Love in the Time of Coronavirus

A few years ago, I wrote a short essay expressing hope that the world could unite around existential threats (supervolcanos, climate change, even hostile extraterrestrials, etc.). Perhaps in the face of such threats, I hoped, the world could be shocked out of the social divisions and behavioral patterns we’d grown so accustomed to and rediscover our shared humanity. Though I listed a few reasons why things are not so simple.

In that light, I’ve been disappointed so far how (some) people are reacting to coronavirus. There have been reports of anti-Asian racist incidents in several countries, including the United Kingdom, the United States, Australia, and France. As one Chinese-American man, Vincent Pan, put it, we have to “fight two viruses” now: COVID-19 and bigotry. 

Racism isn’t the only social division that coronavirus has driven a wedge into. Yesterday it was reported that one of the attendees at last week’s Conservative Political Action Conference (CPAC) held in Maryland tested positive for the virus. Two prominent Republicans, Senator Ted Cruz and Representative Paul Gosar, may have been exposed and were “self-quarantining.” Disappointingly, the response to the news on social media fell into the predictable partisan trenches that have been dug into the social fabric of the country over the past few decades.

For example, I saw some people expressing schadenfreude that some Republicans might be affected, perhaps as a form of comeuppance or karma because several of them had dismissed the pandemic as overblown, fear-mongering, or even a “hoax” being exploited to hurt the President politically. And, Donald Trump, Jr. accused Democrats of hoping that the virus would kill millions of Americans solely to hurt his father politically. He later defended those comments, saying he was “entitled to speak with hyperbole.”

There is something seriously wrong here. Unfortunately, some people are not rising to the occasion or listening to “the better angels of their nature.” This is particularly pernicious when those people have big platforms to disseminate irresponsible ideas.

Maybe we could re-frame our approach. We should remember that a virus doesn’t care at all about your ethnicity or your political ideology. Actually, it doesn’t care about anything. It is merely an insentient genetic program that acts to replicate and thrive in a host. And every single person alive fits that description. We shouldn’t wish it on anyone for both basic decency, but also for selfish reasons — the more it spreads, the higher the risk that you or someone you love will contract it, with potentially severe consequences.

Maybe this is a chance to shock ourselves out of the stupid, paralyzing cycle of bigotry and hyper-partisanship that we’ve inherited. Someone once wrote (possibly A.D. Williams, but I cannot find an original source) “Imagine what 7 billion humans could accomplish if we loved and respected one another.” I don’t know if we all have to love and respect each other, but it is indisputable that hatred and division are counter-productive and wasteful. Time, energy, and resources are all finite, and too much of those precious things are being wasted rather than applied toward solving actual human problems. So, here is an opportunity. Coronavirus is an equal-opportunity virus that could affect any of us. There is no vaccine. Whether you are rich or poor, Chinese, American, Italian, or Iranian, you — and everyone you love — are all vulnerable. 

There is at least some good news, I think. I’ve written about this before, but the fact that human beings are obligatorily social primates says something good about us. Our ancestors have been group living for about 50 million years or so. And, if you’re going to live in — and depend on — a group, then it makes sense that evolution would have equipped us to care about the other social primates around us, even non-kin. It’s been said that disasters have a tendency to bring out the best in people. Maybe, maybe not. Doctors and nurses in Iran have shown compassion for their coronavirus patients by dancing for them to lift their spirits. One doctor in China took an elderly patient who had been isolated for a month to get a CT scan in another building. They stayed outside a bit longer to see the sunset.

In the U.S., one newspaper reminded us that “we’re only as safe as our most vulnerable neighbors.” People without enough income to take sick time from work are not only vulnerable themselves, but could potentially transmit the virus to others. In other words, it is in our self-interest to care about others’ well-being, not only for its own sake, but because our lives are all interconnected. We may sometimes feel separate, and that we can live out our lives in seclusion, surviving off stockpiled supplies of canned foods and toilet paper. But coronavirus reminds even the most self-reliant of us how much we need others for our basic necessities. It might be more fruitful if we remembered as if our fates were all intertwined. 

An 87-year-old COVID-19 patient and his doctor, Liu Kai, watch the sunset on their way back from a CT scan at Renmin Hospital in Hubei province. (GAN JUNCHAO / CHINA DAILY) Source

 

 

Prenatal “Shocks” and Birth Outcomes

Birth weight is often used as a rough gauge for the quality of the prenatal environment. A newborn who weighs 2500g or less (about 5.5 pounds) is considered to be “low birth weight” (LBW). At the individual level, weight alone is an imperfect measure because of confounders such as gestational length (it’s axiomatic that the less time spent in the womb, the less time there is to grow). However, at the population level, if average birth weight fluctuates, then it is an indication that something in the environment probably has changed.

Sometimes, stressful changes can be low-intensity and chronic; at other times, they can be abrupt and dramatic. Biologists, psychologists, and bioanthropologists might call these changes “stressors” or “insults.” Economists might use the term “shocks.” They’re both getting at the same idea: to what extent can harmful environmental factors affect growth and health outcomes? 

In the case of a natural disaster, the harm done can be substantial. Florencia Torche (2011) found that rates of LBW increased following the 2005 Tarapaca earthquake in northern Chile. Despite the magnitude of the earthquake (7.9 on the Richter scale), the amount of destruction was relatively limited: eleven people died, and 0.035% of the population had to temporarily relocate to shelters. This was attributed to the low population density of the region as well as Chilean preparedness and building codes to withstand earthquakes. Although the damage was not as severe as it could have been, Torche reasoned that the earthquake likely caused acute maternal stress, which in turn could affect prenatal development. 

Looking at over half a million births, Torche used maternal county of residence as an estimate of the earthquake’s intensity across different trimesters of exposure. She found that mothers who were lived in the most intensely affected regions during the first trimester were the most affected. The probability of LBW increased from 4.7% to 6.5%, while rates of pre-term births also increased from 5.2% to 8.0%. Later periods of gestation were not substantially affected, and for infants who were conceived after the earthquake, the probability of LBW returned to baseline.

Again, these outcomes seemed to result primarily from acute psychological stress stemming from the earthquake. Torche reasoned that – given the relatively low amount of damage to infrastructure – the increases in LBW and pre-term births were unlikely to have resulted from other factors such as malnutrition, infection, stress resulting from deprivation, strenuous workloads, or exposure to environmental toxins. In reality, it’s not possible to control for all of these variables entirely, but overall it seems plausible that maternal psychological stress played a substantial role in birth outcomes.

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Darwin, Oversimplified

ChuckDCharles Darwin recognized early on the potential for people to oversimplify his writing. In particular, he was adamant that not everything in evolution was the result of adaptation by natural selection, though he worried that others would caricature his work in that way. In other words, Darwin was not as Darwinian as he is sometimes portrayed. The following passage comes from the sixth edition of On the Origin of Species (1872: 421):

 

 

“I have now recapitulated the facts and considerations which have thoroughly convinced me that species have been modified, during a long course of descent. This has been effected chiefly through the natural selection of numerous successive, slight, favourable variations; aided in an important manner by the inherited effects of the use and disuse of parts; and in an unimportant manner, that is in relation to adaptive structures, whether past or present, by the direct action of external conditions, and by variations which seem to us in our ignorance to arise spontaneously. It appears that I formerly underrated the frequency and value of these latter forms of variation, as leading to permanent modifications of structure independently of natural selection. But as my conclusions have lately been much misrepresented, and it has been stated that I attribute the modification of species exclusively to natural selection, I may be permitted to remark that in the first edition of this work, and subsequently, I placed in a most conspicuous position—namely, at the close of the Introduction—the following words: “I am convinced that natural selection has been the main but not the exclusive means of modification.” This has been of no avail. Great is the power of steady misrepresentation; but the history of science shows that fortunately this power does not long endure.”

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