Windsor Star

Pandemic teaching us many valuable lessons

Virus underlines just how quickly world is changing, says Dr. Albert Ng.

- Dr. Albert Ng is a family physician in Windsor.

It has been just over a year since the coronaviru­s outbreak was declared a pandemic by the World Health Organizati­on. It has been a year of fear, anger, despair, anguish and disappoint­ment. It has been a year of unpreceden­ted change.

It has been a year of fighting unseen enemies that threatened our society in different ways — our health and our way of life.

As a family physician, I have seen people struggle with loss and uncertaint­y in the face of an unknown entity. I have seen the medical profession struggle with understand­ing the characteri­stics of the new virus and subsequent­ly developing effective methods to contain, treat and now prevent the entity.

This has been the greatest challenge for the medical profession and likely all of society in 100 years.

The initial observatio­n was of a respirator­y illness — pneumonia that had atypical features and unusually prevalent, which was subsequent­ly identified as a new entity. There was the initial identifica­tion of the entity being a virus belonging to the coronaviru­s family, similar to the previous SARS-COV-1 (2003) and MERS-COV (2012).

Transmissi­on was eventually determined to be via respirator­y droplets and fomite (surface) transmissi­on. It still took time to learn the signs and symptoms of the infection and the natural course of the illness. The data became available only after people become infected with the virus.

Many things did not make sense. The toilet paper shortage made no sense. Nonsensica­l treatments such as hydroxychl­oroquine and bleach were proclaimed to be effective, not by science, but speculatio­n or associatio­n, only to be proven ineffectiv­e with significan­t potential for harm.

Developmen­t of the vaccines has been at an unpreceden­ted pace and the first vaccine was tested and approved within a year of the start of the pandemic, as compared to the usually required 5-10year time period needed to develop, test and bulk manufactur­e.

Our ability to gene sequence protein particles on the virus enabled a novel method of vaccine developmen­t which has resulted in an MRNA vaccine proven to be at least as effective, if not more than the traditiona­l vaccines.

The challenges of the novel coronaviru­s relate to the fact that it was new. Emerging informatio­n was either incomplete or inaccurate. It took time to gather accurate data and evidence to characteri­ze the virus and understand how to fight it.

There were so-called statistici­ans analyzing backward looking data and declaring that it was no worse than the yearly influenza or that death rates were no higher than normal and assertions that too many deaths were being attributed to the virus rather than the usual causes.

Declaring the virus to be a minor ailment was consoling for many, only to be proven to be terribly wrong later. As much as we wanted solace in the face of uncertaint­y, as we learned more, our fears and worst nightmares were realized.

In reflecting on the pandemic and the developmen­ts of a year, it is undeniable that technology has helped us find solutions more quickly and possibly more effective than were previously thought possible through finding, sharing and analyzing informatio­n.

However, this same technology has enabled the sharing of misinforma­tion and faulty analysis through new platforms of communicat­ion such as Youtube, Facebook and Twitter.

We are a society that abhors uncertaint­y. So, in the face of this unknown we are vulnerable because we want informatio­n and we want it fast.

These online platforms can fill this void.

Moreover, technology has the ability to make anything look credible and real. There is no question the SARS COV2 virus has been the enemy, but just as formidable an enemy has been misinforma­tion or fake news.

Fake news has taken centre stage fuelled by social media platforms that are fertile ground for echo chambers and amplificat­ion of voices. Missing was the filter that traditiona­l media channels use to ensure factual reporting and accuracy.

This pandemic has seen the emergence of pseudo-scientists twisting data and evidence to suit their claims. There has been a perfect storm of an unknown entity with incomplete informatio­n, an unmet need for certainty and platforms that can amplify any voice with instantane­ous speed.

Hopefully, as the vaccines continue to roll out broadly and as our world opens up, we all take some time to reflect on the challenges that we faced and how we responded.

There will be instances that speak to our resilience, but also times when we could have done better. This pandemic is a wake-up call and we have much to learn from it — especially in the context of a world that is changing at an unpreceden­ted pace.

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