pigeons

The patsy in his lonely fabuloso

builds a home out of a homecoming,

his lifeline out of a lifelong nostalgia.

Later, out and about in the top-feeder city

holding a crumpled brown sack full

of bread crumbs, he finds the usual park bench.

They always find him, wingbursts, the convention

Of their dull gray and street ragged bodies

Juddering heads, automaton legwork, injuries

- b-but, but loved, these dead eyed bottom feeders

as though their back ally flights foretold

the shamanic instant beyond his coil.

DISEASES WITHOUT CURES

In his book, Bad Medicine, David Wootton makes an interesting remark about the symbolism of the stethoscope. It was invented in 1816 by René Laennec out of a problem in gender politics: the norm for female patients of the all male doctor fraternity was to be examined with their clothes on. Thus, the doctor could not lay his head against the chest of the patient and listen to the sound of what was going on inside. Laennec was concerned with phthisis, a nosological category that has now been subsumed as tuberculosis. The stethoscope was a true advance: doctors became much better at diagnosing phthisis. But therein lies the historical burden of Wootton’s book:

“Phthisis no longer exists as a disease: we now call it tuberculosis because we think of it as an infectious
disease caused by a specific micro-organism. The same sounds in a stethoscope that would once have led to a diagnosis of phthisis now leads to tests to confirm tuberculosis. But there is an important difference between our diagnosis of tuberculosis and Laennec’s diagnosis of phthisis: we can cure tuberculosis (most of the time), while his patients died of phthisis––he died of it himself. Until 1865 (when
Lister introduced antiseptic surgery) virtually all medical progress was of this sort. It enabled doctors to get better and better at prognosis, at predicting who would die, but it made no difference at all to
therapeutics. It was a progress in science but not in technology.”

The gap between the ability to diagnose and the ability to cure, or even to understand the cause of a disease, or its etiology, is easy to forget. I often edit articles about medicine, or public health, in the pre-twentieth century period. Some of these articles concern the medical culture of native peoples. And even with the best anti-colonialist will in the world, often the authors simply assume that there is a contrast between a rational and curative Western medicine and a ritualistic and non-curative folk medicine. In fact, folk medicine was medicine up into the twentieth century, and often continues to be today.

The older regime of treating a disease for which there was no certain cure has been much studied, and, contrary to all the bullshit about building up "herd immunity" (by letting the herd be culled of its weak members) was highly successful by stopping infection. To take tuberculosis, one of the great scourges of the 19th century, as an example - a classical example - we assume that this scourge was defeated by streptomycin, one of the miracle drugs of the 50s. But as was pointed out long ago by Rene Dubos, who was a major player with the Rockefeller foundation in finding a cure for tuberculosis, the decline in the mortality from tuberculosis long preceded the cure. Dubos was a pioneer of the ecological school of medical history - recognizing the vast importance of infrastructural factors in the recent surge in the health and wellbeing of human beings. Tuberculosis, in the nineteenth century in the U.S., was responsible for a fourth of all deaths. By 1940 it had plummeted to a 20th of all deaths. A large share of the increase in longevity in the 20th century was due to the decline of tuberculosis. Some doctors estimated that a third of the deaths of the middle age cohort in Europe in the 19th century were tuberculosis related.

If the same anti-virtue ethos was in place in the nineteenth century, instead of public money being spent on sewage systems, the government would have encouraged each individual to dispose of his or her sewage - although the "progressive" 19th century version of the neoliberal would have encouraged safety through a tax break of some kind. The late twentieth and early 21st century witnessed a shocking dectline in the public health structures of most of the "advanced" Western economies. And this is what we get.

the end of virtue

In the eighteenth century, certain ‘total concepts” were believed by the philosophers – for instance, that the republic as a political form depended on virtue as the glue that bound the populace together. As Catherine Puigelier has pointed out, the Enlightenment consensus was that the whole discussion of whether man was born good or bad was falsely constructed: virtue was always and everywhere a product of sociability, of the social. Although – me here, not Puigelier -  it was not just one of many products: the social cannot exist without virtue. The social contract only held, only made sense, if there was an ethos of virtue that enforced contracts – not with violence, but with reasoned agreement.  In this sense, it is what might be called an emergent property.

Voltaire in his Philosophical dictionary – and don’t we need a new translation of the whole unabridged thing? And isn’t this a case for the NYRB classics publisher? – mocks the notion of a sovereign good, of a ultimate state towards which humanity, or the individual, strives.

Le souverain bien en ce monde ne pourrait-il pas être regardé comme souverainement chimérique ? Les philosophes grecs discutèrent longuement à leur ordinaire cette question. Ne vous imaginez-vous pas, mon cher lecteur, voir des mendiants qui raisonnent sur la pierre philosophale ?

Le souverain bien ! quel mot ! autant aurait-il valu demander ce que c’est que le souverain bleu, ou le souverain ragoût, le souverain marcher, le souverain lire, etc.

[Shouldn’t we regard the sovereign good in this world as a sovereign chimera? The Greek philosophers, as was their habit, chewed on this question at length. My dear reader, can’t you see them as beggars arguing about the philosopher’s stone?

What a phrase: sovereign good! You could as well ask what is the sovereign blue, or the sovereign stew, the sovereign walk, the sovereign read, etc.]

Voltaire was a “flat” thinker – he did not ask himself whether the destruction of the hierarchical structure of the good was diagnostic of something intrinsic to the good or intrinsic to the social construction of the good – which aren’t necessarily identical. But the job of destruction did make way for the idea of a republic of individuals. These individuals form a collective not by having no sense of good, but by pursuing the good as they see fit, within the framework of public virtue. Though the abstract hierarchy of good is as absurd as an abstract hierarchy of stew, the real, instantiated good to which the state is responsible still endures, creating a hierarchy that is founded not on the good itself, but on a variety of the good – the legitimation of the social order.

Now, fast forward 275 years. We are witnessing something like the end of virtue, republican virtue. The rightwing parties – in the U.S., U.K., Netherlands, Austria, Australia, etc. – are led by an overtly anti-virtue ethos. This, I think, distinguishes them from 20^th century fascism, which was an extreme right manifestation of the republican ethos, interpreted through race and the adherence to a supreme – and supremely virtuous – ruler.

On twitter, I received a response to something I wrote by a Trump follower. Usually I just block that nonsense, but for some reason I didn’t this time, so we tweet debated, meaning we slung insults and instances at each other. I wrote, among other things, how degrading and stupid it was to have a national leader recommend injecting detergent. The response I thought was classic: “if you think Trump wasn't trolling your side when he said that, you're out to lunch. Your side actually believed he was serious when he tweeted a video of himself being President until 2040.”  

Fintan O’Toole coined the phrase LOLConservatism. This is what he meant. I can’t imagine one of Mussolini’s followers defending him by claiming he is just trolling the libs. That would be considered an insult to Mussolini. There’s been a disruption on the right that is still badly understood on the left, where you will sometimes hear the earnest question: well, what does the right propose to do about, say, pollution, or climate change, or whatever. The idea of Republican virtue, of a sense that the governing class is justified in as much as it is working for the good of society, has dissolved, here. As Margaret Thatcher said, there’s no such thing as society, thus bringing to a true dead end the dialectic between the social order and private rivalry that was once a vital conservative concern. If the state is bound by no sense of virtue, and the only demand made on it is to stop guaranteeing any benefit to the mass of the governed (under the guise of shrinking the state – which is of course a mask, as the state expands its support of Capital in ways that the “middle class prophets” of classical liberalism would never have imagined), then the state has essentially divorced itself from the old, republican ideal.

I am not a middle class prophet, and can’t imagine how the world without a republican ideal is going to work. I do know that world is here. Sad, isn’t it?

Notes on Mike Davis's Monster at the Door: the Global Threat of Avian Flu

the reason the doctor knows everything is because he’s been everywhere at the wrong time and has now become anonymous. - Djuna Barnes, Nightwood

So I went into this pandemic with my eyes closed. I had no real notion, save from some rare reading, what a pandemic was, what it meant, how it worked.  Since, I’ve looked up things, I keep up with the world-o-meter every day about infections and deaths, I rage against the stupidity in the U.S., and in the E.U., I think about the fact that under fucking Sarkozy France had a more rational stock of medica materia for use in epidemics than it does even now (Sarkozy! I’ve long despised Hollande, but to get nostalgic for Sarkozy you have to be driven mad by circumstances), I’m your regular horsefly caught in a jam jar. But I have only begun to understand the modern ecology of the pandemic by reading Mike Davis’ Monster at the Door: the Global threat of Avian Flu.

The first two chapters of the book should clue you in: this was a mass death foretold, and it is only going to get worse if we don’t rethink globalization globally. It is a book so full of info that is shocking and overlooked that well, it is a sadness.

Item: the mad Trump idea that Covid19 was a laboratory creation is probably wrong, but it is almost certain that H1N1, an influenza type that appeared in 1971, was the result of a lab accident in the Soviet Union or China.

Item: covering up lab accidents and epidemic threats is common. H5N1/97 is one of the deadliest Avian viruses, although it is rare, yet, that it crosses over to people. It is a virus that does things like, well, causes birds to literally bleed from their eyes and all other parts so that they “melt”.

““It reproduced much faster than ordinary flu strains, and in cells that ordinary flu strains couldn’t live in, and if you grew it in eggs, it killed them. This virus, said Lim [a Hong Kong scientist], was like an alien.” Indeed, when veterinary researchers in Athens, Georgia, infected a poultry flock with the recently isolated human strain, the entire flock died within a day. Horrified scientists, who had never seen such a rapid killer, immediately donned biohazard containment suits and dosed themselves with antivirals; this ignited a controversy about the safety protocols necessary for work with the Hong Kong virus. Influenza diagnostic labs, at least in the United States, were not equipped with the elaborate containment systems required for working with such a potent virus: federal biosafety guidelines had not anticipated an influenza that acted like the nightmare protagonist of a sci-fi thriller.”

Did you know that an avian flu epidemic was discovered in Holland in March 2003 that required the destruction of millions of chickens from a strain that caused conjunctivitis among people who had contact with it? Did you know these strains are popping up all over – for instance, H6N2, which infected  tens of millions of birds in California  in a four-month period beginning in March 2002, leading to a mass slaughter that was kept quiet, since the agribusinesses involved thought that it would scare people. Right. Or that Canada had a severe virus outbreak in 2004 in Fraser Valley, British Columbia, that the Canadian government intentionally covered up,

“Several dozen workers involved in the gassing and incineration of the 19 million chickens subsequently developed conjunctivitis and/or flu-like symptoms; two definite H7N3 cases were confirmed but the victims were infected by different strains, evidence that the virus was evolving at very high speed.¹⁵⁹ There was also considerable controversy about the disposal of infected chicken excrement after expert testimony that the virus might survive for as long as three months in manure.”

Item: all of the stuff about herd immunity is hooey. You either have deathtolls in the hundreds of thousands or you apply the 19^th century techniques of quarantine, plus 21^st century testing and tracking. This has been happening much more frequently than I know about – and I would guess most people. In Hong Kong, in South Korea, and especially in Guangzhou province in China.

Item: the global food economy has undergone a “livestock” revolution, as Davis rather clumsily labels it. That means that the amount of chicken and pigs, living in close quarters, has increased exponentially in number and in concentration.:  “pork and poultry constitute 76 percent of the developing world’s increased meat consumption, and poultry has accounted for almost all of the small net increase in rich countries’ food consumption. The viral “food supply”—poultry, swine, and humans—has been dramatically enlarged.” Deal is, you concentrate the animals in small areas, and you expand the population, and you have no global veterinary watch – one of the crucial points in the book is the minimal overlap between human health organizations and veterinary organizations – you are practically inviting in flu. Especially as you have a wild bird population that has evolved over a million years to mostly coexist with a number of virus types in their bodies. Odd thing is, the species crossover of these viruses to humans results in a change in the symptoms and attack of the viruses – from the digestive system to the lungs.

Item: the hunt for wild animal meat, in Africa and Asia, is a result of various changes in the global economic system. For instance, in Africa, those demographics that used to depend, largely, on fish can’t anymore – because European and Asian fishing fleets have sucked up their fish supply like a vacuum cleaner. At the same time, the forests are being cut down, and the cutters are hungry: so they want to eat meat. What’s on the menu is anybody’s guess.

So yes, the next flu might jump from some weasel to a chicken to a human, or from a weasel to a human directly.

I’m itemizing – the information load in this book is amazingly dense, and one feels like scrawling down items on a piece of paper in order to remember them. But it is also amazingly well written, moving like a thriller in which you find out, on the end page, that you are the victim. And unlike other books about epidemics, the concentration is not just on the U.S. or even Europe. Like “The Victorian Holocaust” – Davis’s superb book on famine in the late nineteenth century – there is an attention paid to India, Latin America, and Africa that is unusual. The Spanish Influenza (which might really have been called the Kansas Influenza, since it probably popped there) is usually written about only in terms of the states – but the scythe was much much heavier in India, where, under British rule, with the food and supplies taken away for the war and British imperial matters, 10-14 million people died. Never watch a movie glorifying the Raj without remembering – it was an empire built on millions and millions of skulls. The British rule in India is one of the great human disgraces.

America the defective

Reading the comfortable neo-liberal comments that overflow the NYT opinion page and twitter, that are obviously pronounced at dinner tables and in emails that contain (attached) the latest "marvelous column by Tom Friedman, who nails it" - all of which are about Trump the barbarian and none of which are about America the defective - I am reminded of a sentence of Montesquieu's: "When Sylla wished to give liberty to Rome, Rome could no longer receive it, having only a feeble remnant of virtue left. And as it had always even less, instead of waking up after Caesar, Tiberius, Caius, Claudius, Nero, Domitian, it was ever more the slave; all blows were directed against the tyrant, none against the tyranny."

New England, 1886

Her little life lay on the bed
Concentrate as that sword
Intent, edged, unsheathed
Prophesized by the Lord

Not to bring peace but more life
Than any outside her closed door
And she interred like a knife
In the kitchen’s silverware drawer.

She awaited her chance for the attack
To be bloodied under his touch
From which there’d be no going back
- but it never came to much.

Her papers were put away
Her dresses were folded up
Her brother was heard to say
She was strange even as a pup.
- Karen Chamisso

the poet

“… the fact that the film presents extreme closeups

Of the genitals in function” made

All the stags grin monomaniacal. One became

a poet and taught the trade. In the flicker

Of his stag film eyes

what was I and I

- genitals in function in extreme closeup

underneath my underneath.

“But I guess they’re really young, and they always look beautiful”

Somebody said to somebody as I carried the party

Home on my back, like Aeneas carrying his daddy.

- Karen Chamisso