Modern Epidemics
eBook - ePub

Modern Epidemics

From the Spanish Flu to COVID-19

  1. English
  2. ePUB (mobile friendly)
  3. Available on iOS & Android
eBook - ePub

Modern Epidemics

From the Spanish Flu to COVID-19

About this book

COVID-19 has made us all aware of the fact that we live in a world full of invisible enemies. Normally, we don't even realize they're there, but from time to time one of these microscopic creatures becomes powerful enough to turn everything upside down. What are these invisible enemies, and how can we prepare ourselves for the pandemics of the future?

A specialist in the cellular biology of diseases, Salvador Macip explains, in a language everyone can understand, what it means to share the planet with millions of microbes – some wonderful allies, others terrible foes. He provides a concise account of epidemics that changed history, and focuses on the great modern plagues that are still causing millions of deaths every year, from influenza, TB and malaria to COVID-19. Macip also examines the methods we have used – from vaccines to improved sanitation and social distancing – to try to control these invisible enemies.

This authoritative overview of modern epidemics and the pathogens that cause them will be essential reading for anyone who wants to understand our world today, a world in which some of the greatest threats to the human species come from the invisible microbes with which we share this planet.

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Information

Publisher
Polity
Year
2021
Print ISBN
9781509546572
9781509546565
eBook ISBN
9781509546589

Part I
Sharing the World with Microorganisms

1
Travel Companions

We humans have managed to escape from our predators. In the security of urban settings, we don’t have to worry about being devoured by lions, tigers or other carnivores that are stronger and faster than we are. As a result, we’ve successfully occupied all the ecosystems and multiply like no other animal has ever done before. We therefore tend to think we are invulnerable, at least when it comes to competing with other inhabitants of the Earth for our everyday survival.
This idea couldn’t be more wrong. We are immersed in a constant struggle against an adversary so powerful it can eliminate the human race in a matter of months. Indeed, it’s been on the point of doing so more than once. I refer to microorganisms, our invisible enemies, the millions of microscopic beings sharing our habitat, the bacteria, viruses and many other minuscule life forms with which we have a very special love–hate relationship. Thanks to them, we’re alive. Because of them, some 14 million people die every year. Why are we still vulnerable to such infinitesimal organisms? This chapter will introduce the main kinds of microbes and describe how they interact with humans.

They were here first

Microbes are the oldest inhabitants of this planet. They’ve been around for between 3,000 and 4,000 million years, but humans didn’t discover them until a little more than a century ago when science was sufficiently advanced to let us see them close up with the aid of a microscope. During the first 2,000 million years, microbes, and specifically bacteria, had the Earth to themselves. They were the first to appear and will doubtless be the last to leave because they are not only the most diverse form of life but are also the one that most easily adapts to any conditions. If a catastrophe wiped out most life on Earth, they would probably be the only survivors.
There are more than a million kinds of microorganisms, most of them inoffensive. The main ones are bacteria and viruses, but to these must be added certain fungi, algae and amoebas. In both number and weight, microorganisms are predominant among living beings. If we could put all the microbes on one side of the scale and all the animals on the other, the microbes would weigh twenty-five times more. The fastest growing microbes duplicate every thirteen minutes, and the slowest every fourteen days. At this rate, if a single bacterium had all the possible nutrients and the right conditions, it could generate a colony that would weigh as much as the whole Earth in three days.
We shouldn’t forget that it’s thanks to microbes that this planet is habitable. Some 2,700 million years ago, there appeared a certain kind of bacterium that was able to use sunlight to transform water and CO2 into energy. A secondary effect of this process, which is called photosynthesis, is generation of oxygen. Like toxic exhaust fumes given off by a car engine, the oxygen kept accumulating in huge quantities and ‘contaminating’ the Earth’s atmosphere. This inadvertent pollution ended up being providential for us as it permitted the appearance of a new class of beings – humans among them – that needed oxygen for their basic functions. To this very day, bacteria are important for keeping the planet in balance. Without them, life on Earth would be wiped out.

Space: the last frontier

Bacteria could also survive in outer space. Some very tiny species have been found (among them Herminiimonas glaciei, which was discovered in 2009). They can endure for more than 120,000 years under layers of ice three kilometres thick, practically without oxygen and nutrients. These conditions are very similar to those that might be found outside our planet.
We should be grateful for other things, too. Bacteria are also our ancestors. As I said, life on Earth was at first limited to minuscule single cell organisms. They gradually began to come together in groups of cells that, acting in concert, went on to specialize in different functions, now in the form of what are known as multicellular organisms. This is the path that led to the fabulous biological diversity we have today. As proof of our humble origins, there are still structures in human cells that come directly from those original bacteria. And they are essential for human life.

Peaceful passengers

We shouldn’t necessarily see microorganisms as a threat. On the contrary, coexistence with many of them is highly beneficial for humans and determines proper functioning of the organism. The human body, one of the most complex multicellular organisms in existence, consists of approximately 100 billion cells. But this needs to be clarified: I mean 100 billion human cells. If we are to be exact, we also need to count all the microorganisms that inhabit us. Initially, it was calculated that they might be ten times more numerous than our own cells, but more recent data suggest that a closer estimate would be one microbe for each human cell. In any case, we can venture that the human body is colonized by millions of microorganisms, of some 400 different species, which normally don’t cause any illness. Put together they would weigh a kilogram. These data are mind-boggling, enough to make us wonder what a human being really is. A mixture of highly specialized cells and microbes that live in harmony? From this standpoint, we are perhaps nothing more than a walking ecosystem in which a series of microorganisms peaceably survive.
The microbes that are always with us are not only freeloaders but ‘stowaways’ that are very important for our metabolism. Humans, like all other animals, depend on them to survive. From them, we obtain vitamins, nutrients and protection against infections caused by their more toxic kin. Cows, for example, couldn’t ingest grass without the help of the bacteria they have in their digestive tract, and neither could termites benefit from the cellulose in wood. There are plants we use as food, peas and beans for example, that need bacteria in order to fix the essential nitrogen from the sun.
Further proof of their importance is that it is thought that, when giving birth, mothers pass on to their children the ‘good’ bacteria that will settle in their digestive systems and protect them in the future. Hence, there are studies exploring what happens to babies born by caesarean, because these children haven’t had to pass through the vaginal canal that would equip them with their first microorganisms. It’s not yet sure what effect this might have on their future health.

Nomenclature

By convention, microorganisms, like all other living beings, are designated by using a first name (with the first letter capitalized) and a second name, both in Latin. The first is the genus name and the second the species name. The genus name can be abbreviated to the initial alone, and both tend to be italicized. Example: Mycobacterium tuberculosis (or M. tuberculosis) is a species of bacteria of the genus of microbacteria that causes tuberculosis.
In the domain of health, more and more importance is being given to what’s known as the microbiota, or the set of all the microorganisms each person carries inside (and on the surface). It’s believed that, depending on which microbes inhabit this microbiota, we can be more or less prone to certain illnesses or conditions.
One example of this would be that the type of bacteria found in intestines could determine whether we gain weight or not, as was first suggested in a study from 2006. After isolating intestinal bacteria from mice of normal weight and from others that were obese, scientists found that bacteria from the latter contributed towards weight gain in the former, even when they continued with the same diet. Humans have between 500 and 1,000 different species of bacteria in the digestive tract and it might well be that these also have an influence on a person’s susceptibility to gaining weight. More recent studies support this theory. For example, in 2009 it was found that obese women have a high presence in their saliva of bacteria called Selenomonas noxia. By contrast, thin women show a very different set of bacteria.

Secondary effects

It’s been known for some time now that antibiotics can disrupt the balance of ‘good’ bacteria. Medicines eliminate infections but are unable to distinguish between aggressive and innocuous microbes. Depending on the treatment, even weeks can go by in some cases before the bacterial composition of the intestine, for example, completely recovers. This can then give rise to diarrhoea or new infections caused by other harmful bacteria, especially in people already weakened by illness.
This shows that it is not only our intestines that are full of microorganisms. Our mouths, too, normally have between six and thirty different types of bacteria. And skin is another organ that is home to thousands more. It was once believed that most of them were of the genus Staphylococcus, because when samples taken from human skin were cultivated in the laboratory, they were the most visible. But this doesn’t mean that there aren’t many more. There are others that don’t divide so quickly. Indeed, with the new tools of genetic analysis, it’s been possible to see that the set of denizens of human skin is much more complex than was previously thought, with up to 1,000 different species, which is to say, a number that’s comparable with that for the intestines. The skin behind the ear is the zone with the least diversity of bacteria, with only fifteen kinds, while the forearm has as many as forty-four. This varying distribution might explain whysome skin diseases appear in certain zones and not in others. As in the intestines, bacteria on the skin have important functions, so, for example, oilier zones have some bacteria that produce a moisturizing substance to stop the skin from cracking.
In recent years, several studies have set about the task of identifying all the microorganisms that are to be found in different organs, generally using modern techniques to read their genes in order to relate them to obesity or illness. These studies give us a general idea of the microbes we carry around with us, although each person’s flora is, in fact, unique. Almost like our DNA. It depends more on the zone in which we live than on our genes, and personal habits have a considerable influence as well. An article published in January 2009 demonstrated that sets of intestinal bacteria vary even between twins. Nevertheless, the members of a family living under the same roof have similar flora. The article also indicated that obesity reduces the diversity of flora, as well as altering the genes and metabolism of microorganisms. It’s speculated that this might have consequences for our health, but we still aren’t sure what they might be.
This knowledge we are acquiring about the microbes that coexist with us has led to questions about whether they can be used for therapeutic purposes. There are now studies looking into ways of changing the composition of a person’s microbiota as a way of curing illnesses and even regulating the metabolism with the aim of weight loss. The easiest way is to take microbes from a healthy person’s faeces and transfer them to the patient. Informally known as a stool transplant, this isn’t such a simple process as it may appear, because it requires, first of all, filtering out the bad microbes and other contaminants.
It’s still not known whether this procedure might have any real benefit, but what is undeniable is that the microbiota plays an important role in our health, both positively and negatively. This could be more far-reaching than initially imagined. Some studies have even shown that the microbes inhabiting our intestines could affect the brain and somehow influence behaviour.

The dark side

It’s well known that not all microbes are as beneficial as the ones I’ve just described. A group called pathogens, amounting to only 1,415 of all those that...

Table of contents

  1. Cover
  2. Title Page
  3. Copyright
  4. Dedication
  5. Epigraph
  6. Acknowledgements
  7. Introduction
  8. Part I Sharing the World with Microorganisms
  9. Part II Major Modern Epidemics
  10. Epilogue
  11. Glossary
  12. Index
  13. End User License Agreement

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