An iatrogenic pandemic of panic
- 30 March 2006
- Vol. 332 (7544) , 786-788
- https://doi.org/10.1136/bmj.332.7544.786
Abstract
How real is the risk of pandemic? A new pandemic with a highly pathogenic influenza strain is obviously possible. But other infectious agents present similar risks—for example, an Ebola epidemic with airborne transmission, an AIDS epidemic with a much more virulent strain of HIV (superbug), or massive food poisoning such as the dioxin crisis. Airborne transmission of the extremely lethal Ebola Zaire virus might cause a devastating epidemic and is popular in both fiction and (alleged) non-fiction. The HIV superbug appeared in February 2005 in New York as a virus with multiple mutations, multiple drug resistance, and a rapid course of infection, but in only one person. The case served to rekindle the US public's fear after interest in AIDS had been waning because of Iraq. In the Belgian dioxin crisis, dioxins got mixed up in the food chain, causing levels of exposure to dioxins similar to those in the 1980s.3 The crisis fell conveniently (for the political opposition) just before an election. Competitors in the highly regulated European food market saw their chance to increase market shares. Seven million chicken and 60 000 pigs were slaughtered. Not one person has been detected with any observable consequence of dioxin poisoning.Keywords
This publication has 13 references indexed in Scilit:
- Pandemics, antiviral stockpiles and biosecurity in Australia: what about the generic option?The Medical Journal of Australia, 2006
- Antivirals for influenza in healthy adults: systematic reviewThe Lancet, 2006
- The Patents-Based Pharmaceutical Development ProcessJAMA, 2005
- Bird flu and pandemic fluBMJ, 2005
- Strengthening health services to control epidemics: empirical evidence from Guinea on its cost‐effectivenessTropical Medicine & International Health, 2004
- Influenza virus neuraminidase inhibitorsThe Lancet, 2000
- Food contamination by PCBs and dioxinsNature, 1999
- Pandemic versus Epidemic Influenza Mortality: A Pattern of Changing Age DistributionThe Journal of Infectious Diseases, 1998
- The impact of influenza epidemics on mortality: introducing a severity index.American Journal of Public Health, 1997
- The chronicle of influenza epidemics.1991