The public has a right to know when service employees test positive for Covid 19
But so far, that’s not happening.
In the past week employees at a handful of business in the tiny college town of Ann Arbor have tested positive for Covid 19. I won’t name names because I think that each businesses needs to be afforded an opportunity to make create a response and write a formal announcement.
Responses, however, should be immediate. Any delay in messaging puts the public at unnecessary risk. Businesses should be required by law to immediately make it public when an employee has tested positive.
When an employee tests positive for Covid 19, operations should be shut down, and every employee of that business should be tested without fail. Once everyone has been cleared, people can return to work and operations might commence.
Every single person who entered those businesses or had contact with employees needs to be immediately informed that they might have been exposed to Covid 19. Businesses must do this so that patrons can be tested if possible and isolate themselves if necessary.
Businesses who fail to do these things should be shut down.
One business is currently still open. I have it on good knowledge that an employee tested positive for Covid 19 there, yet there has been no announcement and business moved forward as usual (at the time of my walking past it yesterday.)
Covid 19 is no joke. People should be staying at home. They should not be eating out. Restaurants, bars and entertainment venues should not be open, but they are. If we are going to reopen these places, we need to do so under strict regulation that keeps the public informed and protected.
A brief thought on evolution: multi-generational survival
Often people will mention that we are “adapted” to do this or another thing, either indicating some crime of modernity (of course, ignoring the fact that a larger percentage of babies are surviving and people are living longer and healthier than at any time in human history) or trying to point out some example of the glaring perfection of our creation, with either an implicit or vocal reference to divine creation.
For example, obesity is attributed to fat and protein rich modern diets since we aren’t “adapted” to eat these types of foods (despite having found the food in East Africa so unpalatable that we had to learn to crush or cook it to digest it efficiently). Our bad disposition is blamed on a lack of sleep since we aren’t “adapted” to sleep as little as we do (this might be true). Most recently, a book writer blamed our problems with depression on a divorced relationship to nature, given that we are “adapted” to hunt and kill for food and then revel over the blood stained corpse (of course, the writer doesn’t consider that people in antiquity might have been depressed, too).
There may be some truth to some of this. However, “adaptation” implies something about the individual, when evolution, in fact, is about reproduction. We aren’t “adapted” to anything. Rather, certain traits are selected for based on the survival of at least two generations of living things, at least for complex social animals like ourselves.
Simply surviving as an individual does not insure the survival of a species. Living things must first survive long enough to reproduce and then, at least in humans, insure that the children make it to reproductive age. Human babies are horribly weak in contrast to sharks, which are ready to go even before they leave the mother. Further, in the case of humans, a full three generations must live at once to insure long term survival.
Thus, we maintain a tenuous relationship with out environment, where traits do not necessarily favor a single individual, but rather an entire family unit, and these traits may or may not imply perfect harmony with an environment, but rather do the job at least satisfactorily.
Nature cares little for quality as numerous examples throughout our physiology show. To claim that we are somehow “perfectly suited” to a specific environment is just simply wrong. Merely, we have come to a brokered peace (after generations of brutal trial and error, what we eat today is thanks to the deaths of millions, mostly children, who had to die to allow us to do so) with wherever we live in order to allow a few of our kids and grandkids to survive.
This, of course, has deep implications for public health. Some public health problems are known to be passed down from parents to children, but in a multi-generational evolutionary framework, it is possible that certain public health problems can be passed through 3 or more generations at a time, complicating interventions. Certainly, the multi-generational health problems of the descendants of African slaves can be an example of this. How can we intervene to protect the public health over a full century?
OK, back to work.
Yesterday, someone gave me a live chicken
We were having choma with the chief of the area a few weeks ago, and we came up with the idea of having a regional soccer match. Yesterday was the first meeting of the planning committee. (Turns out that putting on a soccer match is like setting up a punk show, except that people will probably turn out.)
We discussed the particulars of the football match, and then ate a great chicken dinner from the chief’s mother. We also met the chief’s father, an 87 year old ex-school teacher who had his last child 12 years ago and learned of that gentleman’s mother who died two months ago at the incredible age of 105. In an area where the average life expectancy hovers just around 40, these are some tough people indeed.
After eating, we went and checked out the soccer pitch, which has an amazing view of Lake Victoria and some nearby mountains. It’s going to be a great day.
The roads out there are terrible. I was getting sea sick on the way back, when the guys in the car suggested that we go an visit on of our staff members. I reluctantly said ok since I was just hoping to get out to the main road as quickly as possible. (Plus the Iran/Argentina game was about to start.)
We arrived to his house and it was already dark. The staff guy is there standing outside holding a radio. His wife looks like she’s just come from church.
Everyone suddenly jumps out of the car and proceeds to run around greeting one another. I talk to the staff guy for a moment. He’s exceedingly friendly but looks somewhat impatient. I figure out that the radio means that he’s waiting for the game to begin.
Silas (another staff member) asks me if I like watermelon. I say yes, and the wife comes up behind me and puts a live chicken in my hands. “This one will be very sweet” comes out in a really confident, educated brand of English that’s somewhat uncharacteristic of the area.
I’m not sure what to do. I’ve never held a live chicken before. I say thank you and carry it over to the car and put it in the back with the watermelons. We quickly say thank you, get in the car and drive on.
On the way back, I have to keep making sure that the chicken doesn’t get crushed by a rolling melon. After we get home, we put the chicken in a box and set it in the food pantry with some corn and rice.
We’ve resolved to have the house lady transform the chicken into dinner tomorrow, which gets me off the hook, because I have no idea how to do such things.
Odd claims that biofuels were responsible for skyrocketing commodity prices
The blog Uneasymoney, posted an article this morning claiming that policies which encouraged the production of biofuels was responsible for the crazy run in commodity prices throughout the 2000’s and was ultimately responsible for the 2007/2008 crash.
The post refers to an article in the Journal of Economic Perspectives, which I am reading now but the results of which are summed up here:
the research of Wright et al. shows definitively that the runup in commodities prices after 2005 was driven by a concerted policy of intervention in commodities markets, with the fervent support of many faux free-market conservatives serving the interests of big donors, aimed at substituting biofuels for fossil fuels by mandating the use of biofuels like ethanol.
What does this have to do with the financial crisis of 2008? Simple. ..the Federal Open Market Committee, after reducing its Fed Funds target rates to 2% in March 2008 in the early stages of the downturn that started in December 2007, refused for seven months to further reduce the Fed Funds target because the Fed, disregarding or unaware of a rapidly worsening contraction in output and employment in the third quarter of 2008. Why did the Fed ignore or overlook a rapidly worsening economy for most of 2008 — even for three full weeks after the Lehman debacle? Because the Fed was focused like a laser on rapidly rising commodities prices, fearing that inflation expectations were about to become unanchored – even as inflation expectations were collapsing in the summer of 2008. But now, thanks to Wright et al., we know that rising commodities prices had nothing to do with monetary policy, but were caused by an ethanol mandate that enjoyed the bipartisan support of the Bush administration, Congressional Democrats and Congressional Republicans. Ah the joy of bipartisanship.
So then, what I’m gathering here is that the Fed was obsessive about commodity prices fearing inflation, despite the fact that the Fed was in no position to influence commodities markets. This distracted the Fed from focusing on the real causes of the crash and the Lehman disaster, making a bad situation worse.
I’m not sure that this correctly connects the dots, given that there is little evidence that the run in commodity prices had anything to do with biofuels. Even as biofuel consumption increased throughout the 00’s, overall production of corn and yield per acre also increased. Assuming that commodity prices are in part dictated by supply, I would (from an armchair economist perspective) assume that prices should remain somewhat constant.
I’m interested to see that the article disregards financialization of commodities, following a loosening of rules of speculation on ag products in the 90’s and the move toward commodities following the equity bust of 2000 as not being a major factor in the rise in corn prices. This is particularly strange when we consider that non-energy commodities also exhibited rapid price increases and violent fluctuations throughout the 00’s. I fail to see how energy policy could result in increases and volatility in, for example, copper.
It’s a tempting thesis, and made more tempting by the explicit identification of individuals who suggested and implemented such policy, but not one borne out by the data, in my limited, amateurish opinion. The list of potential factors which influenced the run in commodities is a long and confusing one (climate change, increased demand from China and India, global instability, etc. etc.), but I don’t think that the effect of Wall Street greed can be discounted as a major determinant. Interestingly, despite the overall themes of the paper, the author does a poor job of discounting the effect of financialization in the creating of commodity price bubbles.
In reading this paper now, I’m somewhat confused. On the one hand, he confirms many of my initial suspicions that the rising price of food is unrelated to supply and demand factors as growth of both supply and demand were more or less constant, despite localized climate shocks. On the other, he seems to blame a rise in prices during the crash to a shift in energy policy toward biofuels, while overlooking that commodities were already volatile and rising, beginning with the crash of the tech bubble in 2000. I am thining that much of the rise in commodities during 2007/8 was due to panicky speculation as real estate markets tumbled, not to any change in energy policy. Certainly, it may be the case the the policy influence traders to try to exploit potential areas of growth, but it’s hard, then, to discount the effect of financial speculation in commodities outright.
I can at least agree with this:
The rises in food prices since 2004 have generated huge wealth transfers global landholders, agricultural input suppliers, and biofuels producers. The losers lobal landholders, agricultural input suppliers, and biofuels producers. The losers have been net consumers of food, including large numbers of the world’s poorest ave been net consumers of food, including large numbers of the world’s poorest peoples.
Egyptian instability is crushing Kenya’s economy
Kenya, lacking mineral or oil resources, is an agricultural economy. Specifically, they are really good at growing tea, and, to a lesser extent, coffee. This helps explain why Kenya’s developmental trajectory has been far more successful than that of other economies. Tea production is labor intensive and often depends on small and mid-sized farms which employ lots of people. Instead of money flowing in the pockets of the corrupt, who often squirrel it away in overseas accounts, money goes directly in the pockets of growers.
Kenya is the UK’s biggest tea supplier, but Egypt buys more tea by volume from Kenya than any other country. A piece in Think Africa Press today wrote on the dual problem of falling demand for tea from Egypt due to prolonged unrest, and that of falling commodity prices worldwide.
The cause of the farmers’ problems lies far to the north of the cool, tea-covered slopes of the Aberdares, in the heat of Cairo and the continuing fallout from the Arab Spring. In 2010, the last year before the uprising in Egypt, Kenya supplied the tea-obsessed UK with around half of its tea, but Egypt was the the single largest destination for Kenyan tea exports, buying nearly a fifth of what the factories around Nyeri produce. With the overthrow of President Mohammed Morsi in July 2013 and the ongoing campaign against the Muslim Brotherhood causing continued political instability, demand has plummeted and prices have gone with them.
“It’s a supply and demand issue,” says Chai Kiarie, Field Services Manager at Gitugi Tea Factory. “We produced more tea this year, but we still made nearly $2 million less than we did last year. With these problems abroad, the demand just isn’t there.”
This isn’t an isolated problem. Coffee prices, once riding high on a boom in commodity prices have been steadily falling since the financial collapse. The commodity boom was a winning sitaution for African economies and helped drive much of the rapid growth seen throughout the 00’s. Regulation has started curbing speculative practices that drove the increases, removing a source of destructive volatility which drove up food prices in developing countries, but has also decreased badly needed foreign exchange revenues.
I visited a few farms the last time I was in Kenya. Farmers aren’t waiting around for subsidies to help pull them out of a potential mess. All of the farmers I spoke with are looking for new ways to diversify their operations and meet potentially lucrative world wide demand for competitive products. All of them wanted to think of ways to increase productivity while decreasing the cost of inputs. The pressures from falling tea demand could help push them to find ways to innovate and increase both revenues and stability.
Is antibiotic use in livestock killing humans?
This morning, I awoke to several “news stories,” suggesting that low level and regular antibiotic use in livestock is contributing to widespread antibiotic resistance.
An example from SFGate (a San Francisco local news and entertainment portal), entitled “Report links antibiotics at farms to human deaths”:
“The Centers for Disease Control on Monday confirmed a link between routine use of antibiotics in livestock and growing bacterial resistance that is killing at least 23,000 people a year.”
Other headlines, mostly from websites promoting vegetarian diets and opposing “factory farming,” state emphatically that the CDC has “discovered a link” between the administration of antibiotics and antibiotic resistance:”
“Antibiotics Used to Make Livestock More Profitable May Be Killing Us” – Truth Out
“Farm Antibiotics Linked to Human Deaths: CDC” – NewMaxHealth
I took the time to download and read the actual report (crazy, I know), “Antibiotic Resistance Threats in the US: 2013”. Within the report, there are statements of concern regarding risks of low level antibiotic use on factory farms. The CDC suggests that the practice should be phased out.
However, nowhere in the text does the CDC attribute any of the (estimated) 23,000 yearly deaths from drug resistant infections to livestock farming specifically. The report provides no indication as to what percentage of deaths are due to antibiotic use on farms, nor to any other specific cause.
This is, of course, for good reason. No one really knows.
What I found interesting, was a graphic that illustrates how drug resistant bacteria (and fungi) emerge and infiltrate the human population. In the graphic, there are two possible scenarios:
1) Resistance develops within the human gut, and resistant strains of bacteria spread through institutional environments by way of contact with fecal matter and due to improper cleaning and sterilization procedures.
2) Resistance develops within the animal gut, and drug resistant bacteria enter the human population through improperly cooked meat and through poor management of animal discharge with contaminates vegetable crops which humans eat.
The first scenario, is, of course, an operational problem. Out patient procedures are becoming more common to minimize the possibility of spreading resistant bacteria within institutional environments, but obviously it is impossible to contain every possible pathway at all times.
The second is more interesting, but again, this is also an operational problem. The first pathway, contact with uncooked meat, is a fairly easy problem to solve on an individual level. Cook your burgers or buy your horse sashimi only from places you can trust. Of course, there is no failsafe here.
The problem of discharge management is also an operational one. Farms have to maintain standards to insure that animal waste does not contact, say spinach farms as happened back in 2009.
I cannot say whether antibiotic use is good or bad for raising livestock (having no expertise in the field), though I will take many of colleagues words at face value and assume that it is not necessary and that the potential costs outweigh the benefits. The jury seems to be out on the issue, however.
However, it would appear from the CDC report, that the greater potential for harm comes from operational issues, which should be resolved in any case. Though resistant bacteria are a threat to human health (and potentially detrimental to the long term economic health of the food industry), there are many other threats that follow the exact same transmission pathways. The e. coli outbreak in California spinach in 2009 is a great example.
Though I understand that those who oppose meat eating or factory farming wish to use what I would call a distortion of the fact and the CDC report to further a particular political position, it would seem that those interested in protecting human health would be far better off calling for more stringent standards within the livestock industry.
So, to answer the question in the title: “Is antibiotic use in livestock killing humans?, ” I have the following responses:
1. It is not clear from the CDC report that any of the 23,000 deaths have anything to do with livestock.
2. Assuming that any of the deaths have anything to do with livestock, the problem would appear to have more to do with how food is cooked (dumbass factor) and the poor management of animal waste (both of which also come with other threats to human health).
Now, before anyone accuses me of trying to minimize the problem, it is true that antibiotic resistance is a serious, serious problem. Antibiotics are over prescribed in the United States to humans, and new antibiotics are not being developed (mostly). We’ve run out of options to fight existing bacteria and as long as doctors are willing to hand antibiotics out like candy, the problem will only become more severe.
NOTE: Now, this blog post is not a defense of the livestock industry, nor a call for greater use of antibiotics. In general, however, I take issue with misuse and distortions of data for political aims on any part of the political spectrum. Call it a weakness of mine.