hat tip to Crof at Crofsblog for picking up this very informative piece in the New York Times that explains, in great detail, some of the challenges facing Ukraine’s medical system and how that greatly exacerbated their recent pandemic flu outbreak.

 

The author describes a health care system so dysfunctional (and at times corrupt) that many Ukrainians simply preferred to rely on home remedies like lemon and garlic, rather than seek help at a local hospital. 

 

By the time many influenza patients finally sought medical care, their condition had become critical.   

 

The sudden appearance of so many  pneumonia patients not only overwhelmed local hospitals, it also launched a maelstrom of Internet rumor and speculation.

 

By all means, read this article in its entirety.   There’s a lot of good information there, and it appears to be the most `reasonable’ explanation of what happened in Ukraine that I’ve seen so far.  

 

When you return, a few comments about Internet rumors and pandemic speculation.

 

Fragile Care Worsened Swine Flu in Ukraine

 

By ELLEN BARRY

Published: November 13, 2009

LVIV, Ukraine — When patients began arriving in Vyacheslav Bonder’s intensive care unit two weeks ago, their lungs so saturated with blood that they could barely gasp, the only thing he could compare it to was a field hospital in wartime. As soon as he hooked one patient up to a ventilator, a second and third would appear in the doorway.

 

By that time, hospitals were clearing wards to make room for a wave of pneumonia cases, and people were crowding into drugstores to buy whatever they could get their hands on. Rumors were circulating that the government had ordered the city aerially sprayed with chemicals, to cure Lviv (pronounced luh-VEEVE) of disease or, in a grimmer version, to exterminate its carriers.

 

The panic lifted almost as quickly as it had arrived, and the World Health Organization announced Friday that the swine flu illnesses and deaths so far in Ukraine — 265 fatalities nationwide, with 87 in the Lviv region — were statistically no worse than those in other countries. But what happened here has drawn rapt attention from experts bracing for the epidemic to hit Europe, and especially the fragile health care systems of countries of the former Soviet Union.

(Continue . . . )

 

Early this month reports of Ukrainian patients with `bloody lungs’ arriving at hospitals quickly spread quickly across the Internet. 

 

Within hours conspiracy blogs, twitter accounts, and even some newspaper reports eagerly began offering explanations that ranged from `Russian biological attacks’ and `possible mutated flu viruses, to even outbreaks of `pneumonic plague’.  

 

Most were patently ridiculous on their face, although the possibility of a mutation in the  H1N1 virus that increased virulence was always a possibility. 

 

`Hemorrhagic viral pneumonia’, however, isn’t all that rare, and has already been documented with the pandemic virus.

 

The July 10, 2009 / 58(Dispatch);1-4  MMWR (Morbidity & Mortality Weekly Report) of the CDC  described several such cases observed in Michigan in: Intensive-Care Patients With Severe Novel Influenza A (H1N1) Virus Infection --- Michigan, June 2009

 

On November 3rd, in Three Updates From The Ukraine, I wrote:

 

While all of this is obviously a concern, none of these reports gives any credence to the wild (and unsubstantiated) reports of `pneumonic plague’ or a Russian `bio-attack’, or of `thousands of deaths’ that have recently surfaced in some newspapers, and are spreading on the net . . .

. . . For now, however, there is no evidence of anything more ominous here than a large outbreak of pandemic H1N1 influenza, possibly along with a mix of other respiratory viruses common this time of year. 

 

Since then, I’ve received a number of emails and comments (some removed) that argued that the WHO was covering up the truth, and that by not printing these `allegations’, I was complicit in that cover up as well. 

 

After penning more than 4,000 essays on pandemic influenza and other emerging infectious diseases, it was a novel experience to be labeled a `pandemic denier’.

 

The frequency and tenor of some of these comments regrettably forced me to, after nearly 4 years, go to completely moderated comments on this site. 

 

The Internet loves a conspiracy, and if I wanted to quickly triple the number of daily visitors to this site, all I’d have to do is fabricate and print some of the conspiratorial cyber-crap that seems so prevalent these days. 

 

It would be easy enough to slip some Google Ads into my sidebar, start selling homeopathic `anti-flu pills’ or e-books with `insider flu information’ and maybe make a buck or two.

 

You can rest easy, that’s not going to happen. 

 

While it may not draw huge crowds to this site,  I find the science and `reality’ of this pandemic far more interesting than any conspiracy theories or speculation.  And I’m quite happy with the small, and largely erudite readership of this blog.

 

This is living history,  and it deserves sober and sane coverage.

 

You’ll find others striving to do the same in my sidebar links, and in my essay Reliable Sources In Flublogia.

 

While it is certainly  possible that one of these days one of the thousands of wild Internet rumors or stories will turn out to be true, I’d rather be a few days late reporting it, than to embrace the 99.99% that are false or misleading.

 

For those who might be disappointed with this policy, all I can do is suggest that a quick Google search will turn up scads of `alternative’ pandemic flu sites.

 

I’m sure that you’ll have no trouble finding a number of them more to your liking.

 

       ____________________________________________

 

UPDATED: 11/17/09    WHO : Ukraine Update # 2   

This latest dispatch from the World Health Organization states that no significant mutations have been detected in the virus samples taken in Ukraine.

6 comments:

Michelle said...

Your post is good and the article in the NY Times seems to be a fair version of what has been happening in Ukraine.

I currently live in Kyiv and watched what can only be called "the flu panic" unfold.

What many do not understand about Ukraine is that the socialized medical system is sub par to handle the most basic health issues and that Ukrainians know this. Hence the run on the drug store medicines and the sad stories of people not going to the doctor until it's too late.

Also you have a country where many lived through the Chernobyl disaster. The government did not give accurate information regarding that accident and many died as a result. The way I see it, is that the dramatic rumors, and panic are a reaction to information given from the government and people's attempt to process it without believing all the information given at face value and not knowing if they could believe it.

For 3 days the TV news talked about nothing but the flu and urged everyone to buy or make masks to wear on the streets. Public meetings were banned along with schools closed and roads between oblasts (counties) were blocked. We didn't even know if people could cross the borders or not.

This kind of hyper reaction by a government would cause panic in any group of people especially if they do not have the resources to deal with the problem.

Fortunately, while many are still sick, it seems as if the panic has calmed down. More people are out on the streets without masks and I saw quite a few kids on the street today.

FLA_MEDIC said...

NOTE: I've removed several comments to this thread where visitors have made `allegations' about what is going on in the Ukraine - stated as `fact'- without providing references.

Most recently . . .

you failed to mention that WHO has admitted that the virus causing so many hospitalizations and deaths is in fact a new flu virus, consisting of 3 flu virus.


If you expect to have your comment published, then you need to provide more than an uncorroborated statement of `fact'.

I'm not aware of any such official announcement by the WHO . . . but I'm glad to look at any credible documentation.


Urls to conspiracy websites, badly translated Russian newspaper articles, Tabloid journalism, or Youtube videos do not count.

Another Shade of Grey said...

Hey, what do you think of this article: http://www.express.co.uk/posts/view/140492/Million-hit-by-plague-worse-than-swine-flu-

Thanks. :)

FLA_MEDIC said...

ASOG,

Even by tabloid standards , this article is pure bunk.

Another Shade of Grey said...

Thanks for responding. What is your take on the main stream media pretty much ignoring this story? If not at least to go the Ukraine, do an interview with actual Ukrainian officials, and clarify for us all that this is paranoia at its finest? Would be nice just to have a story on that. :) I am bothered by their lack of reporting on it in general.

Isaac said...

It's not three virus's, but this one seems pretty credible.

Ukraine Flu Outbreak: Virus Is a Mixture of H1N1 and Parainfluenza, Causes Cardiopulmonary Failure
Interview with Dr. Victor Bachinsky

http://www.globalresearch.ca/index.php?context=va&aid=16088

"Based on autopsies, we have come to the conclusion: it’s not pneumonia, but cardiopulmonary insufficiency and cardiogenic shock... The virus enters directly into the lungs, there is bleeding... Antibiotics should not be used..."

Wouldn't this be an added problem since vaccinations temporarily lower your immune system?

Thanks