T184. The Spanish Flu

T184. The Spanish Flu

 

Project Save the World Podcast / Talk Show Episode Number: 184
Panelists: Patrick Boyer
Host: Metta Spencer

Date aired: 11 February 2021
Date Transcribed: 18 February 2021
Transcription: Otter.ai
Transcription Review and Edits: David Millar

Metta Spencer  

I’m Metta Spencer. Today I get to get caught up with an old friend, Patrick Boyer, who is in his home in Bracebridge, Ontario in a room that I would just love to go snooping around, and see all these good things that you have in the background. So, Patrick and I have known each other in the Pugwash movement over the years, but I haven’t been in touch with him a while he’s kind of off in cottage country, living a life of solitude. Or maybe, maybe he’s done in solitude. I don’t know what kind of life he lives up there, but maybe we’ll find out. At any rate, the other day I happened to come across I don’t know how they came to me, but he does a weekly show on cottage country, the Muskoka area, I gather it is about history of the region. So, I guess he’s become a local historian. And the talk show he did the other day was, it wasn’t a talk show, it was a presentation a formal presentation of a history of the Spanish Flu in the Muskoka region. Is that right, Patrick?

Patrick Boyer  

Yes, in Muskoka district, this program — well, the interesting thing is that in January 2020, I began this broadcast on our community radio station from Huntsville, Ontario. And talking about the Spanish flu, and how it had impacted Muskoka and Muskokans, using this district as a case study of a larger phenomenon. You know, we talk about the big picture and the general principles, but things happen on the ground, in real people’s lives. And so, it’s an easier way to impart a lot of understanding about a global phenomenon to actually look at real places, and how it played out there. Well, in the course of doing that, I also had to talk about how the Spanish Flu arose and developed and spread and what it was like and, and so on. But that program, in January 2020, was the inaugural show, for my ‘Boyer’s modern history of Muskoka’. And it was really a couple months after that, that we began to be aware of the new influenza that was spreading rapidly. And we know I thought, I thought, the interesting way to to help people because the program that you saw, just recently, was after we’d all been subjected to [in] a year of another pandemic. And all of a sudden, I realized that a great way to teach something. And, and first, let me put it this way, if I could, at first, a lot of people thought, well, that’s just an interesting period piece, something that happened in times past. And you know, it was quite gripping to see what happened in people’s lives the way that death was coming. And municipalities had to respond, because there was no federal Department of Health, no World Health Organization, it was totally different on the ground, Metta. But I thought, well, now that everybody’s lived through a year, with COVID, and not only coping with it, but understanding it pretty well, because we get these daily inundations of news reporting on it, right? Breaking news every 10 minutes. I thought this would now be a much better way to teach by comparison, what is a global phenomenon like, that we know so well today, stacked up against one that happened a century ago. And so that was the basis of that recent program or broadcast that you are —

Metta Spencer  

Well, I thought it was absolutely fascinating. And you know, to me, it’s it is it’s also interesting that we can we know so little about the Spanish Flu. Oh, I will call it the Spanish flu, even though that’s really a real misnomer, I think. But I’ll call it that because everybody else does. But, you know, I don’t know much about it. And I remember hearing my mother, very rarely, talk about it. She would be 100 over 100 by now. Well into her 80s… so she must have been a baby at the time. But I think it’s extraordinary in that we so many people were killed and so many lives ruined and yet we don’t really hear that much about it, in my opinion. Anything like, I mean, for example, I understand that more people were killed by the Spanish Flu than by World War One.

Patrick Boyer  

Well, they were on an equal scale. And it was basically 50 million people… who died. There were many, many millions more who were infected and recovered. We’re aware today of those numbers, the number of people that get COVID, and then the number who die from it.

Metta Spencer  

How many died? And how many caught it?

Patrick Boyer  

Yeah, so about 230 million people were infected by the Spanish flu, and approximately 50 million died.

Metta Spencer  

Okay, now, that’s how many people have died of COVID. so far?

Patrick Boyer  

Worldwide? It’s about 2 million… It’s over 2 million. Yeah.

Metta Spencer  

So, the scale or, you know, a different… order of magnitude in a way?

Patrick Boyer  

Yes, that’s correct. And, and also, you are hesitating about calling it the Spanish flu. And that’s a very interesting point. And certainly, you were right to, to kind of check. Because that influenza, did not originate in Spain. It came, it had been developing in China, and was by March of 19. By February of 1918, the World War was still underway, all around the globe. And in France, where everyone was in despair about how badly this war was going, and how dire the consequences and how many dead there were. There were strikes in the factories in, France, there were shortages, even on the work crews, out of the Western Front. And so, the Chinese Labor Corps came, they where there were many hundreds and hundreds of Chinese men coming in crowded ships from China, even as millions were dying in that country. Across… the oceans to France, and bringing with them the flu.

Metta Spencer  

did the French know, did the world know in general, how much trouble there was in China?

Patrick Boyer  

No, no, no, they didn’t have real-time satellite broadcasts coming from around the world. It was on top of the fact that the communication was limited to basically cables, cable grounds, and newspapers. Forget about everything else, radio, television, satellites, all that we’re worried we’re so acclimatized to today… we’re talking about a totally different world, just a century ago. So, they didn’t know that. And —

Metta Spencer  

Was the government of China trying to suppress the information?

Patrick Boyer  

Well, today they are, but I’ll tell you what, in with the Spanish flu, it was the Canadian government that was trying to suppress the information Really? Oh, yes. Why? Well, I’ll explain that. But I just want to finish about why it’s called the Spanish flu. Yeah. So, the Chinese labor corps arrived in French harbors, and were deployed into the country. And one of the attributes of that flu was that it travelled, it… infected most people in the age group 18 to 40, not older people, not children, but in that demographic, which was the perfect definition of the age of soldiers. And the soldiers were crowded into fetid, wet unhygienic trenches along the western front, all the way from the Swiss Alps, to the North Sea, a gigantic incubator, and those that weren’t in the trenches, were crowded into hospitals as wounded. They were being shifted from one zone to another, from one country to another. They were in barracks and bivouacs and on troop ships and troop trains, all of which was very crowded. So, you know, today, as everyone does about social distancing and wearing masks and washing your hands and all of these efforts to reduce the spread of a virus? Well, it was 180 degrees opposite in 1918, and 19 and 20. Because it wasn’t really understood. And this point that you also focused on there a moment ago, Metta, the governments didn’t want to publicize anything, nor did the military — relating to health, or morale in the troops, because that would convey a vulnerability to the enemy. And so, it was absolutely prohibited under the Canadian Army practices as the British and French and others. There were eight different empires fighting in that world war… millions of people in arms all around the world. They… just clamped down on any information, whether it was about flu, or mumps, which was very prevalent, or pneumonia… and venereal disease (apart from the French who were open about that, nobody else the British, the Canadians, the Americans, let’s say finally got into the war ever talked about venereal disease, but that was also a further debilitating disease condition for a lot of soldiers in that war). So, the desire on the part of the government and the army to suppress information was made a whole lot easier by wartime press censorship, and the censorship of mail between the front lines and the home front and back and forth. I mean, the Army’s censors… armed with scissors would turn some people’s letters into looking like the paper dolls under we used to, remember, cut those all up, people would open envelopes, and it’s just shredded paper because there was no ability to transmit information about what was happening. And so —

Metta Spencer  

Every soldier sending letters home in World War One would have from the front would have his letter slot —

Patrick Boyer  

open, opened by military readers centers and censored. And it didn’t black it out, they cut it out. So,  what happened is that this influenza was spreading throughout Europe, and into Spain, part of Europe. Now, one of the very few countries that was not a belligerent power in the Great War, First World War was Spain. And if you know the doctors in the Iberian Peninsula, were no better at diagnosing this than doctors anywhere else. However, the Spanish newspapers were not under wartime press censorship. As we all had the press censorship in Canada under the War Measures Act, that apart from the mail being censored, so in Spain, when they heard about all these people falling sick… some kind of influenza, they began to write stories about it. Front-page news. Well, this was the first place anybody in the world was hearing about this, this devastating influenza. And so, it became called the Spanish flu. And that’s how it has long since been referred to. It’s one of those perverse quirks of historical need to peg something on a place — like in Canada, we know about the ‘Dutch Elm disease, and we all see our beautiful elm trees dying and we were getting mad at the Dutch, right? Well, no, it didn’t start in the Netherlands. It was simply the Dutch are so good with their science and art, you know, there are biologists and arborists and so on, they were analyzing it, and they came up with the fact that what it was the kind of it was killing healthy — So it was the same thing. The Dutch Elm disease, the Spanish flu.

Metta Spencer  

Well, of course, sometimes there’s an intention for pegging it with a particular country. I mean, Trump was always referring to the… China virus or something. And of course, he was trying to create a sense of culpability that the Chinese had were evil because the virus came from China. Well Just because it came from China, does it mean anything except that, you know, it could have started anywhere? And I guess the question is more like, what can we do or what should have been done to contain it? I guess they didn’t do enough right away, but they sure bent over backwards to try to contain it. At least I’m talking about the current virus, COVID. Because they really tried to contain it very strenuously in China much more vigorously than then Canadians have tried to contain it. What was done? I my impression is and you can correct me that a lot of the infection was spread by soldiers coming home and bringing the disease with them. Is that correct? And what happened in Canada or in the rest of the world as soldiers brought this germ back with, you’re absolutely correct.

Patrick Boyer  

Metta, a troopship in… 1918, in the summer, was returning from Britain to Canada with wounded soldiers. All the soldiers who were being invalided back-to-back to Canada, they weren’t going to recover enough in British soldiers’, in British hospitals, and Canadian hospitals in Britain to be able to go back into battle, many of them were many of them did, but these were, these were soldiers who were coming home and carrying the influenza with them, crowded conditions on those ships, and, and all the rest. So, basically, every ship that was coming back from Europe into a Canadian port, from the mid 1918s, on was transporting people that who had the Spanish flu, once they reached Halifax, the port of Halifax, they boarded trains, and returned home all across Canada. And that was a — you know, about our travel advisories and interprovincial bubble barriers and all this — there was none of that back then. And so, here in Muskoka, for example, as a few soldiers were removed from their train and, and into homes or hospitals… a lot actually coming to Gravenhurst, which had the first tuberculosis sanitarium in all Canada. And so, it was treating soldiers who had mustard gas damage to their lungs. This place was a bit of a magnet for returning soldiers. And in Quebec, an outbreak of significant proportions started with these returning soldiers at St. Jean military base, you know, on in the Eastern Townships part of Quebec, along the [Richelieu] River, and that fall, it spread to an academy at Drummondville. And, and the students and the staff, the teachers were all coming down with this flu. And, and all that was happening from Ottawa and with the army was a not on… It is not a serious illness, people will recover. So, what they did, they transported off, they closed the Drummondville school, because everybody was sick, they couldn’t teach, couldn’t learn. And they all went back to their own communities across Quebec, where they come from spreading it further. Brilliant. Yeah. And it just keeps going like that — 

Metta Spencer  

Sorry, but didn’t they know better? I mean, didn’t anybody realize, of course they did. The word quarantine goes back to the Middle Ages. So people even, you know, 100 or 1000 years ago probably knew enough to keep from traveling around spreading the thing. Why? Why did Canadian officials know better?

Patrick Boyer  

Well, you’re quite right. First of all, about the quarantine being something that would have been has been applied for centuries. Like if there’s a case of cholera or diphtheria or any communicable disease… a medical officer of health would order that there be signs put up around a home or a farm or any place like that. But the reason that no warning was given no alarm or no prevention, is that the Canadian Army in Ottawa was sending out messages, press releases press statements that this, this current… ‘grippe’, they were kind of referring to it like severe colds, you know, is, is spread fast but it’s not a serious consequence and people quickly recover and, and above all, it’s… fast passing. And so, so they absolutely were downplaying it. In the when the medical officer of health in Muskoka, Dr. Peter McGibbon, wanted to close the schools in the district, which we understand in present day, this is a big issue, and the… school is going to be closed because of the transmission. And — 

Metta Spencer  

Now, excuse me, but would the young people have also been more susceptible to it? You said the youngest adults, but were school age children also affected more than they will today?

Patrick Boyer  

Dr. McGibbon thought that it was a risk that you know, and even if they didn’t come down with it, they could be transmitting it, something we know today, right? But we did have cases in Muskoka certainly, documented cases where mothers died with their children. And so it was, and these were young infants, you know, so really young ones. But the point that I that was important is that the Ontario Board of Health at that time, told McGibbon no, you cannot close the schools, it would be unnecessary, and it would be inconveniencing a lot of people. And we don’t want to upset anyone in the communities. So, you know, it was denied. And the thing is, we had no department of, well, there was no World Health Organization. There was no Department of Health in Ottawa. It actually, in the province was pretty much a hand off. In terms of… hospitals, and doctors, nurses and all legislation, it was the provinces really were running social services and health care then… as now — just that Ottawa got itself into the picture. But the province itself was also following Ottawa’s line in downplaying this… the military base hospital in Toronto had issued a statement to all the Toronto papers that… this is not anything that anybody should be worrying about. We’ve got it, we’ve got it. And… 10 days later that very base, where people were dying, and more and more succumbing to the illness… the flu, was begging other hospitals and other… for nurses, there was a huge… shortage of nurses, just as we have today. One of the reasons for that… a huge number of Canadian registered nurses had volunteered and gone overseas for the war. They were not on the scene back in Canada. You know, a quarter of our nurses were in Europe, about 20-24 from Muskoka alone, a lightly populated district. So… this was the effort of the government and the army to suppress information to downplay it, and to hold back any information about stemming the tide. So, it fell to municipalities to be the frontline authority, really taking things into under control. And so, in the towns of Huntsville and Bracebridge, in Gravenhurst, and the smaller villages following, those municipalities… closed the schools, they closed the theaters, they put in a rule that nobody can go into the post offices while the mail is being sorted and put in your box, in your mailboxes, because we don’t want people jamming up in the lobby of the… post office…. Yeah, I mean, the Huntsville Forester newspaper kept publishing right through the whole period of the Spanish Flu in this district. But it came down to the editor Harmon Rice and one typesetter… the two of them getting the paper out every week. It’s in the sheet, it became a very thin sheet, but they did they did report on what was happening. You know, the, this was a time when the celebrated Bigwin Inn was being built over on Bigwin island and Lake of Bays through, the war very hard. But the stonemasons

Metta Spencer  

What that is, by the way?

Patrick Boyer  

It became the largest and most prestigious summer resort hotel in North America. It opened in in the early 1920s… June of 1922 until… the late 1950s. And — there’s still life on that island. But at that time, this this place was being built. But they were having such a hard time getting workers… the stonemasons that they had were falling ill and dying from the Spanish flu. And the Bell telephone exchange in Bracebridge was basically shut down because all the operators had the flu. So, people were not able to make very many phone calls. Meat market was closed in this town, because, you know, everybody that worked there, died [or] was home sick. Peter McGibbon, the doctor who was our medical officer of health, he was also our MP at that time. He got the town to take over a hospital or an apartment building, sorry, a hotel, hotel in the town and turn it into an emergency hospital. What like we see, you know, they did it first in New York, and then in Britain, where — and now we’ve got one in Toronto, a hospital that’s exclusively for — now COVID cases, then Spanish flu cases. And because you want the people to be confined in an isolated, in one isolated place, right. But they what they were administering, were still sort of we’d almost say what they were home remedies. You know, they didn’t understand the neurology and the in the medical science and understood

Metta Spencer  

Well, but they didn’t have a cure anyway. Even COVID, they don’t have a cure. It’s like taking aspirin for — where the you know; they don’t have a cure. And we just hope vaccines do the job. But the cure. I mean, and one of the things I was wondering is … was it a more deadly disease than COVID? That or… because there was worse care and worse effort to contain it, than COVID? Because certainly the death rate, you know, the 50 million people is a lot worse. And I’m just wondering, how serious was it? Given, if you had to two batches of people — both one with COVID and one with Spanish flu — you didn’t treat either one of them, or you treated them the same, would a higher proportion of, of the people with the Spanish Flu have died then with COVID? Or are they equally dangerous, if uncared for properly?

Patrick Boyer  

Well, that’s an excellent question. And it’s, I would say they’re equally they, just my own view is that they’re equally dangerous. And that it is very difficult to compare them because in the case of the Spanish flu, there was a huge effort to downplay it, to prevent information about it, and therefore allowing it to be communicated rapidly and extensively around the world with also less ability to treat it. So now what we have with the COVID pandemic, is a lot of publicity about it. warnings about it, restrictions on travel and closing down businesses and workplaces… had that been done a century ago… there’s no question that the death rate would not have been 50 million people on the planet, it would have been dramatically reduced.

Metta Spencer  

Yeah, so that it was a qu- problem of containment rather than… a difference in the amount of capacity to treat it once occurred. Because I mean, I don’t think I mean, like, I’ve told my friends if I get it, don’t put me on a ventilator, just let me go, you know, because I don’t think the ventilator thing, from what I’ve seen, would be helpful enough to make to make it worthwhile given that it’s horrible experience. And so, I don’t think this, of course, they did give Trump some extra juicy kind of pills, or whatever, that seemed to have helped him and I gathered, there are some treatments now that help, you know, help people get quicker, get better quicker. But I’m not sure. I don’t think there’s any, there’s certainly no cure treatment. That’s, that’s, you know, wonderful, although the death rate I gather is going down in COVID. Now,

Patrick Boyer  

Well, well, your point about the ventilator is an interesting one Metta because there’s been some secondary findings that in certainly in some of the cases, being on a ventilator was not a plus it was a negative. But you know — 

Metta Spencer  

they didn’t have ventilators then, though, did they?

Patrick Boyer  

No, no. And, and, and in in 1918, and September of 1918, there was an 18-year-old Canadian soldier in your, in Europe, a gunner. And he had some flu, coughing a bit, kind of like cold symptoms, but he toughed it out, because that was what was being pushed, you know, stiff upper lip, now carry on, macho thing, you know, you don’t give in to anything. And so, he spent a couple more days, you know, where he was, they were outdoors or in some rain, it was cold it was getting in the fall. He was they had, they were playing some soccer, and he was playing that and kind of getting sweating and hot out in this cold and damp area. And it aggravated his condition. And he ended up in the infirmary. And in the course of the next 10-12 days, coughing gotten much worse as temperature went up to 103 degrees. He couldn’t stop coughing. He started to; he was having difficulty breathing. He started bleeding from… his nose, the tips of his fingers and his toes were turning blue because they were not getting oxygen. His breathing was very labored and strained. And then after about four or five days of that kind of suffering, clearly not able to eat or anything, getting, you know, he’s just totally incapacitated. And it was bad. He really is starting — having a hard time breathing. And he’s gasping for air. And in his medical record short, taking as many as 50 breaths a minute. That’s like almost a second between them. And if you start just gasping for air like that every second you can you can understand the panic. And that ended because his lungs were no longer able to absorb oxygen. So, all his reflex reactions in his in his body and from his brain, were telling him to, you know, breathe in that air. But all he could do with these little gasps, was not enough. And, and, you know, three doctors attending and deep… into the night he finally died. And they just watched there was nothing they could do. And that was one specific case of, you know,

Metta Spencer  

kind of sad, typical symptoms. Those other people would have had much the same experience.

Patrick Boyer  

Yes. And I think I think it’s you, another point you just mentioned there Meta was about treatment and whether the death rate was greater because of lack of treatment or whether people more people could recover if there was treatment. Well, if we go back to… the world’s greatest pandemic, which was the black plague, the bubonic plague that spread, you know, in the 14th century, for over eight years. People are wondering when or when is COVID going to be done? That bubonic plague lasted through Asia, North Africa and Europe for eight years. And with, you know, basically an estimated 70 to 200 million people dying, which was a huge slice of the world’s population then and if, if someone succumbed to it, they did not know — if they contracted the plague, without treatment, they would be dead, you know, within as short as three days. And, or they could hang on to about 10 days. But the numbers between those who are treated and not treated, the death rate was very high for those who had no treatment. And it was about 30% lower, the death rate for those who had any kind of treatment.

Metta Spencer  

Really? Yeah. So, what, what was the treatment? I mean, what would they have done? Well, a very different kind of disease from COVID, or the Spanish flu, right? I mean, they’re not, not at all the same kind of virus? 

Patrick Boyer  

That’s correct… it was not this type; it wasn’t a viral disease. But the point is that we’re talking about a pandemic. And that term used by the United Nations now really, is to define any kind of illness that spreads… in through the community… through many kinds of countries that it’s really globe-encircling. You know, if it’s just, it was just in one province, or one part of one country or something, it’s a local epidemic. But that’s the terminology. And so, what we basically are looking at here is — any era — is getting the best treatment that they’ve got available, right. So, in the 1400s, that would have been separating people and trying to reduce the contagion and spreading of it. Whatever else they they did back then, it made the simple point. And I guess this is the takeaway from all three of these pandemics, the Black Death in the 1400s, the Spanish Flu century ago, and now COVID. With treatment and precautions, you’re better off than without any of that. In other words, treatment, treatment helps —

Metta Spencer  

Even if you don’t really know how to treat people, doing something is better than doing nothing. Okay.

Yeah. And… being open and upfront about it. Because that was the other big problem with the Spanish flu. The effort to keep it because of the war in particular. This was happening at the time of war. And it was a back end of that war, when things were really getting dire. The British Empire ran into it thinking, Oh, we’ll be home by Christmas. So did the Kaiser he said they’d be home in Germany before the leaves of fall were on the ground. But after the — millions of people in that industrial slaughterhouse of the Great War there was so much despair, that this thing was going to be lost, that all of this sacrifice was for nothing. And the losses were agonizing. And so, it was a time of great despair. And those in command we’re trying to make a final big push with a lot of very reluctant people. That’s how we ended up with conscription being brought in, because of this. Despite the Prime Minister’s pledge at the start of the war that there wouldn’t be no conscription. It was that it was just such a wrenching, evil enterprise was underway, with that war. And —

Metta Spencer  

Although you’re surely right, in pointing out the importance of the fact that this pandemic took place during the war, it is also the case and as a sociologist, I’m slightly aware of the research that other sociologists of disaster do. Now very aware of it. One of the main findings they come up with, is that in general, when there’s a disaster… officials will play it down, almost invariably… in publicity. They will almost always say Don’t worry about it, we’ve got it handled or it’s not going to be too bad or etc. And their rationale for it is generally that… we don’t want to frighten people. Because if people get into a panic, it’s going to cause more trouble than the problem itself, which is not the case. The truth is that the average person is more likely to go into denial all by himself, than… if you told the truth, so for example, you can go up and down the street with a bullhorn on your car saying, “Flee for your lives, the dam is about to break”, or, you know, some other catastrophe is going to occur. And people will sit in their homes and say, “Well, I don’t believe it”. And they won’t leave. And that tends to be too much the problem, more the problem… than anything else, getting people to take seriously, the warnings, the threats, the admonitions… if you’ve got a real problem people tend to deny.

Patrick Boyer  

So Well, I think it’s, those are very valid points. And I think that when you extend that sociological analysis, to what happens over the course of the year, and say, in the province of Ontario, you look at how people responded to the first closedown, back in, you know, March, April, May… and now, when there’s more desire, and people are pent up, they’ve been closed in like, they’re getting beside themselves, and they want to get out or do things. And but most people are still serious about how they’ve got to protect themselves. But we see growing resistance, right? Because there’s that other… thing that kicks in is, how long can people live? …how many times can you hear… “wolf, wolf” … we’re still in a very dynamic situation with this. And the streets in Toronto, I remember being there. And they were like bowling alleys, you know, closed, closed on a Sunday morning, like, no cars, no people, you know, but but if you travel around the city now, … not the same? And there’s a lot of reasons for that. So, yeah, I mean, we’ve got the deniers who are always a problem. And, and I would say that, you know, if we can compare the way that China has been trying to hide information about COVID —  compare that to the way Ottawa, the Canadian Army and other countries were trying to hide information about it a century ago — Well, we could compare the deniers, you know, to the people, like former President Trump and current prime minister Boris Johnson and the initial period in, in Britain, who were downplaying, and I think — it wouldn’t really be the case in Donald Trump’s behavior, but I think with many others, it is… don’t alarm the people. Yeah. And that was certainly the case with the Canadian government going let don’t get people worked up, because then they’ll have a reaction, that’s very bad. And, and when I was teaching —

Metta Spencer  

It’s just a very wrong notion and officials should be cautioned not to make that assumption, because in general, it’s, it’s not true. You know, people do not panic, by, by and large, they, if anything, are resistant to, to doing the precautions that make obvious since…

Patrick Boyer  

It would be a great thing to live in a political society, would it not Metta where the political leaders treated the… population as being an adult?

Metta Spencer  

It would be a great thing to live in a society where the population were adults. The are voting right now… we don’t have time to go into the impeachment trial in the Senate, which is going on as we speak. But, you know, you see when the representatives of the people being absolutely oblivious to any rational considerations, because the most they’d be voted out next time. And, and that means that most people do not use good sense. I’m sorry to put it so bluntly, which has gotten to the point of making me think, well, do I really believe in democracy anymore? Can anybody really believe in democracy and more given kind of idiot behaviour that voters display. And what do we get instead? With that, I’d like to have another conversation about that. All right,

Patrick Boyer  

we’ll do it, we’ll do that because we must continue to believe in democracy. Absolutely, we must.

Metta Spencer  

It’s not, it’s not working. Because

Patrick Boyer  

Well, you’re talking about the United States, your example was about the United States, we have our own problems with democracy in Canada. And we need to stop touting that we’re one of the world’s great democracies when increasingly we diminish the ways in which we conduct ourselves as a truly democratic society. And so, this goes to electoral reform, this goes through changing the way the House of Commons operates. And many other things, the fact that we have municipal councils in Ontario, that are elected once every four years, every four years, it used to be in Ontario councils were elected every year. On January 1. And you tell me the difference between being thoughtful about your voters and your citizens, and being accountable to them on a 12-month basis, or on a 48-month basis… those are just a couple of the many examples of how we have diminished the actual living exercise of democracy and democratic accountability in our country. And it’s… spread into the culture, you know, it’s, we can’t have a democratic society, unless within our culture, we have those values, and people really are living according to them. So, and I think that does come back on to how we’re being treated and treat and we are treating this pandemic. And I the point of I think I was trying to make and I guess why you wanted me to be with you on this program, was to be able to look at our get a clear and dispassionate view of our present circumstances, by seeing where we have been before. And what’s improved and what hasn’t. And how do we account for those differences? Because we are, we’re not little islands in time, we are part of a much bigger, mainstream flowing of people and about beliefs, values, and attitudes and memories, and medical science and sociology. It all comes together here on save the world with Metta Spencer,

Metta Spencer  

Thank you. So sweet. And as somebody who had a shot at becoming Prime Minister A few years ago, I think your position is one that we should take seriously when you talk about how to democratize Canada a little bit better improves our state of the world. Everybody out to listen because you know what you’re talking about, and I appreciate that. It’s wonderful to be back in touch with you. It’s wonderful to talk to you. So, bless your heart and carry on. Take care. See ya. Bye.

T202. COVID Work

T202. COVID Work

 

Project Save the World Podcast / Talk Show Episode Number: 202
Panelists: Ronald St. John and Jon Cohen
Host: Metta Spencer

Date Aired: 10 March 2021
Date Transcribed: 19 March 2021
Transcription: Otter.ai
Transcription Review and Edits: Adam Wynne

Metta Spencer

Hi, I’m Metta Spencer. If you’re thinking of either getting COVID or getting a vaccination, you’ve come to the right place, because today we’re going to talk about COVID vaccination and all things connected with the equitable handling of this pandemic. I have with me two very knowledgeable people. Jon Cohen is a staff writer on Science Magazine, who covers epidemics. And it looks like he’s been doing it a long time and knows his way around a few viruses. And he’s, I guess, where are you, Jon?

Jon Cohen

I’m based in San Diego.

Metta Spencer

Oh, good. All right. I’m a Californian by upbringing.

Jon Cohen

I’m half Canadian also.

Metta Spencer

All right. And in Ottawa, a friend of mine, Dr. Ronald St. John, is ready to talk to us about his experience as an epidemiologist. He spent a number of years with the World Health Organization, especially the Pan American end of things or side of things, and then was with Canada’s Public Health Service, and was in charge of SARS and Canada’s response to SARS. So I think he and Jon Cohen have things to say to each other. I’m going to let them mostly tell us what they’re up to. But let’s start with Jon, because I believe you said yesterday you had an article you wrote about the pending surplus of vaccines. Can you tell us what you have in mind on this issue?

Jon Cohen

I did a story with Kai Kupferschmidt, our correspondent in Berlin, that looked at the contract agreements that the wealthy countries of the world have made for acquisition of COVID-19 vaccine. It seems preposterous right now to talk about surplus given that everyone’s scrambling to get vaccines, even in wealthy countries. But the reality is that UNICEF catalogues how many people could be vaccinated by the purchase agreements that the wealthier countries of the world have made that far exceed their own needs. So, for example, the United States and Canada both have agreements to have over 500% of their populations vaccinated. Which leads to a whole lot of people who could be vaccinated if those purchase agreements actually lead to product and purchased product. In the United States, which would be the largest over purchase, we could vaccinate – with what we have committed to buy – 1.5 billion more people. That’s a lot of people. Right now, there’s something called the COVAX facility that was set up by World Health Organization and its partners to ensure that there would be access and equity to vaccines around the world for COVID-19, unlike what happened with pandemic influenza in 2009, which was a fiasco where the wealthy world hoarded vaccine. So COVAX is a great mechanism, it is a fantastic idea. But to date, it only has committed to rolling out enough vaccine for 247 million doses of two-dose vaccines. You can do the math, cut it in half, for the world, for the poor countries of the world. And the US, in contrast, by the end of May anticipates vaccinating all adults, which is about 200 million people. And by the vaccine that we have purchased already here in the United States, come the end of July, we could have 200 million more people vaccinated. What are we going to do with that vaccine? The US may well donate it, and it may well donate it to COVAX, and COVAX is encouraging countries to donate through the facility. But there has been no formal discussion and plan about how to do it. I quote Nicole Lurie in my story, who was a top official at the Obama administration during 2009 flu epidemic, saying that when the US went to give away that vaccine, there were a gazillion obstacles that surfaced, including the need to fumigate a pallet of vaccine before it could be sent to the Philippines, which delayed that shipment by two weeks. So you have to have these discussions now, to figure out how to do that very positive thing later. It can’t just happen with a snap of the fingers. And if you look at Canada and the United States and about a dozen other countries that have fairly large populations over 25 million people. I calculated with Kai that there are nearly three billion people who could be vaccinated with those surplus vaccines. It’s huge.

Ronald St. John

I agree, Jon. it’s amazing to me that Canada had reserved contracts for vaccinating three times its population roughly. And then reserve two million doses out of COVAX. We have no need to withdraw any vaccine from COVAX, but we did reserve two million doses, which astounded me and I do not understand the rationale for that. But it’s a little bit like so many things in the world, where we have countries and have not countries. And our inability to distribute things equitable across the divide between the have and the have nots is an ongoing problem.

Jon Cohen

There’s a wrinkle to this and it’s that the United States is the hardest hit country in the world by COVID. And so, the United States has a desperate need for a vaccine that some countries don’t share. So, there is a reason for vaccine nationalism in the United States. We’ve had more death than anywhere else. We have suffered tremendously. And you can understand from a politician’s point of view, why they cannot discuss donating vaccine right now, when there are still people here in California where I live, who are terrified of becoming infected, who cannot access a vaccine, and who even meet the criteria that have been established here for being vaccinated. It is a mess in this country if you want to get vaccinated. I became vaccinated. I’m 62. Because I volunteered at a superstation that vaccinates thousands of people a day. So, I’m considered a medical volunteer. And indeed, my working at that superstation puts me at great risk, because I’m in close contact with huge numbers of people. But that’s an exceptional way to get vaccinated. And I’m not, by the criteria that exists, otherwise eligible. So, I understand why countries… as one person said to me about the United States, you cannot say no to governors, and yes to other presidents. That is political suicide and maybe even foolish, at the same time. We’re moving at such a rapid pace that I think people are blinded by the surplus that’s going to happen. We’re going to be awash in vaccine way before people realize.

Metta Spencer

How soon? When do you think that might happen?

Jon Cohen

Given that the United States is the largest purchaser and that Biden has committed to vaccinating all adult Americans by the end of May. We will have a surplus in the United States, I predict, certainly by the end of July. Because that’s when we have delivery commitments of Moderna, Johnson and Johnson, and Pfizer for far more product than we can possibly use. Then there will become a question of: do we want to vaccinate children in the United States? Do we need booster shots for people to combat the variants that are circulating and might require stronger immunity? Is there a durability issue that requires booster shots? Those are all real and salient reasons to reserve some vaccine and not give everything away. But this is a dynamic, and you need the top people sitting down regularly to discuss how to adjust. And that’s what this whole pandemic has been about – adjusting. There is no certainty here. And that’s the big fallacy that I think keeps tripping up countries is that they keep pretending that they know what’s going to happen tomorrow. They don’t. We don’t.

Ronald St. John

Jon, there’s an interesting phenomenon and I’d be interested in your comment. And that’s when there is an emergency situation – like COVID – and when there is a certain ingredient or measure that needs to be used, like having a vaccine or getting a vaccine or some commodity that becomes in short supply – the international markets collapse and countries start to scramble under nationalism to get a hold of that commodity at all costs. And globalization sort of goes out the window. How can we deal with this in the future? Just let me give you a personal anecdote: During the anthrax letters scare in the early ’80s, early ’20s (2000s), there was a need in Canada to purchase some antibiotics for a national emergency stockpile. When I went onto our standard suppliers of antibiotics, within an hour, I was told that I had 40 minutes to make a decision about purchasing X, Y, or Z, because there were 4 or 5 other countries in line. And recently Canada actually ended up with a shortage of vaccine, of COVID vaccine, because we were dependent on the production facility in Belgium. So, this whole thing collapses in like lightning speed. And I’m curious about how you think we can deal with this.

Jon Cohen

Yeah, I think that, you know, you raise a really important point that we are defined by how we behave during a crisis, not how we behave during, you know, simpler times – – and we behave badly during crises typically. The COVAX facility is new, and it’s a clever idea to address this. But we see its limitations already, given that there are over 100 countries in the world that have not vaccinated anyone. So ideally, the world would say, as a Kumbaya world, hey, the priority is health care workers, frontline responses, responders everywhere. And once you as a wealthy country have covered your most vulnerable health care workers, start sharing at that moment. And there are people who argue that’s a huge mistake we’re making. France has donated 5% of its vaccine right now. And Norway says it’s going to do a 1-to-1 donation of its vaccine. But Norway has 4, 4 and a half million people France has only vaccinated 5 million of its own, of course 6 million today. It’s nothing it’s a drop in the bucket. So I think what we need to do is create more COVAX-like facilities for these responses that address things other than just vaccines, PPEs for example, our you know, a classic thing where we run out of masks and gloves. Why don’t we have a global facility that is set up to address… there will be more pandemics, Ron, you know that and I know that we’re not out of this, it’s not like we’re gonna emerge here and somehow have taken care of the pandemic problem. (dog barks in background) My boss is yelling at me, I’m gonna let her out of the office in a moment. But I think you’re spot on that we have to come up with mechanisms that say in the future, this will happen again. And history will repeat itself, there will be hoarding, and there will be, it’s a natural inclination to take care of your own. And what you’re seeing here as well is China squashed it’s epidemic against COVID without biomedical interventions. So, China has been using vaccine as a diplomatic tool. And so, then you enter in this other realm of geopolitics, where commodities become tools to establish economic relationships or political advantages. And that in itself, creates dilemmas. You know, Russia is doing the same thing with its Sputnik vaccine, which it’s selling, but it’s inexpensive, and it’s aggressively marketing it and saying to the world, we are good neighbors, we are good people. Now that well, that well may be true. I’m not arguing that what they’re doing is bad. But it creates geopolitical dynamics that ultimately shouldn’t exist. You know, we don’t really want that. I’m gonna let her [the dog] out. But I can hear you.

Ronald St. John

Right.

Jon Cohen

Jon, I’ve often thought that there was an argument, there is an argument, that from a country’s perspective, that what is over there in the other world can be in my backyard in no time, Therefore, we should help solve the problem over there, because it’s in our own in our own self-interest, to deal with things, but that doesn’t seem to gather a whole lot of, of credibility or, you know, force, when you get up against something like COVID somehow.

Metta Spencer

Yeah, I think that the whole spirit of globalization should be enhanced by the experience of being in a pandemic, but it’s so clear that germs do not respect borders, and that people travel across borders. And I would have thought that we would be, you know, exactly singing Kumbaya by now. But if anything, it looks to me like it’s gone the other direction that there’s more nationalism, you know, borders, harder borders than then before. Is that your impression or do we have something hopeful to look forward to in those?

Jon Cohen

Oh, I think I there’s been more scientific collaboration and openness than ever before, I do see progress. And I see scientists communicating. You know, one of the, I hate to say this, because we’re all so sick of Zoom. But what Zoom has done is it has put groups of people from different countries in the same room, having discussions day in and day out, where they don’t have to get on airplanes and fly to places or even have bad telephone connections. We are communicating information more aggressively with more openness than ever before. So, I do you see progress. But what we’re talking about the goal we’re talking about runs up against, I don’t know if you know, the old-world health organization, or Mata declaration that health care is a right, and the notion that we all are in this together, the reality is that poor people do not have the access to medical care that rich people have. That’s a reality. And it’s true in every country. And it’s true between countries. And we’re not going to erase that problem. Just as we’re not going to give everyone in the world screens on their windows and air conditioners, and cars that don’t break, there are there are always going to be divisions of wealth, and your access, Metta, to healthcare is going to be better than someone else in Canada who doesn’t have your resources. That’s just reality. And your connections to doctors and nurses is going to give you better care than other people. And that’s just reality. So, I think we have to find some sweet spot in the middle, where we say, Okay, we have a universal base that we are going to adhere to. And then if you’re wealthier, yes, you get better, you get more, but there is a base that is agreed upon. And that’s what COVAX is attempting to do, can we achieve it? Well, I think we need leadership from the G20. And from the wealthier countries of the world to really put money into this, and not just talk. And that’s a big ask. And you know, politically, you don’t get that far with your own people, unless you’re some small Scandinavian country. And that’s why we see all these great issues coming to the fore in these small Scandinavian countries, because they have buy-in in from their populations of 5 million people. My country is 328 million people. We are incredibly divisive and divided and heterogeneous. And look what happened in our last election. We had people attack our own capital. We’re a very, very split place. And so to get buy in in the United States, is tough. And it’s not a politically attractive thing for a president to say, you know, we’re going to lead the way here, but that’s the kind of leadership we need.

Metta Spencer

How far do you think Biden is going to go with his progressiveness?

Jon Cohen

I don’t know. I mean, we’re, we’re in a very uncertain time politically in this country. We did just see a $1.9 trillion passage of a of a bill that will address COVID more aggressively than it’s been addressed, but it was completely along party lines.

Metta Spencer

Does it cover this COVAX thing too?

Jon Cohen

Well, that that occurred earlier, Biden committed to COVAX actually, the Trump administration in December, the Congress, not the Trump Administration, the US Congress wanted to back COVID. And when Biden was still not president, but the elect, he backed this, and he has put money on the barrelhead. So yes, the Biden Administration is strongly backing COVID. And the Biden administration importantly, rejoined the World Health Organization. I mean, remember, Donald Trump’s Administration pulled out of WHO during a pandemic, which to the world that I live in, was, are you kidding?

Ronald St. John

I was gonna also talk a little bit about internal I mean, within country equity. We know that different segments of our populations have are currently having differential access to the vaccine, even when they’re on the list of desired people to be vaccinated simply because of perhaps access issues, or I’d be interested in how we can address the internal inequity within a country.

Jon Cohen

Yeah, enormous, enormous challenge.

Ronald St. John

You’ve touched on it a little bit because you’ve noticed that there is there is inequity built in, within societies, but this is particularly disturbing to me because we just need to get everybody possible vaccinated.

Jon Cohen

Yeah, in the United States, we have disproportionate burden of disease in African American communities in particular and in Latino communities. And there has been a great effort by people running the vaccine, steering the vaccine ship, to try to have leaders from those communities talk publicly about being vaccinated and to make it something that’s desired. There’s been a lot of vaccine hesitancy in African American communities in particular. But I think it’s also important to note that the Pew Foundation did a survey that found that the most hesitant people are White Republicans. Not that it divides politically more than it divides by racial or ethnic groups. The efforts have to make it simpler to get a vaccine. And it is so terrifically difficult to get a vaccine in the United States. That communities that aren’t as connected to the healthcare system to begin with, which we know is the central problem for African American and Latino communities are going to be left out. And you know, your first Americans are, what do you call it Canadian?

Ronald St. John

You’re our Aboriginal population, our Indigenous people. We have the same kinds of situations here, slightly different ethnic groups. But we do have the same problem.

Jon Cohen

 And it’s a disconnect from healthcare, isn’t it? I mean, isn’t that the central problem?

Ronald St. John

Yes.

Jon Cohen

That’s a systemic problem.

Ronald St. John

And, and also some ethnic profiling that takes place. I mean, the Asian Canadians have been, I’ve had some difficulties with discriminatory remarks, and so forth, during the COVID situation here in Canada.

Jon Cohen

I think what we need to do is learn from others successes. And we know, for example, with HIV, that one of the great advances in terms of antiretroviral treatment was bringing testing to the community to find who was infected in a community, and then bringing drugs to the community in a way that was simpler. That didn’t require getting on a bus and riding for an hour to get your drugs. But instead, people would come to you maybe, and we did this with tuberculosis and the direct observed therapy where you go door to door and make sure people are swallowing their pills. I think we have to get aggressive about it and target communities that want vaccine that can’t easily access them, maybe by having mobile clinics that go out and do it, or by setting up…

Metta Spencer

About those people who are hesitant though … I really don’t understand the logic or what their rationale is. But to what extent is it possible to push them? You are even I think I’ve heard some employers can require it of their employees. And I guess there’s a legal question of whether or not that is violating their rights. Help me get clarity about what the rules are, and should be, about insisting that people take the vaccine.

Ronald St. John

I’m going to jump in right here for because what you’re opening also, Metta, is the doorway to the whole notion of a passport or certificate for the vaccinated against the unvaccinated. And I’m, I’m really quite concerned about how the ethics and the law is going to play out, are going to play out over that.

Jon Cohen

They’re very tricky questions.

Ronald St. John

Jon, have you been thinking about passports?

Jon Cohen

Yeah, a great deal. And I think Israel is far ahead of everyone because they vaccinated such a huge percentage of the population. And Israel has been criticized for requiring people to show vaccine documentation to go to a shopping mall, for example. And what Israel says in reply is, “Hey, you know, you don’t have to go to a shopping mall. And if you don’t want to get vaccinated, don’t go shopping, don’t go to the shopping mall.” And they’re using it something as something of an incentive for people. I think there is a very troubling aspect to passports in terms of people who cannot access vaccines, right? And then you have an equity issue because they can’t go places other people can go at no fault of their own. So that a serious consideration. But the flip side is that we’ve used yellow fever vaccine immunization cards for as long as I’ve been on airplanes. And you know, I have my yellow fever vaccine card with me whenever I travel. And I accept that that helps slow the spread of yellow fever, the same thing was done for a time with smallpox, when that was a problem. There was an immunization card that you needed to show. So, I don’t think that the idea itself is a bad idea. But with yellow fever, anyone who wants the vaccine can get the vaccine. And the same was true with smallpox. So, the access and equitable distribution of product wasn’t at the center of the dilemma. I think it’s ultimately a matter of timing a year from now, when everyone can get a vaccine anywhere. I hope that’s true a year from now, the passport idea takes on a different sheen than it does today. I’m going to start traveling because I’m fully immunized at the end of this month. And I’m going to be traveling with my immunization card. And it is going to benefit me in some locales to have that card. And I think that’s wise, I think it should, because I think there is a different immune status in my body, that should be taken into consideration in terms of the risks that I pose to others, although we don’t really know how much transmission occurs yet, through vaccinated people. And certainly, vaccinated people can become infected. But I would anticipate that their viral loads would be far lower, and they’d be far less likely to transmit, we have to see the data. But that is logical. Right?

Ronald St. John

Right. Right. It’s beginning to look like that’s true.

Jon Cohen

I think I think there’s data building that that’s true. But the getting it the vaccine hesitancy question, I, I’ve studied vaccine hesitancy in great depth. It goes back to the first vaccine that Edward Jenner made against smallpox. And the England reaction to that vaccine led to the Luddite movement, which oppose sewing machines and industrialization, creating an anti-vaccine movement in the 1800s. And that movement has ebbed and flowed ever since. And there was a Supreme Court case in the United States in the early 1900s, about the smallpox vaccine. And the issue is ultimately about the fact that healthy people don’t want to stick needles into their bodies. And they ask, why are you going to… I mean, think about how we use needles, right? Who gets needles? Well, people have diabetes, for insulin; people who inject drugs that we think are dangerous, opiates, in particular; and most of us have never injected ourselves with anything – all of us have taken pills. And if a vaccine is a pill, it alters the hesitancy equation to some degree, but the idea of an injection into a healthy person into my perfect baby, you’re going to do this to my baby, that in and of itself, it’s a logical, rational concern, to not want to cause harm to some human body that seems perfectly healthy. But, you know, it’s the whole question of what is prevention? And how do we understand and think about prevention. And we are very bad at that as humans. And the way to address vaccine hesitancy is not to simply flood people with facts, because it’s an emotional response. In many ways. It is not factually based. And part of what leads people to change their minds about hesitancy is seeing others who benefit from the intervention. And I watched HIV denialism very closely where people didn’t believe HIV caused AIDS that evaporated, why did it go away? It went away, because very good antiretroviral drugs came out. And as they became accessible, people everywhere, saw their dying neighbor, get up out of bed and go back to work. So, anyone who was living with HIV who didn’t believe the virus was harmful, directly saw the benefit. We are now directly seeing the benefit of COVID-19 vaccines. We’re seeing deaths plummeting in settings, like nursing homes where they’re widely used, and we’re seeing Israel with its early data. And as those data show us, the benefit, hesitancy is diminishing, and that will continue and it will become more dramatic. As people who are hesitant in high-risk situations die. Unfortunately, that will happen. There will be nurses and doctors and people in nursing homes, who refuse vaccines, and everyone in their setting will be fine. And they will be put on a ventilator and die a horrible death. And people will see that and that will diminish hesitancy I’m sorry to put it that starkly, but I do think that’s what’s going to happen.

Ronald St. John

If I may just add this, I appreciate the way you’re putting the whole issue, Jon, because in public health we have such a tendency to try to explain to people what the statistics are. So, we are just reading a study with healthcare workers in the UK. On the frequency of anaphylactic shock following the Pfizer vaccine. And it was 0.25%. Well, you know, what does a person understand about point 0.25%? And you say, oh, well, that’s, that’s 2.5 people per 10,000. You know, I understand that. But the average person I just stated, doesn’t.

Jon Cohen

It doesn’t mean anything. “And if it’s me, if it’s me, it’s me, if I’m that person, it’s me.”

Ronald St. John

Exactly. I often said that, people I remember back in HIV days, people would ask me, what’s my risk of getting HIV and I would say, 0 or 100. For you, as a person, because either you get it or you don’t. As a as a population, it’s different. But I find it very interesting that I think in public health, we just don’t present things quite as clearly as we need to for the average person.

Metta Spencer

But Jon, if I can ask why the Republican, what is it? White male Republicans, is that the people that you say are resisting it most? Why would they be any more hesitant than anybody else if it has something to do with the experience of seeing people get well or die?

Jon Cohen

Well, the narrative that came out of the Trump White House began in February of 2020. With “this is not a big deal, it’s going to go away. Hey, it doesn’t really cause harm.” And that then be mutated into this a scamdemic. It’s not real. It’s a political tool being used by Democrats to get rid of Donald Trump. And let’s not bother wearing masks, and the President refused to wear a mask for a very long time. And, hey, you know, this just is like the flu. And it’s just something that’s just gonna come and go, and by springtime, it will be gone. All of that created a false narrative about the dangers. And in the Republican Party, it also became a rallying cry to try and win an election. And so, there’s residue left over from that. The hesitancy that now exists in Republicans, I predict will plummet as data… not just as data emerges, but as people witness reality. Reality is a really, really strong medicine. It just, you know, when you see, if you ride a motorcycle, you’re taking a risk. And if you see somebody in a motorcycle accident, and you see how horrific it is, it makes you rethink your risk taking I ride waves. I surf and I surf large waves, but I don’t serve the kind of giant waves the people who surf giant wave surf. And in part, that’s because I have been humbled so many times in the water, where I’ve reached my limits, and I’ve nearly drowned. And I’ve seen other people drown. And it changes how I approach that risky behavior. I still surf. And I still love it. And but I’m much more calculating about how I make decisions. And I think that’s true for all of us. We, the experiences we see that are frightening, lead us to modify our behaviors, and the experiences we have of things that are positive, that we see, really great things happen to communities. Like my mom plays Mahjong, she’s 91. She’s from Winnipeg. And yesterday, my mom and 3 of her friends who are all doubly vaccinated, had a Mahjong game without their masks on. And she sent me a video and it was just beautiful. And as people share things like that, of their relatives, that will lead to hesitancy diminishing because they see the joy that the vaccine has brought to people, they love. And they’re going to see grandparents hugging grandchildren, they haven’t hugged in a year, that’s happening all over the place, and it’s going to happen more and mor. And children will return to schools. And the joy that comes from this, from the protection of the teachers in the school through vaccination will have an impact. I’m certain of that I think we are driven tremendously by hope. I think that’s what humans are made of. And when we see hope in action, it changes us. So that’s my pollyannish view of it that my cynical skeptical side kicks in and I think there’s some people who are anti-vaccination. It doesn’t matter. They don’t believe in vaccines. They’re a minority. And there was a study done that I wrote about some years ago, in I think it was Michigan, where they said to parents who didn’t want to vaccinate their children, okay? You just have to come to the public health department and have a meeting for 30 minutes to discuss your concerns and then we’ll give you a waiver. Vaccination rates, steeply climbed, and hardly anyone went to the meeting. They couldn’t be bothered to drive down town and pay for parking and go listen to somebody. They weren’t anti-vaccine, they were hesitant. And if you created the slightest obstacle, they said, “Oh, to hell with it, I’m gonna vaccinate my kid.” So, I think that’s another clever way to address some of this and to separate anti-vaccine from hesitancy because they’re extremely different things. And most people are not anti-vaccine, they’re hesitant. And that’s different.

Ronald St. John

I think you’re right. I think if this passport thing, if you if people find out, you just cannot get on an airplane and go anywhere to visit your uncle, or to go to Miami or whatever, without evidence that you have been vaccinated, I think that may persuade a lot of people to get the vaccine.

Jon Cohen

I do too. And I think there’s a concept also that we haven’t talked about, and it’s about risk reduction and harm reduction. You know, in the HIV field, it became very clear that if you provided clean syringes to people who shoot heroin, that they don’t spread HIV amongst themselves, the heroin doesn’t cause HIV transmission. It’s the dirty syringe and needle. And people politically said, Oh, no, don’t do that you’re encouraging heroin use” and other people said “No, we’re reducing the risk of harm. They’re still going to be harmed by shooting opiates, but we’re reducing their risks because they won’t get HIV” and that had been hugely successful. We have to think about COVID-19 vaccination in terms of harm reduction. It doesn’t eliminate risk. That’s not what it does. It vastly reduces your risk of becoming severely ill, it may well eliminate your risk of being hospitalized and dying, for a period of time. And it may well vastly reduce your risk of transmitting the virus to others. That’s what it does. It’s not eliminating anything right now that we know of other than hospitalization and death, which do seem to be eliminated by the initial responses to these vaccines. That might wane over time, it likely will. But right now, I can say with great certainty that nine vaccines have presented efficacy data, and no one who has received any one of these vaccines – and we’re now talking about millions of people – no one has developed, has died.

Ronald St. John

Yeah, you’re absolutely right. I was asked a question. I was asked: “Well, there are now four vaccines approved here in Canada, and they’re not quite all the same. Should I wait and choose my vaccine?” I said, you take the next vaccine that comes along. Because they all stop death.

Jon Cohen

You know, Ron, we know what the virus does. So, you want to calculate precisely what a vaccine does? Give me a break? Right. You know.

Metta Spencer

I have the one question that I haven’t heard a definitive answer to though. And I don’t know whether you have the answer. To what extent are the existing vaccines good against the variants? I mean, if you take a vaccine, what is left for you as a risk of one of the South African or other variants?

Jon Cohen

Well, the best data we have come from the Johnson and Johnson study, which was in partially in South Africa, and no one who received a single dose of that vaccine ended up being hospitalized or dying. Even though 85 to 90% of the people who became infected and who are becoming infected in South Africa are becoming infected by a variant that can dodge antibody responses. The antibody responses are but one arm of the immune system, and everyone’s gauging the power of the variants based on their ability to escape from the antibody. But we have a whole other arm of the immune system that behaves in an entirely different way. Antibodies, for the most part, prevent viruses from infecting a cell by glomming on to them and blocking their ability to dock onto a cell. But when cells become infected, we have a whole other arm of the immune system that our T-cells orchestrate that targets and clears infected cells. And these variants are not getting around T-cell immunity as far as we can tell, to any significant degree. And that’s likely why people are doing well, even in situations where the variants that are most concerning are predominant. So, the variants are real, they’re a concern, they do weaken the ability of vaccines to prevent mild disease, they probably lead to more transmission. But in terms of what we really care about, let’s remember we got into this lockdown situation, because hospitals were overwhelmed. ICUs were overflowing in Wuhan in northern Italy, in Spain, in Iran, in New York City, in Seattle. Hospitals were collapsing, because they couldn’t handle it. Vaccines prevent that.

Metta Spencer

 Yeah.

Jon Cohen

So, you know, smell the coffee here.

Metta Spencer

You don’t have to convince me about the vaccine. We’re not quite as far advanced in in Canada as the US is, we’re a couple of months behind I think in our ability to make the vaccine available. But I’m certainly I’m on board with that.

Ronald St. John

That matter was due predominantly to the supply interruption issue. When the production… since we get our vaccine from Belgium, and the production vaccine, the Pfizer production capacity in Belgium was halted for a while because they wanted to expand their production, you have to stop the assembly line to do that. We had a shortfall of weeks with very limited supply. And now we’re in a catch-up phase.

Metta Spencer

So, you think we will get caught up?

Ronald St. John

I think it’s it seems to be accelerating right now at a pretty good pace. And we may, you know, the Prime Minister promised everybody would be vaccinated by the end of September, which is a great goal. Now people are talking beginning and talk about being able to meet that goal a couple months earlier. Let’s hope so.

Jon Cohen

There’s something else to keep in mind here and probably is true in Canada as well as the United States. We do not do mass vaccination of adults as a routine thing. We do flu vaccine, but you go to your local pharmacy and get a flu vaccine here in the United States. And there’s no signup process. There’s nothing or the Shingrix vaccine for shingles. There was a shortage of that vaccine, I had to get on a waiting list. But it wasn’t a sense of urgency about shingles. Because shingles is not a seasonal thing. It’s like shingles is in my body. I don’t want to get that virus. So, we don’t have a history of mass vaccination campaigns of adults. We do have children, pediatricians routinely, you know, vaccinate. That’s one of their main jobs. And in the United States, it’s a birth cohort of 4 million a year. And we figured that out. We’ve got that down. But our systems have to figure out the kinks of mass vaccination campaigns for adults. And as we figure out those kinks, it happens in a couple of months’ time. Everything speeds up.

Ronald St. John

Yeah, yeah, no, you’re absolutely right. I don’t think there’s ever been, certainly in this nation’s history, a mass campaign to vaccinate adults. We had mass campaigns for polio and kids.

Jon Cohen

Right.

Ronald St. John

But I think that was the last time we had mass campaigns. Now we vaccinate kids as they’re born. But to do everybody, to vaccinate adults of all ages, all occupations is a huge undertaking,

Jon Cohen

Especially with a priority scheme. If you just opened up the doors and said anyone can get a vaccine who wants one, it’s much easier. But when you start prioritizing health care workers. “Now okay, now we’re going to include nursing homes. Okay, now we’re going to include over 75, over 65.” It creates massive confusion here in California right now, you can get a vaccine if you are a food and agricultural worker or if you work in a grocery store. Okay, how do you prove that? Well, you know, you show up with your pay stub and do people take advantage of that system? Of course, they do. They forge documents, and the vaccine superstation where I’m a volunteer. My job last Friday night was being the first screen of people who showed up with documentation and wanted vaccine. And I had to turn away a lot of people. And it was almost comical the way people lie. And the way you know, and it was almost comical that I’m telling people, they can’t have a vaccine. I want them to have the vaccine. Who wants to turn someone away? So that’s part of the dilemmas that we’re prioritizing because we’re rationing. We’re doing a ration system. Yeah. Because of a shortage.

Ronald St. John

Yeah, absolutely.

Metta Spencer

So, it’s something about barcodes or, you know, there’s little things that you know, that they stamp on things. Apparently, they’re going to be using those and I noticed, I think today’s papers said that Canada is not set up with enough of those readers. Cell phones can do it. But the Government of Canada can’t.

Jon Cohen

Well, man, I was just speaking this morning with a researcher in India. And in India, they have very organized electronic medical record system for 1.2 billion people. And they sell smartphones for as little as $10. And basically, they’re not struggling with these issues the way we are. There are privacy concerns, certainly. And then you start to think about China and the way China uses smartphones to track people. But when it comes to public health mass campaign, this thing right here is a phenomenal tool that we haven’t figured out how to properly use and India has, and China has, and Israel has. You know, Israel has for HMOs for the entire population, it’s only 9 million people. Everyone has an electronic medical record. Every COVID-19 test you take is in your record, every vaccine dose you’ve received as in your record, every hospital visit you have for anything is in the record. If they want to figure out what’s happening with a vaccination campaign, they punch buttons on a keyboard, and they get answers. We can’t do that in the United States. We’re so fractured here that, you know, I there, there are four major hospital systems in San Diego alone, where I live. And they don’t talk to each other. And if you go from one hospital system to the other, you don’t just press a button and move your records. Oh, you file all sorts of confidentiality agreements, and you wait three weeks and you pay some money. And then maybe the records get there, and maybe they don’t, it’s a mess.

Metta Spencer

Okay, there’s one final thing I’d like to ask you to consider. And that is the question of actions that will try to stop the spread of pandemics in the future by early warning systems. And I particularly want Ron to describe the GPHIN system. Because when you were working for the Canadian government, you were in charge of this outfit, which you can, I’m going to let you describe and see whether or not… I know that the history of it has gone bad. But is there a prospect of being able to revive it or even expand on that kind of thing? Tell us about GPHIN, Ron.

Ronald St. John

Well, GPHIN stands for Global Public Health Intelligence System. And is the product of something here that we started, we created about the late 90s, when we realized that, given global mobility, infectious disease could be on our shores within 24 hours from anywhere in the world. And we needed we thought we should… we had a couple of incidents, that pushed us to develop a system that would monitor media worldwide, for outbreaks of disease. And so, we could anticipate – and that’s the key word anticipate -that we might have a problem here in Canada. So, we created this system, it was the first ever computer-based monitoring system. The World Health Organization bought in, so did CDC, and we’re still going today. But in 2019, early 2019 – and before that – the government sort of felt that, well, there’s not much happening in the world right now. So why are we spending money on this early warning system? Why shouldn’t it be diverted to other priorities? And they said, well stop issuing international alerts, because we just don’t need those. There’s nothing happening in the world. That was in May of 2019, which was about seven months before COVID came. So, our early warning system got muzzled. And it has become a big issue with now a panel of inquiry looking into what happened, why, and so forth. There are lots of reasons, it’s complex. But the… we feel strongly, I feel strongly that we need the early warning systems, not just based on media, but looking at other innovative ways of finding out things like Twitter’s and social, some people talk in on their social networks and we may be there’s a lot of noise there but sometimes there might be some important information. We need to know how to tap into that and other systems as well. To enhance our capacity to detect something that we say uh-oh we need to anticipate this might become bigger.

Metta Spencer

Well, shouldn’t this also be global in scope.

Ronald St. John

It is global, Metta. Now. It has been global for some time, and it has been linked into the WHO, the World Health Organization. And it is now part of something called Epidemic Intelligence from Other Sources. EIOS Programme at WHO and GPHIN contributes about 20% of the information. Now, there are lots of different like systems: PROMED and Health Map and you name it. I mean, there are lots now. And they’re all being they’re trying to consolidate this information in WHO with some difficulty, because the systems are not compatible and there’s a lot of noise in the systems. But GPHIN i contributing about 20% of the information that WHO has at the present time. But GPHIN has not been updated or modernized, especially with its IT in some time. So, there’s a big issue now about what to do with GPHIN and how to how to get it back on track. Here in Canada and with WHO and the rest of the world.

Jon Cohen

And upstream of that we need more aggressive surveillance of animals that potentially have pathogens that can jump into humans. There is surveillance that takes place of bats and pigs and chickens. And it is useful, but it’s not done aggressively enough. And the US had a program called predict that in a similar timeframe was defunded right before the pandemic. That was a global collaborative effort to do animal surveillance to try to look out for potential, what are called zoonotic events, the jumping from one species into us. And if we can identify, let’s say, a pig farm that has an influenza virus that has never been in humans, but could grow in human cells, we could potentially, for example, vaccinate those pigs or take some other measures to protect the workers there from becoming infected by those pigs. And that’s where we’re failing upstream, is we’re not aggressively enough doing the surveillance and acting upon what we find to prevent zoonotic events, like the one that likely is behind the pandemic we’re experiencing right now.

Ronald St. John

Yeah, I mentioned there is this movement called One Health. And the basic principle is that our health is inextricably linked to our animal’s health, and vice versa. And the fact that we’re all here on one planet. It’s all linked. And there’s there is a movement to do exactly as you say, Jon increased surveillance and… Go ahead.

Jon Cohen

I was just gonna say the One Health movement is tremendous. Several years ago, they held a meeting in Mongolia for the One Health Conference and they held it there because more humans live with animals in Mongolia, it turns out than anywhere else.

Metta Spencer

Really? Horses, they ride horses. I have pictures of them doing it. What else do they do?

Jon Cohen

 Well, they have horses, cows, pigs, chickens. I mean, the way that farming and agriculturally based communities live with animals creates a lot of opportunity for viruses and other pathogens to jump around.

Metta Spencer

Yes, but they tell me that the contact is increasing. Now that I don’t understand. Because you know, yes, we are tearing, building houses in jungles and you know, tearing down habitat. So somehow that seems to be exposing people to pathogens more than even in the days when we were all farmers. I don’t know. And I don’t understand it. But that’s what they claim.

Jon Cohen

There has been a lot of opportunity for pathogens because of habitat destruction. That certainly is taking place. But the primary way … just look at influenza. What happens? Why do we have changing vaccines every year for flu? What is that about? Well, that’s about the fact that chickens and pigs get infected and other wild fowl, for example, get infected with influenza viruses that jump into us. And then they mix with viruses that are already in us and create new variants that we have to deal with. If that happens with SARS COVID-2 watch out. The variants we’ve discussed so far are variants of SARS COVID-2. If you get a mix of a new coronavirus and SARS COVID-2 we are screwed. That’s what worries me.

Ronald St. John

I’m really thankful that this coronavirus COVID-19 has not behaved like MERS coronavirus where the mortality rate is as high as 35%. That would be unthinkable.

Jon Cohen

Ron, imagine if this coronavirus hit children the way it hits adults and we had ICUs filled with dying five-year-olds. We have been so spared of that horror. And I think we have to be grateful that this virus is as wimpy as it is.

Ronald St. John

I agree 100%. As wimpy as it is, it’s a good way to put it.

Metta Spencer

Well, we’ve covered the waterfront. I think that this is very enlightening. I hope you don’t mind if I put some clips from it into Peace Magazine. I’m working on the next issue now. And I think it’s important to share as much of it as I can. So, it’s very kind of you, Jon, to be with us. And Ron, too. I see Ron more often.

Jon Cohen

Well, it’s my pleasure. I really enjoyed the conversation. Thank you. Thank you both.

Ronald St. John

Thank you, Jon. Enjoyed it very much.

Jon Cohen

Let’s stay in touch.

Ronald St. John

Take care.

Metta Spencer

Bye.

T166. Rotary and IPPNW

T166. Rotary and IPPNW


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Project Save the World Podcast / Talk Show Episode Number: 166
Panelists: Dr. Richard Denton
Host: Metta Spencer

Date Aired: 25 March 2021
Date Transcribed: 11 March 2021
Transcription: Otter.ai
Transcription Review and Edits: David Millar

Metta Spencer

Hi, I’m Metta Spencer, and good morning to you and to Richard Denton. Today we’re going to talk about the Rotary Club, which I’ve heard about all my life, but my goodness, I’m impressed with him lately. And just finding out all the wonderful things that Rotarians do. And Richard Denton is a big time Rotarian. He’s also big time in a whole bunch of other things. He is the co-chair of the North American Committee of the International Physicians for the Prevention of Nuclear War. And he’s involved with Pugwash, very involved. And with the Canadian Voice of Women for Peace. I’ve just teased him about being the first bearded lady in the Canadian Organization of Women. Okay, and so we’re going to have a conversation about all these wonderful organizations that he’s engaged in. And he might recruit a few of you. I should say that if you’re watching this live, you can write a question in … the chat box, and my assistant Adam, who is watching… if he sees a really interesting question, he’s authorized to interrupt our conversation and on zoom, and ask Richard whatever question he has… So, you may have a chance to put a question directly to Richard Denton. Good morning, Richard. Hello. wonderful to see you.

Richard Denton

Great to see you.

Metta Spencer

And wonderful to see this wonderful background, which you tell me is not a green screen, but some wonderful, tricky thing that you can put on your computer. So, it’s a virtual background. Virtual background. Yeah. And you have all these words that mean peace, peace, freedom and “pace”… “paz”… all these different languages. Is this Rotarian? I see a gear wheel, which must be a rotary symbol, is that right?

Richard Denton

Correct. Yeah. over that way. …the rotary wheel… was actually designed by a fellow Rotarian. I like liked it, and she was kind enough to offer it to me.

Metta Spencer

Uh huh. Okay, so that gear we although it has been around a while, right, it must have been the founding symbol of the organization.

Richard Denton

Correct. Rotary is the oldest and largest service club in the world. It was founded by a lawyer, Paul Harris in 1905. And we now have 1.2 million Rotarians. And really, it’s probably…about 2 million because when you add younger people in Rotaract and Interact… and spouses, then it swells to about 2 million.

Metta Spencer

What is Rotaract?

Richard Denton

ACT is the ending of it. Correct. And it is for young people University age, and then on up. It used to end at about 30-35, and now there is no limit. And it is now functioning pretty much the same as rotary, it’s on just about equal par with rotary and will be in 2022.

Metta Spencer

What happens they have their own separate meetings or do you get together, or what’s the relationship between oldsters and youngsters?

Richard Denton

Well, obviously, we’re all working in — our motto is “service above self”. So, we work on projects, to better our community and to better our world. And often, we will work together and also can work separately… as clubs.

Metta Spencer

Okay. And is it always — my impression is that it’s quite a progressive organization. In general… anybody could call their orientation service. But is there some sort of consensus about what kind of service you want to perform in the world?

Richard Denton

Well, yes… there’s lots of service organizations… Lions, Kiwanis, etc. And our motto is “service above self”. So, as I said, service to our community and to the world. We follow what is called the four-way test. And one of my mentors has taken the four-way test … will it be beneficial to all? Will it be bringing goodwill and friendship? Will it be fair to all and then when you develop a relationship with another person, then — and you have that trust between each other, then you can get into the nitty gritty, which is the fourth question, is that the truth? And so, you can apply this to just about anything, you know, to any type of discussion, be it in your marriage, be it in your workplace, be it in world politics. And we feel that, you know, if there were more Rotarians in politics, who applied the four-way test, the world would be a much better place.

Metta Spencer

How do Rotarians get along with other service clubs? You know, like Lions and Elks, and I don’t know what all there are. But there are a number of other other I think of them back in the day. When I was in high school, I used to be invited to give talks to the Lions Club lunches. And, and I think they gave me a couple of hundred dollars for a university … for me to go away to Berkeley… I don’t know that they were all that progressive, although I didn’t try to poke them and find out. Do all of these service clubs have a lot in common or is there… do you have strong cleavages between groups of service clubs?

Richard Denton

Well, certainly I would say there’s no cleavages. I mean, we’re all helping our own communities, and to better the world. I think each club has their own niche. And so you’re here in Canada, you hear of the Kiwanis Music Festival. And they put that on. Rotary has historically been a men’s club, old gray-haired men who were at the top of their businesses and professions. And… even back in 1905, they looked for diversity so that you would not have two doctors in a club, you would just have one and you’re trying to have representatives from a variety of professions. Now, of course, what happened then was that… I’m a family physician, but you could have a surgeon, you could have a pathologist, you could have any other type of doctor in sort of subcategories. So that’s how they used to get around it

Metta Spencer

I know… The idea is to prevent a competition to doctors, trying to steal each other’s practice… was that the original…

Richard Denton

I would say, actually, no, the idea was to certainly network. So different business people would network together. And we often have sort of the joke that you’re an outstanding Rotarian. So instead of being in a conference, listening to the speaker, you’re often out in the hallway out standing in the hallway and talking with colleagues about other business pursuits. So, it was very much an organization along those historical lines. Now, as you say, yes, we are a very progressive organization. And now we allow anybody … in who still holds our values, our core values, and who has the time and the energy to put into service projects. And so that… the core value of the of the organization… is to work, helping others in a variety of ways.

Metta Spencer

Well, I can tell anybody without even asking that your core value is peace and that your work … within Rotary must also represent your work for peace, right? So, tell us about the kind of… you have a committee of peace committee or something, don’t you? Well,

Richard Denton

In Rotary, there are what we call six areas of focus, which are health, water and sanitation [mothers and children, education, local economies]… of which peace is also one. And then being a progressive organization, we have just added the environment as the seventh area of focus. So, we’re now looking at climate change and how to address that. But the major project that Rotary has been involved in, of course, is “polio plus”, and we have raised a billion dollars to immunize, vaccinate the world, and the Bill Gates and Melinda Gates Foundation has matched that with another billion. And so, we have almost eliminated polio, plus several other illnesses in the world… such that now only Pakistan and Afghanistan are the only countries in the world that actually have live polio cases.

Metta Spencer

Uh huh. Yeah, I was hearing about that a few years ago. And then was it after that, that there was a real problem? I think that was in Pakistan, that the US government sent out really spies…, disguised as vaccinator promoters, and this turned the public against them… I’m sure I’m not telling this right.

Richard Denton

Well, yes, that’s the story. The American government had people going around, pretending to be vaccinators, and they were then able to locate Osama bin Laden by that technique, and found out his location… through that. And then of course, as a result, now, people have a great distrust for vaccinators in Afghanistan and Pakistan. And so that has done a great disservice to our organization and to what we are trying to do, and to the cause of ending polio. Oh, yeah, sure.

Metta Spencer

Well, is there a possibility? Or have you considered, has Rotary considered mobilizing people to go out and administer COVID vaccines? Looks like now they’re gearing up, at least in the US. And I’m sure that other countries as well, I don’t know, I haven’t seen that much for about Canada. But to take over stadiums… how people go to the stadiums in, you know, that kind of numbers, to get their stuff jammed in their arm. Could ordinary people… could I for example, if I were able and interested, volunteer to… give these vaccinations or would… it really requires medical personnel to do it?

Richard Denton

Good question. Metta. Certainly, Rotary is using expertise in vaccinations, and because of our experience with polio, and we have the word “polio plus”, meaning that we also vaccinate for other diseases, the measles, mumps, rubella, those sorts of things. And so, we are now doing just as you say, using that expertise to vaccinate against COVID-19.

Metta Spencer

So, I presume there’s no real trick to… I’ve myself done it. I was an office nurse for a few years, and I’ve injected people occasionally. But I think that the rationale was that you need to have a medical person around in case there was… somebody with a reaction, an immediate serious reaction. But I know they give vaccinations at my local pharmacy. I don’t know I don’t think they do COVID. But they do some kind of vaccinations. So, to what extent is that going to…? I know we’re veering off topic, but I am curious about whether or not that is going to have to be a limiting factor, making it necessary to have medical people nearby, in case somebody has an adverse reaction?

Richard Denton

Well, certainly that… is the case. Now with polio. It came in the two forms. The Sabin and the Salk. One was an injection and therefore, yes, you did need to have medical personnel. The other was given as a drop on the sugar cube, or just a drop in the baby’s mouth, child’s mouth. And so, as an oral, it was much safer to give, it didn’t require the refrigeration so much. And… any “volunteer” basically could give that… you’re right, when you’re injecting a needle, though… there is the risk of anaphylaxis reaction, which the patient can have, what one might call the Darth Vader syndrome, where they lose their ability to breathe, their throat will swell… and they can die. And so, you need to have medical personnel who are trained in resuscitation and could administer the drugs immediately to prevent that.

Metta Spencer

Some kind of epinephrine or something like that, is that what… the correct…?

Richard Denton

Yes, adrenaline. Epinephrine is the first drug, and then steroids and then antihistamines.

Metta Spencer

So maybe if we have a whole stadium full of people, there might be a couple of people around just in case, who could —

Richard Denton

need that

Metta Spencer

Okay, well, there we go straight from talking about the Rotary to

Richard Denton

Well, that’s all part of “polio plus”, which is Rotary’s big project.

Metta Spencer

Uh huh. Well, good, wonderful. I didn’t actually didn’t know any of that. So but I know that you have this Rotary peace organization, which must be some sort of club within the club. Is that the general idea? Tell us about that.

Richard Denton

Well, we are individual Rotarians that are concerned about the risks of nuclear weapons. And I think, as we have seen this past week, down in the United States, with the storming of the Capitol buildings, things can go wrong. And we have the president, who has… sole authority to push the button… and there’s his conversations there, to put it mildly, with the leader of North Korea. They were joking —

Metta Spencer

Rocket Man.

Richard Denton

They weren’t joking, unfortunately. But they were talking about who had the biggest button and whether it would work or not. And we’ve got nine countries in the world who now have nuclear weapons. And so, it is based on having a rational person who is in control. And this may not be the case. I mean, one can look at presidents of the United States, John F. Kennedy, was in pain and on narcotics, which can affect your mental abilities. Ronald Reagan was suffering from Alzheimer’s in his latest stages. You got Brezhnev who may have been intoxicated at times. So those are some areas where you worry… you obviously need safeguards. So they’re, the military is instructed, of course not to do anything that is illegal, but at the same time, they need to follow the orders of their commander-in-chief… who is the president. So that is a concern. The other concern is certainly the risk of accidents and miscalculations. We’ve seen several movies: Command and Control, we’ve seen The Man who Saved the World, about a Russian who thought that Russia was being attacked by nuclear weapons. But did not launch a counter attack until he had visual proof or radar proof.

Metta Spencer

I think he didn’t believe it. That’s the thing. He was supposed to believe it because this was supposed to be the rock-solid evidence, but in fact, he knew damn well it wasn’t. And then he used good sense… Stanislav Petrov.

Richard Denton

Yeah. But there’s been numerous other examples. during the Cuban Missile Crisis, we now know that the Americans found a Russian sub, they didn’t realize that it was nuclear-armed, they started throwing depth charges at it. The Russians on board said, “Hey, World War 3 has broken out, we need to launch our missiles.” Two of them said yes. And a third said no. And so he was also a Russian man who saved the world. Absolutely.

Metta Spencer

Well, we’re all in the business of saving the world. And this is Project Save the World that we’re on. And you do as much as anybody I know. In those regards, I have to really, really admire your commitment. I don’t know anybody who’s got more zeal for the kind of work that you do.

Richard Denton

Oh, you’re my mentor. You’re the one who’s done this project on how to save the world and come up with your six… possible risks to the world?

Metta Spencer

Well, they’re actually fairly similar to the things that the Rotarians had already identified. Although I must say, not many people were thinking about pandemics when we formed Project Save the World. And we said a pandemic is up there, right with some of the worst ones, as a threat to humankind. And I guess we’ve been vindicated — for what it’s worth, if anybody wants to feel proud of having anticipated COVID. I guess Bill Gates is probably the main one who anticipated that and saw how dangerous the situation was. And, you know, if you compare what we’ve been going through to some of the previous pandemics, it’s hard to say this, but we kind of got off easy, because … there have been pandemics that have wiped out even a larger proportion of the human population. So… really what we need is a movement, a social movement…, there is no social movement — like a peace movement, or hunger campaigns for food in the world, or some of these other social movements. There isn’t anything for the general public, to work on, preventing pandemics, it seems to me that the people working against pandemics are all professional, public health experts or epidemiologists or people in… paid to do medical work. So, I think we need to… build up our awareness in the general public of the importance of… the transmission of viruses and things from animals to people, and maybe from people to animals. I don’t know, that that kind of One Health approach could stand… some help. Maybe we can get Rotary to… take part in that kind of orientation.

Richard Denton

Right? Well, I mean, first of all, you are my mentor, asked me how To Save the World looked at six risks. And I think what the pandemic has shown is that all of these risks are global problems. They transcend borders, and countries around the world have not prepared for these catastrophes. So, I think what we need to do is have a new mindset, a new way of thinking, to stop spending money on the military, and to spend it on treating the six areas of your focus, which are as you say, also the six — and now seven — areas of focus for Rotary… health and infections and sanitation and water, and all of these then go together to create peace. You know, what we’re finding now is that… you can’t vaccinate in Pakistan and Afghanistan, if you don’t have peace, if you don’t have trust, if you cannot build up relationships with people. And so, peace is… fundamental. And one of the things that Rotary is involved in now is the Institute for Economics and Peace, that has come out with the… the eight pillars of positive peace, we often we think of peace as a negative thing, the absence of violence, the absence of fear of violence. But this Australian, Steve Killelea, founded this institute, and came up with a Global Peace Index, a way of measuring peace, and he looks at things like a well-functioning government, equitable distribution of resources, a free flow of information instead of the fake news… the propaganda that we have now… having good relationships with our neighbors… working cooperatively together, multilaterally, multi nations together, and I think this is where the United Nations could play a much larger role. If it… gets better funded. You could look at human levels, our levels of human capital, you know, it would be much more important to fund… scientists…working on your six problems, as opposed to modernizing nuclear weapons at a cost of a trillion plus dollars, over the next 20-30 years. You know, there’s the acceptance of human rights… we’ve certainly seen this in the past year with, you know, Black Lives Matter. And here in Canada, we have systemic racism with our indigenous people… low levels of corruption is another area… in the military, you know, if a hammer costs $3, but if you put military on it, it suddenly jumps to $20 or more for the same hammer… and then of course, sound business environment. So, all of these things are all interrelated. And, you know, I think, as you say, Metta… back in the, during the Cold War, we had a social movement against nuclear weapons. Now that Greta Thunberg and our young people are Interactors — high school people are now addressing the climate crisis down in the States, they’re addressing gun violence… all of these are interrelated. And what we need to do is to show that and… desertification of land which will dry up, people will then be forced into starvation, you’ll have famine, which is one of your areas of focus again, people will then move — become refugees. We then… give arms and weapons. And… then that creates more refugees if they try to flee the violence. And then Canada then looks to taking in the refugees… and I think this is the problem, it’s that we often don’t look at the root of problems. And we’ve just tried to address them superficially saying, okay, we’ll take in the refugees, as opposed to saying, Okay, why did this happen in the first place? It’s the climate, and it’s us selling arms —

Metta Spencer

I think the thing is, people often say… we just can only do so much. So, let’s pick one of these things and work on it. The truth is, I think that if you work on them all together, it gets easier because they’re so connected and connected to everything else, you know. You can’t really solve any one of them without doing something on some of the others. So, just the example you gave of this chain of event of disasters, one leading to the other We have to think of it that way. And, and if we address it as a package then… oh boy, it’s wonderful to be on the same team. As you know what we’ve only talked about Rotary, we haven’t even given you time yet to talk about IPPNW… you are the co- chair, the North American co-chair of International Physicians for the Prevention of Nuclear War, which is a Nobel Peace Prize winner from way back and did a huge amount during the Cold War, to really change policies, especially I think, in Russia, maybe in the US to some extent, but tell. Let’s talk a little bit about that before we wind this up.

Richard Denton

Well, I think maybe… we should end on a hopeful note. At this week, on Friday, the Treaty on the Prohibition of Nuclear Weapons comes into effect. And this will make nuclear weapons illegal. We’ve known that they’ve always been immoral, illogical, and insane. And now they are illegal as well. And yes, IPPNW was founded equally by a Russian and an American cardiologist, who both looked after their own leaders, and were able to influence their leaders and bring them together, and eventually to end the Cold War. And for that, we got the international… the Nobel Peace Prize in 85. Now, we formed the International Campaign to Abolish Nuclear Weapons, ICAN, which got the Nobel Peace Prize in 2017.

Metta Spencer

And it was largely supported by IPPNW —

Richard Denton

And now it’s brought… all these various peace organizations around the world, and they pushed the countries to form the UN nuclear ban treaty in 2017. So, the NGOs, the non- government organizations, like the International Red Cross, and Red Crescent societies, and all these other peace organizations came together and pushed the states, the various states to actually come up with this new treaty. And so, this is definitely a positive note. I think, IPPNW is working again, it’s a international organization, and it is working on a number of fronts in the United States, one of our members, Dr. Ira Helfand, has come up with Back from the Brink, which has our five steps: not to be spending the vast sums of money on nuclear weapons… no-first-use, to remove the president from having the sole authority to launch an attack, etc. And so, I think, you know, we’re looking at Don’t Bank on the Bomb, which is a program to divest money from nuclear weapons and their delivery systems and put that into the climate crisis. And to address pandemics and to all the other global problems that need global answers through a strengthened United Nations.

Metta Spencer

Well, within about 24 hours, we’re going to have a new president of the United States, who will make all of those things a little bit easier anyway. I don’t think he’s a red-hot disarmament person yet, but maybe we can push things in that direction. Anyway, you know, what we need to talk about IPPNW further. So later on, I’m going to get you and somebody else or maybe a couple of other people from IPPNW together for a whole conversation… we’ve given our attention so far to Rotary, which absolutely deserves it. And now we’ll move on to some other group one of these days. So, All right, thank you so much, Richard. This has been extremely enjoyable and informative because you’ve told me some things I didn’t know and I bet you a lot of other people don’t know either. So yeah. Share this with other people if you have any opportunity to do so, and maybe we’ll get some new Rotarians in the world knows

Richard Denton

that that’s our what we’re looking forward to do is to increase our membership throughout the world. Definitely. Terrific.

Metta Spencer

Thank you so much. Have a great day.

Richard Denton

Thank you. Bye-bye.

T182. The McIntyre Powder Project

T182. The McIntyre Powder Project

 

Project Save the World Podcast / Talk Show Episode Number: 182
Panelists: Janice Martell, Dr. Richard Denton, and Dr. Keith Meloff
Host: Metta Spencer

Date Aired: 9 February 2021
Date Transcribed: 18 February 2021
Transcription: Otter.ai
Transcription Review and Edits: David Millar

Metta Spencer

Hi, I’m Metta Spencer. And we’ve been talking quite a bit lately about uranium mining. Because one of our main concerns project save the world is about radioactive contamination. So of course, we talk, there’s a lot of radioactive contamination in Canada, I would say, especially in Ontario, because we depend so much on nuclear power. But and so I’ve had a lot of friends who’ve been here talking about the dangers of nuclear waste and problems about mining. Now, I think we need to go a little bit beyond that, because there are other kinds of issues involved in mining as well. health issues, and I would say even they involve human rights issues, because public health and human rights converge at a certain point when you get people being forced to take measures that may not be for their own health, but for other reasons. So, I’ve become acquainted with a lady who is very concerned about an issue called McIntyre pot powder. Her name is Janice Martel,

Nice to join you, Metta. Thank you so much for having me here.

Metta Spencer

It’s wonderful to see you. And I’ve also invited a couple of physicians who are knowledgeable about these matters. Dr. Richard Denton is a dear friend of mine who works quite a lot on the public health safety of mining and exposure to radiation. And he and Janice both live in Sudbury now. So, they’re just about to get acquainted. And Dr. Keith Meloff is a physician who has done work on precisely the health issues that Janice is so concerned about.

Richard Denton / Keith Meloff

Okay, good.

Metta Spencer

I’d like to start off by asking Janice Martell to tell us her story. She’s the founder of the McIntyre Powder project. And tell me about it.

Janice Martell

Well, the McIntyre powder project is a bit of an Erin Brockovich type of project. Basically, my father, his name is Jim Hobbs. He was an underground miner in Elliott Lake Ontario and in the uranium mines. He also worked in the Sudbury area mines. But when he went to Elliot lake in 78, he started underground there and had to breathe in a finely ground aluminum-oxide dust called McIntyre powder. It was named after the McIntyre mine in Timmins, Schumacher, Ontario, developed there in the late 1930s. And by the early 1940s, it was being used in all of the gold mines in the Timmins area, sort of sequentially, and it was introduced into uranium mines in the late 50s and early 60s. And the McIntyre powder was theorized to prevent silicosis, so that the theory was that if you inhale this into your lungs, it would affect the solubility, the aluminum particles would engulf the crystalline silica, which is very sharp-edged pieces of, of silica that happen when you — they’re contained in the ore bodies high in amounts in uranium and gold mining. And when you break apart that rock in mining, this crystalline silica — they, the miners are inhaling this dust. And it can cause scarring in the lungs and make the lungs less flexible so that you can’t breathe. This is silicosis, and the rates of silicosis are really high in, particularly in the in the Porcupine mining camps, around Timmins, and mining executives there came up with this theory, in conjunction actually with the Banting Institute in in Toronto, [it] had some involvement in in trying to solve this silicosis issue. And they started applying miners with it —

Metta Spencer

Excuse me, but what would be the symptoms of silicosis? Anyway, in other words, we were going to pre- it prevented disease but I don’t know what that disease would have looked like.

Janice Martell

So, it like I say, you’re breathing in these this crystalline silica molecule molecules, it causes scarring in the lungs, so it makes the lungs less elastic so that it’s harder and harder to breathe. People with silicosis, they have you know, sort of caved in chests because they have a hard time getting their breath. They can have a very blue appearance or you know…. It leads to death and in in Elliott Lake where the crystalline silica content is that much higher in the in the mines, probably close to double what it is in the gold mines. You had miners dying in the late 1960s, early, early 1970s, for mines that just opened in the 1950s. And usually silicosis has a, you know, a 20, 20+ year course before it would lead to death, but they were dying in droves in the what fraction of the of the miners whatever, contract that disease. It’s been a while since I looked at those stats. There was a survey done in in the late 1920s, I believe, by the one of the Interior ministries, to look into it, the Sudbury rates were quite a bit lower because their silica content in the rock was quite a bit lower. And Dr. Meloff is showing you a canister of McIntyre powder, aluminum dust. So, they would grind up this aluminum dust put it into these canisters. And for miners before they went underground, on shift, they would have a formula for the room content. So, it was one gram per 1000 cubic feet of room content. And they would so they would put so many canisters in a compressed airline, they would puncture them and send out this blast of aluminum dust that as miners are changing their clothes to go underground, getting into their work clothes, they would be inhaling this for generally around 10 minutes, or so sometimes a little bit more, but usually around that that amount of time, before they went underground. So, it was a it was a forced… there was no informed consent. They certainly didn’t know. You know, they were just told to breathe deep This is gonna prevent silicosis — there was no, you know, here’s the risks, here’s the benefits. And they really didn’t know. The documentation that I looked at. said it would take at least 15 years before they even know if it had any effect on silicosis. They had no control group for this. It was just a forced human experimentation, public health, industrial health experiment that was conducted from officially from 1943 until 1979. It was a Fifth Estate episode, in a Toronto Star, you know, copro- investigation that really shut that down in, in September 1979.

Richard Denton

They, they take an elevator down the shaft, a stunning depth, actually. And before in the elevator, they blew in this aluminum oxide dust, it was like a cloud of smoke that they were inhaling before they went down the cage all the way into the mine. So, this was a procedure where they actually took numerous breaths of this very fine black or gray powder, depending on the composition at the time, into their lungs.

Janice Martell

Right before they went underground… yeah, it was done before they got into the shaft but in the mine dry or in Quirke Lake where my dad mined where my dad worked, they actually had a like a tunnel between where they, you know, got out of their street clothes and stuff and into their work clothes and they had to sit in that tunnel. And there was no way of going around it, you got locked in there. So, it was basically forcible confinement and forced aluminum dust inhalation as a condition of employment. So, if they, you couldn’t avoid it, you would get suspended if, or threatened with your job loss if you know if you fail to do it, so. So, my dad ended up with Parkinson’s 10 years after the mines closed, and my, and I knew nothing about McIntyre Powder. He didn’t talk about it at the time. I was 11 and 12 at the, at the time that he got it. So you know, I’m a kid I don’t, you know, it’s not something that he would talk to me about anyways. But when I found out about it 10 years after he was diagnosed with Parkinson’s. I wanted to know more. So, I started doing research on it. And initially there was there was basically there was two references to McIntyre powder on the internet, when I first looked into it, and one was a study that was done with by Sandra Rifat and colleagues out of the University of Toronto from a 1990 study where she actually compared, she did a mental, mini-mental status, examination. So, the kinds of tests that you would give to determine if there was any kind of dementia, she gave those to miners who had received the aluminum dust and miners who did not. And there was a statistically significantly fact for cognitive impairment in the miners who got the aluminum dust and the longer that they had been exposed to it the worse that that cognitive impairment was so it was like a dose-response relationship.

Metta Spencer

Did it look like dementia or did it just have other quality psychological qualities?

Janice Martell

It was it was a cognitive deficit. So, they didn’t, they struggled more with cognitive functioning. That’s how that’s what that study came out with. So, and the only other reference on the Internet at that time when I looked at it in 2011, was the mining Hall of Fame and it had the general manager from McIntyre Porcupine mines R. J. Ennis and you know, talked about how he cured silicosis in miners, cured that disease by introducing the aluminum dust. So, it was a real vacuum of information out there. I spoke to somebody at the United Steelworkers who had worked in Elliott Lake, and he said, you need to talk to you need to Google ‘McIntyre Research Foundation’. And when I did that there was a hit at the Ontario archives. So, I went to the archives of Ontario and did research there. I went through all of the McIntyre Research Foundation’s archival funds. And then from there started, you know, talking to miners and creating a voluntary registry to see what kind of health issues there were. And I have 545 on my volunteer registry, and I think it’s 53 of them have Parkinson’s. So that it led to that kind of sort of basic mobilizing and mapping of what kinds of health issues are there led to further study. And in 2020, we, the Occupational Cancer Research Center, just published, released their findings of a study that they did, that compared the neurological disease rates in miners who did not get the aluminum dust miners who did get the aluminum dust, and then the general population of Ontario, and it found a statistically significantly higher rate of Parkinson’s in the miners who got McIntyre powder. So, they started to compensate those miners, including my dad.

Metta Spencer

Well did it help with the silicosis in the long run?

Janice Martell

No. There was a Western Australian study, this was this spread out, the use in several countries, not just in mining, actually, in the United States. It was used in dozens and dozens of silica-dust producing factories. But the it was used in the Western Australia gold mines and a study in 2013 found that it had no impact on silicosis rates at all. And there were, that study found that there may be higher incidence of cardiovascular issues. So sudden death by cardiovascular in the miners who got it and potentially higher risk of Alzheimer’s. That’s what that study.

Richard Denton

It is the case… I was a neurologist that served in the underserviced area program of the Ministry of Health for a long time, the better part of 30 years. So, I was a traveling neurologist or an itinerant neurologist based principally in Timmins. But I actually would see patients literally all-over northern Ontario, and even as far north, northwest to Sioux Sainte Marie and Thunder Bay, and also by telemedicine either based in Timmins, which was the beginning actually of telemedicine to the north. And it had a co-location was with Sunnybrook Hospital in Toronto. So those were those were the two actual sites for telemedicine. So, I consulted with people, even as far as the James Bay and the western shore, James Bay, Moose Factory and so on that I saw, a lot of people, underground miners who are exposed to the aluminum oxide and who also had early onset of dementia and other neurological disorders including Parkinson’s and Parkinson-related illnesses. In other words, Parkinson lookalikes. They weren’t Parkinson’s, but they were Parkinson-like diseases.

Metta Spencer

To ask a dumb question, because I did Google this. And one of the things they talked about was Parkinson’s disease, and Parkinson-ism. Those are two different things.

Keith Meloff

Yeah, that’s a very good question. But and in fact, it’s still in evolution because there’s an ever-increasing number of Parkinsonisms, where we are understanding the pathology is not the same as in, if you will, standard Parkinson’s disease. In any event, it is also the case and I would like to make this brief but it is the case that I collaborated because I worked in pharmaceuticals as well. Aluminum can be chelated as lead can be – copper – you can actually suck it out of the blood with medication.

Metta Spencer

I’ve heard it as some sort of offbeat treatment for some diseases, right?

Keith Meloff

But it’s actually true.

Metta Spencer

I never heard it explained what is chelation?

Keith Meloff

So what it is, is these molecules, metal molecules, iron, aluminum, copper, manganese, lead, they can be che-, there are agents that will suck them out of the blood. The lead is a toxin, ubiquitous toxin, mercury is another, some of them are harder to — so there are actual chemicals that have been around for a long time like pharmaceutical pharmaceuticals that have been around for a very long time, British anti-Lewisite, so on… And there’s one in particular that draws out iron and aluminum and it’s called Desferrioxamine and why is this important? Because there is a population of people who get the disease called thalassemia, you may or may not have heard of thalassemia, it’s actually fairly common, even in Timmins, because it is a disease that’s hereditary that afflicts people from the Mediterranean area, like Italy and Greece and so on. And there were a lot of Italian miners who had this. They would have —

Metta Spencer

I know Nancy Olivieri, who goes to Sri Lanka, I believe, well, I worked with her, with –maybe the Sri Lankans have a high incidence of it, or,

Richard Denton

Actually, we had this molecule — Ciba Geigy. It’s a Swiss company that’s now called Novartis, it’s a colossal Swiss pharma company. They made two key leaders Desferrioxamine which is given by injection, and Desferrel which is oral, and Nancy worked on a drug called Desferrel for thalassemia is a big controversy about that which I don’t want to get into. Fact of the matter is that drug is approved for oral treatment for iron overload, iron overload, specifically for thalassemia, (which is a disease we don’t need to talk about) — but it also sucks out aluminum from the blood. And Dr. McLachlan, Dr. Donald Crapper McLachlan, at the University of Toronto was very, very focused on aluminum toxicity. He was convinced that aluminum was a major contributor to Alzheimer’s disease. He was convinced of it. And he had the brains of miners that were donated to his laboratory in Toronto. Forever. I have tried in vain to find out where those brains are. No one seems to know. It is the case that they likely perished because the freezer that contained those brains broke down in a power shortage at the Tanz Institute [Centre for Research in Neurodegenerative Disease] at College Street and University Avenue in Toronto, and have been forever lost. But I don’t know. And I’ve actually contacted people who do know, and the people who do know, don’t know where those brains have gone, which is very unfortunate. It’s America launched.

Metta Spencer

Are you saying that because they’re lost, nobody really knows whether Alzheimer’s or is caused by affected by aluminum?

Keith Meloff

I mean, well, it’s complicated because we, clinically these patients clinically had Alzheimer’s. And that is unequivocal. Dr. McLachlan showed us an experiment which Janice just alluded to, that Desferrioxamine slowed the progression of patients who were exposed to aluminum. It slowed their progression of dementia compared to a group of patients who’ve got a sham injection of drug. And that was published in The Lancet several years ago. And it’s an interesting publication. It’s not a perfect publication, but it’s a very suggestive publication. That Desferrioxamine actually might be useful in treating miners who are exposed to aluminum. It’s not the story is not easy, and he was part of a group scientists, one in Kentucky, who really believed that aluminum was toxic to the brain. And we have aluminum, not just for our mines, but we bake in aluminum, aluminum foil, we have underarm deodorants that are largely aluminum based. So, there’s other environmental toxicities you know, that we’re susceptible to from aluminum in the environment, it’s ubiquitous in our environment, because we eat with it all the time. A lot of food is made in aluminum. Cooking. So —

Janice Martell

if I can interject a bit, the one of the, one of the primary things that differentiates, I think with McIntyre powder is the fine ground aspect of it that it’s in the fine particulate and ultra-fine particulate size. So, we are wondering, beyond the aluminum if the, if the particle size, particulate size itself is causing problems. So, Andrew Zarnke, my, my colleague, at the occupational health clinics for Ontario workers, he’s doing studies on, that, he analyzed canisters of McIntyre powder, and found that it you know, it was in this extremely fine particulate size — in the, you know, things like air pollution where you have this fine, this beyond ultra-fine and fine and fine particulate — they have higher issues of cardiovascular disease and things like that. So those nanoparticles in and of themselves have been found throughout the body in the brain. And one of the concerns that we’re looking at is, is that particulate size itself is that the issue, the formulation of McIntyre powder, was changed in 1956. To make it even more fine. They wanted to, they wanted it to get down to the deepest recesses of the lung. And the Occupational Cancer Research Center study that was published last year showed that was released last year, showed that any mine worker who had the formulation post-1956 had an even higher risk of Parkinson’s. So, it does tend to make us think along those lines, that’s something that we need to investigate a little bit further, with respect to, you know, not just the fact that it was aluminum, but the way the manner in which it was distributed, you know, right before they went underground. I mean, when you are an underground miner, you are exposed to all kinds of, you know, silica, silica dust, diesel exhaust, there’s different kinds of toxins that you are — and some of them are carcinogenic: diesel exhaust… silica dust… arsenic — there’s things that you can be exposed to, in that environment. And right before you go underground to do that, your lungs are being overwhelmed by this, you know, it’s not like you’re, you know, the WSIB time-weighted in over an eight-hour shift. Well, that’s not how it was delivered, you had this extreme dose, right before you go on underground and overwhelmed the lungs’ systems, their natural ability to clear out, clear out dust particles. And so, you have this compromised lung and you’re in there with no ventilation because the specific instructions from the McIntyre Research Foundation, which were the mining industry executives, and some industry doctors, from this foundation, their specific instructions were that you were to have no, you know, airflow, so close all the doors, seal them, you know, get rid of any windows, or at least seal them up, and have no ventilation while you’re taking this stuff. So, you’ve compromised your lungs right before you’re now exposing them to all of these other toxins underground. So those are some of the areas of research that we’re wanting to look into further, beyond just the fact that it was aluminum, because there’s no other population in human history that was exposed to aluminum in this way. You know, this finely ground aluminum dust that they were forced to inhale. So, it’s some of the other studies can be you know, can certainly bring up concerns and things that we want to look at. But there’s this also this other aspect of it that that is really we need to study these particular miners, and in it, one of the human rights issues for me, apart from the lack of informed consent, and that they were essentially in these gas chambers, is that there was no follow up. Once they you know, once they just discontinued it, it was like, Oh, well — you started this human experiment and they — inefficient, they need to follow up with these miners and find out what happened to them? And that’s what I set out to do. And that’s what’s —

Metta Spencer

Because they didn’t. And they should have done. Who should have done that? That’s follow-up research. What should have happened? Well, maybe the whole thing shouldn’t have even taken place in the first place. But, you know, who should have done the kind of work you’re doing, Janice?

Janice Martell

Well, I mean, this was a public health experiment, and it should have been a public health follow up. You know, the government was aware that this was happening. And, you know, they gave their tacit approval. And when the Food and Drug legislation came in, in the late 40s, the research that I looked at is that the McIntyre Research Foundation met with the officials in Ottawa, and they basically said, Well, you know, this is, you know, you’re not giving this to the general public… our inspectors aren’t gonna be very interested in you. So, carry on. So, there was a regulatory oversight that was abysmal. They just dropped the ball and nobody followed up. And it was really when… the media made a big difference in

Metta Spencer

I would, because of what Dr. Meloff said, I’m wondering if there is a possibility that one could get aluminum poisoning and all of the cognitive, and parkinsonism or the other diseases that might result from aluminum exposure, from things like cooking and aluminum pans, or using deodorants — then your, the research would have to be rather complicated in order to separate out the effects of the aluminum that you was inhaled, as opposed to aluminum from other sources. Wouldn’t that complicate the research project? Or have you thought of that yourself in in trying to do this kind of follow up study, Janice?

Janice Martell

Well, I mean, I’m, I’m a lay person, right. So, I’m, I’m a layperson and an advocate, so I’m just kind of trying to gather the information and be a resource around it. But I mean, the …JM aluminum toxicity is unquestionable, it’s neurotoxic. But how the mechanisms, you know how that might affect something like Alzheimer’s or dementia. Dr. Denton has his hand up you? Yeah, jump in there. Go ahead, please.

Richard Denton

I just want to make a couple of points. One, I’m just a country doctor. But as a country, doctor, you have a lot of patients, and you see clusters of disease occurring. And you wonder why. And rarely, though, do we actually then try to find out? What is the case? You know, I can think of my colleague, Dr. John O’Connor, who saw a cluster of cancers in the Alberta tar sands, and traced that to the toxins that were coming from that industry and basically had to leave town as a result of that —

Metta Spencer

The story there. What’s that about? That people got mad because they felt that you found out something they didn’t want to know.

Janice Martell

You don’t bite the hand that feeds you in an industry town.

Richard Denton

Yeah. So that that’s it, but I again, want to applaud people like Janice, because it’s often the lay people or miners. There is a miner in Kirkland Lake, who traced his lung cancer to radon gas that is a heavier-than-air gas. It therefore concentrates in the mines. It’s radioactive. It’s not only in the uranium mines, but it’s in all the mines. And as you were alluding to, Metta, it was hard to eliminate things like smoking, because a lot of the miners smoked. And so therefore, they said, Wow, well, your lung cancer is due to smoking, but he did not smoke and was able to finally get WCB, the workman’s compensation board to recognize that that as a health hazard. And we now know that radon gas is the second cause of lung cancer. And it’s… compensable and it’s also found in basements of houses. And so, you now can test that. So again, I simply want to applaud people like Janice for doing this research, you would think that it should be as doctors, but often it is not. It’s the lay people. And I think the second point also is that workers are exposed to bad situations, toxins, and are not informed of it. And so, you have the women who applied the radioactive radon to… watch dials, and developed cancer as a result of that. And as again, Janice points out, the workers are not informed. And particularly we see this often with indigenous people. The uranium mines often occur on indigenous land, they are hired to do the work, but they are not told of the risks. So, my points are that we need to be doing a lot more research. We need to, it’s people like Janice, and miners and people who are the workers who are really the heroes for pointing these problems out. And then it is finally up, back to people like Dr. Meloff and scientists who then can do the research to find these problems. But to me, the real heroes are people like Janice, and I just want to make that point, who —

Metta Spencer

I’m glad you

Richard Denton

took the risk of workers in situations of being exposed to toxins, and not knowing about it.

Janice Martell

Thank you. I have to say Dr. Meloff, many of the people that I talk to remember you, they bring up your name. And I when I say that I’ve met you and that, you know, they’re just very grateful because you believed them, you know, and you said yes, this person has Parkinson’s or parkinsonism or whatever. And, you know, when I was thinking about coming on this, this this show and having a conversation about this, and thinking about how it how it really connected with peace. In order to achieve peace when there’s been wrongdoing, you have to acknowledge the wound, you have to acknowledge the wrongdoing and that this was swept under the carpet and people like yourself. Dr. Meloff, you, you were a frontline physician who gave validity to their lived experiences and they you know, 30 and 40 years later, those families remember you. And I just wanted to say that.

Richard Denton

Thank you. You know, it’s interesting that the source of the aluminum that I provided for further study was given to me in 1989 by a woman called Erma Vosdingh, from Virginiatown. So, most people in Toronto have no idea where Virginiatown is. I actually know. It’s, it’s not far from Kirkland. But I mean, this was because her father had complications from the aluminum oxide. So, it’s an absolute irony that I have like a dozen canisters, because she provided me with about a dozen canisters [of] the McIntyre, powder, some of which were a little different in color. So, there were some that were grayish, and some that were blackish. And that I think, is what Janice is talking about that the fine powder may have different particle size. There’s no doubt in my mind. We have other epidemiological evidence of metals causing problems. Lead is the best known I would say. Lead is terrible. Because lead affects not only the brain, it also affects your blood forming, because you get anemia. Children who eat paint chips that are leaded. I don’t know if you’re familiar with this, but it’s a very, this is serious problem is still a problem in North America. And you read about Flint, Michigan, where they have lead in the water, a monumental problem. A pediatrician there was… noticing that children were getting anemia. And it was it was because of lead in the water. I’m so old. I’ve taken care of children with anemia related to lead and brain damage — so that’s how old I am. I actually treated these children who were exposed to lead in Minneapolis. And there’s manganese miners in Chile, they get Parkinson’s disease. And even in the Negev, you may have heard of the Negev, it’s in southern Israel — Bedouins were a migratory… an indigenous population that traveled between Egypt and Jordan and Israel and so forth. They eat, they drink water out of leaded pottery. And there have been cases in, among Bedouins who’ve developed Parkinson’s from the lead. So, this is a really global problem. And the radium, I couldn’t agree more with Richard, I mean… radiation is bad for the brain, it’s bad for your body. It causes malignancies, among many other things. So, this is a monumental, I really think this aluminum powder should be studied in, in animal experiments. To look at the brain after exposure to aluminum oxide,

Metta Spencer

Well, that’s one thing I wanted to ask is we need to move on to talking about the future. I’m wondering, out of all this experience, and experimentation and, and research and tragedy, what has been learned and what needs to be studied further? And what actions are should be taken now? What do we know that we should be doing something about? Probably, maybe Janice and Keith Meloff have different ideas about where to go from here. But I’m always looking for solutions. So what needs to be done, that we should promote as a line of either research or policymaking?

Janice Martell

Certainly what Dr. Malak was talking about with animal experimentation, I think that that is, is something that is being contemplated. The initial review, or the initial assessment of what McIntyre powder is, was necessary to developing something that could be consistent to be able to do those kinds of experiments. So that’s sort of the first step that that Andrew Zarnke, and his colleagues, including Health Canada, had, were part of that review. And, and that would certainly give us some models as to as to what the impacts are, and to be able to study that… there’s a technology… some nano diamond technology where you can attach this tracker to the particles of aluminum, so that when it’s you do the inhalation experiments, you can actually see in the body where it goes. So, can it pass the blood-brain barrier and those kinds of things. So that’s something that is being contemplated. And I think the kind of study that the Occupational Cancer Research Center did for neurological disorders, they could do something similar for the other kinds of health issues that we’re seeing showing up. I mean, respiratory is huge, different cancers, cardiovascular conditions…. One of the things the OCRC study found was they did find higher rates of Alzheimer’s, and higher rates of motor neuron disease in mining in general, not related to McIntyre powder. But compared to the general population and motor neuron disease, that diagnosis, they had some difficulties, because of the number codes that are used in family physician offices versus hospitals, in figuring out, you know, how many of those would be something like ALS, but in general 70% of those diagnostic codes refer to ALS? And I have —

Metta Spencer

Let me unpack that. Are you saying I think I did see reference to this, that ALS itself is one of these motor neuron disease problems, and that it could be could be affected by aluminum or by just any kind of thing in the mining environment? Any mining?

Janice Martell

Yeah. And I, I, I’ve seen some high rates as well around pulp and paper mills. So, I’d be interested in knowing what the common elements were in pulp and paper mill towns in Abitibi. From what I understand, there was an iron ore mine that had I think five, with ALS — in the Kirkland Lake area… So yeah, there’s some, there’s some things, certainly that are beyond my scope. But things that I’d be interested in and on a sort of a public policy issue. I think that there should be a national registry. If you are a worker, I mean, we’ve become a globalized workforce. If you are a worker, you have a right to know everything that is — have a registry, everything that you’ve been exposed to at work, that you and your state, or your legal representatives should be able to have access to that registry, so that they can track and see what are the health outcomes of workers who are exposed to certain things — at some point asbestos was not an issue, right? Because nobody was making the connection. At some point, beryllium wasn’t an issue… Those kinds of toxins and their health effects need to be studied if we’re going to put workers in a situation. And sometimes you don’t know at the time that it could be toxic. And lots of times you did. And I think that we need to have that and push for that. And part of my going into this was… not just to show and find out the answer that I wanted to find out for my dad… was his Parkinson’s related, which I have that answer now… if you can show with this group of workers… this was not an inherent working condition, this was introduced by a powerful mining industry and a government that kowtowed to them. And if you can show what a human rights abuse it was, and how we need to push beyond the way that we deal with workers now? You know, workplaces close down by the time these occupational diseases develop, unions disband. You know, when, you know, when the mining industry in Elliott Lake decommissioned and the mines closed, those locals of the… unions dissolved, because there was no more workplace. We need someone (and it needs to be a national effort) to track what these workers are exposed to. Right now, we’re retroactively doing that at the occupational health clinics for Ontario workers. But it’s… very difficult to do and you have a lot of deceased workers who can’t give you what they were exposed to in their working conditions. So, we kind of look at it as a cluster and try… people who are alive can tell the tales for the people who passed. And the things that I would recommend.

Metta Spencer

Thank you, you obviously have something on your mind.

Richard Denton

Just a couple other points, Metta. I think as Janice has pointed out, to see a toxin develop in people, it’s often 20+ years, to show the cancers and that sort of thing. So that makes doing the research difficult. Number two, I think we need to use what we call the precautionary principle, which is: if you don’t know what it’s going to do, don’t do it. And so, you know, we have seen the Canadian Association of Physicians for the Environment, CAPE has launched a ban on the cosmetic use of herbicides and pesticides for lawns, and we know that those are toxins. So that that is something that can be done. And it was interesting that it started in a little community of Hudson, Quebec, just a small community. And now with the help of CAPE it spread across Canada, and the provinces have now restricted that use. So eventually things do change and… come to light. You know, we thought that plastics were inert, that that was not a problem. Now we know that it’s the microplastics that cause problems, it’s now endemic in our lakes in our streams and in the oceans and is affecting all life there. Not only the large plastic that gets into straws, into turtles and things like that, and in the bellies of whales, but is also the microplastics that is now a problem. And as you also said earlier, with cooking… look at Teflon. We think that’s a marvelous agent. It keeps spills… off your clothing. If you don’t have to use a lot of oil in your cooking, it just slips off the pan. But it too is a toxin and a carcinogen. So all of these things are problems. And then the other point I want to make is that it’s not only the miners, but it’s their families. And the mines fill up the lakes with these toxins. And they become the tailings, become the slimes. And they… often have heavy metals, which then can become airborne, and again, get into the food that we eat. Again, Dr. Meloff and I are old enough to remember when it was recommended that we should all be eating liver. Because it was high in iron and —

Metta Spencer

I still eat liver, or I still leave eat liver, what’s the matter with liver I’ve missed? Well,

Richard Denton

It’s been taken off the Canada Food Guide. Back in the day when you and I grew up, we were recommended to eat liver. But now we know that the liver concentrates toxins. And because we feed animals, all these various toxins, you should not be eating too much liver. And you know, you can now get young calves’ liver or baby beef, but you would not be wanting to eat cow’s liver. And again, we don’t recommend eating wild game liver for that very reason. Because again, they are high in toxins. So yes, you should be eating game. Because it’s low in fat. And that tastes good. But you need to be avoiding the organs that concentrate the toxins like livers and kidneys.

Metta Spencer

Well, we started out with a few things to worry about. And now we end the program with a whole lot more things to worry about. This is not cheerful news. I’m sorry. I’d like to end with an upbeat message, but I’m not quite sure what it is. Dr. Meloff can you think of anything cheerful to end with?

Richard Denton

Well, I I agree with Janice, that what would be cheerful for me is to do exactly what she recommends is and that is to have a registry. I mean, the other interesting catchphrase would be class action lawsuit. Because if you actually think about the violation of proper experimental procedures, I mean, all of this work was done in violation of the Helsinki Accords… people who were exposed without informed consent to toxins. And this is I mean, they were there were trials over this, you know, in Nuremberg, I mean, this evolved into the Helsinki Accords, and international standards for doing clinical research. And I can tell you, there are numerous examples in history of violations of these human rights, testing hepatitis vaccines on mentally retarded children, for example, by very good people, I’m not talking the — these were not evil people who did this work. But they were actually in violation of standard experimental practices. And the same applies to the miners. This, this went into the 70s. I mean, this went on into the 70s, long past. These articles that were enunciated in the Helsinki Accords have proper safeguards for “experiments on human beings”. So I think that that would be actually a very interesting exercise. I have no doubt there are a lot of lawyers who would take this on. I don’t think it’s — I think it would be a win. I just think if it goes to the Supreme Court, I honestly think it would win compensation.

Metta Spencer

I’m trying to think organizationally, of how movements work. And I’m running this thing called Project Save the World. And one of our one of what we’ve chosen as a mandate, if you will, is to work on pandemics, and another is to work on radioactive contamination. And both of them are medical issues. But would this larger project that you’re saying — a registry of exposure to potential toxins? If we took that as kind of a plank, that in a way would almost cover both? pandemics to some extent, and certainly the radioactive contamination exposure, wouldn’t it? So that that kind of recommendation or proposal or campaign would be right up our alley, wouldn’t it? Richard, what do you think? You know, our project? And would that be useful for people who are working on uranium mining and exposure to uranium? Or nuclear waste, which is some of the stuff you’ve been engaged in?

Richard Denton

Most definitely, most definitely Metta.

Janice Martell

The cheeriest thing I can think to end this: that there’s hope that what happened to these miners… and to the factory workers in the States, this is used in Mexico, the people that I haven’t been able to even reach yet — that their life experience is going to promote the kinds of changes globally. You know, because there are disadvantaged workers… when a mine cable doesn’t meet Canadian standards anymore, we send it to a third world country and it meets their standards. Well, there should there shouldn’t be a privileged country. Workplace standards in a poor country, workplace standards of … migrant workers or whatever. It’s a human rights issue. People have a right to be safe at work and not be exposed —

Metta Spencer

I’m speaking as a campaigner. How would you if you were going to take this issue up and make this the crux of a campaign? Where would you locate it? Would you try to get it put through the WHO? You’re saying, it’s not just a local thing because poor countries have —

Janice Martell

And so I thought about United Nations, it is on my radar, more than a class action suit, to do a human rights application for what happened to the miners and it’ll that hopefully will be a platform to or a pathway to, to getting this because that would be my ultimate goal, No amount of money is going to,

Metta Spencer

I mean, you need an organizational affiliation and institution to carry them the ball, you know, especially if you want it to be big. So, you need to figure out who is your partner. And I don’t know. Dr. Meloff, or Richard, both of you?

Richard Denton

Well, a precedent is tobacco. And… the provinces and the governments are now going after the tobacco industry for not doing proper testing, not recognizing it, even when the evidence did come out. We’re still advertising a dangerous product, and not making it aware. And so I think, again, it’s government’s that need to be doing this and governments need to be doing the regulation. And when we take away that regulation, then problems happen. We see this every day. We see this in the nursing homes right now with COVID. The regulations have been decreased. The people that were to do the inspections haven’t been doing it simply because that they were cut back, the numbers were cut back. And as a result, we now have a problem with COVID. And so, but I think Keith’s point of legal action is you need to put financial con-, earmark things or tag things with finances, with money. And it’s only when you start to get legal action that things actually start to change.

Janice Martell

I have looked into it and the current premier in Ontario, brought in legislation to change the act around how to sue people. And if you sue, you have to actually — basically negligence is off the table — you have to prove that the person intended to do harm when… so it’s, it’s dead in the water for that reason. And to me whether it did harm or not, it’s the… negligent aspect… the ‘we don’t know what this is going to do’. We think this, we didn’t have a control group… there was some evidence of, you know, manipulation of the — just how the initial experiments were done on humans, you know, that, even by the standards of that day… did not measure up whatsoever, and this was just pushed through. So, I, to me, it’s the issue: that they were exposed is more of a human rights violation than whether or not it did harm. I would certainly want to know whether it did harm. But every person who, who was exposed to this (against any Nuremberg Code) deserves compensation for that and recognition for that, period. And when they have that, that’s how you get a path to healing. How do you how do you heal when it’s just, you know, some of the quotes from my miners, it is mind blowing, you know — “I had a baby, I had a baby. I was 18 years old. I was a father, what am I going to do? I didn’t want to inhale this. What am I going to do? I had no choice.”

Metta Spencer

Thank you so much. It’s really wonderful that you’ve done this. And heroic, really, because you did it on your own. You just took you took the initiative. Dr. Meloff, I’m going to give you the last word, it has to be a quick word, because we’re over time.

Keith Meloff

I would like to follow this up sometime. I’m on the side here. For me, it’s personal as well, because I’ve been involved with this at many levels. And these are terrible diseases. I mean, if it’s, it’s actually one of the more discouraging parts of being a neurologist is dealing with these diseases. They’re all lethal. The ones we’ve all talked about Alzheimer’s, Parkinson’s, ALS, all of these diseases are lethal. And they aren’t curable. They’re treatable, but they’re not curable. And they shortened lives. So I’m on side here.

Metta Spencer

Thank you. I really appreciate this extremely interesting and important conversation. So some follow up, I don’t know but Bless you all for the work that you’re doing.

Richard Denton / Keith Meloff / Janice Martell

Thank you. Nice talking to you. Bye everybody.