Saturday, 12 December 2020

Life in the Pandemic XVI: The light at the end of the tunnel

The great sulk continues in the actual Whitehouse. The great contrast with the Bartlett Whitehouse continues (yes, I know it’s made up, but I’m still enjoying it). The great pandemic continues. Indeed in the land of the Whitehouse it is getting unbelievably worse. Each day in the US literally thousands are now dying, with the numbers still growing. No slick drama could cover this misery. Or the tearful frustration of healthcare workers at the end of their endurance pleading with people and politicians alike to do what can easily be done to ease the situation. We have our moments on this side of the Atlantic, and have endured our own share of political chaos and incompetence during the pandemic, but it does not seem to have reached quite the proportions of the Trumpian dystopia in the US. However, a light has now appeared at the end of the COVID tunnel.

Thanks to a remarkable effort and a ton of public money, there is now good evidence of no less than three effective vaccines, and slightly weaker evidence for at least two more. These have already been used on tens of thousands of people in various clinical trials. In the UK the first vaccine was authorised for use on the 2nd December, and the needles were stuck in the first arms earlier this week. There are lots of people who deserve lots of credit for these achievements. Those who pioneered some of the underlying science behind the “Pfizer” and “Moderna” vaccines certainly deserve credit because they have come up with a new way of designing and producing vaccines which, at least in this case, appear to be amazingly effective. In the case of the Oxford/AstraZeneca vaccine (not far from approval now), science plus some inspired guesswork appear to have produced the most usable of these initial vaccines. Because of its simpler production, ease of transport and robustness, this is the one that will perhaps have the most global impact. (Some) politicians and the regulators deserve credit too. There appears to have been little haggling over funding to push forward with trials, and real cooperation to expedite both trials and approvals without compromising safety. If there has been a conspiracy, it has been to advance as quickly and safely as possible, and it has achieved something of real and lasting benefit. And for once those on the outside of the rich, industrialised and wealthy world have not been forgotten. Yes, I’m sure grubby politics and grubbier economics will soon reassert themselves, but for now it’s worth smiling about much of this. But, of course, it is just the start.

There is a world of difference between a vaccine and vaccination. The real value of the work that has been done will only be realised when the vaccines end up in peoples’ arms. There are lots of other people we will need to rise to meet a whole different heap of challenges before we approach the end of the pandemic tunnel. Manufacturing enough vaccine for close to the whole human population of the planet is hardly trivial. Production problems have already reduced the rate at which the newly approved Pfizer vaccine can be rolled out in the UK. And after making the stuff, it has to be transported, and then distributed. For the Pfizer and Moderna vaccines this is a challenge because they appear to be rather delicate requiring very cold transportation and storage temperatures, and minimal handling. That's why it’s the Oxford vaccine, which is slightly more robust and happy at roomish temperatures, will probably have the global impact. Once all of these challenges have been overcome, there is the issue of the population’s willingness to bare their arms.

This will all take time. So for at least the next few months most of us will need to do what the media claims we’re all sick of doing. The routine of facemasks, social distancing, handwashing and lots of working from laptops at home where we can, will all have to continue. Restrictions on activities we all used to take for granted will also continue. And if we don’t stick to this, more people will die than would otherwise be the case. Maybe, just maybe, next summer we might be returning to something akin to what we used to think of as normality. The virus won’t have disappeared of course. And we don’t know how quickly our new-found, vaccine stimulated immunity will. So care will still be needed. There remain many unknowns. In reality we have a distance to travel in the tunnel, and the light, while reasonably bright, isn’t stellar yet.

Which brings me to what I’ve been reflecting on. The COVID tunnel is far from humanity’s longest or darkest. COVID vaccines, impressive as they are, are no solution to our biggest problem. Indeed, although they are vital, it would be a great mistake to indulge in any collective hubris about our achievements, before moving on to some other issue. After all, it was almost certainly human activity that led to the pandemic in the first place. And before most of us adopt a smug attitude because we know whose fault it all is (or think we do), there’s plenty of collective blame to go around for all sorts of abuses that have exacerbated the pandemic. Some of the very same things may well lead to the next global disaster. And that’s all before we get to other things like the climate crisis. It turns out that the inevitable progress of humanity has never been inevitable at all. And sometimes progress is not as progressive as is claimed. In economics, poverty abounds and seems only to shift rather than decline (although statistically until the pandemic progress had been made). In health as we’ve seen, old diseases may be conquered (if not eradicated) but new ones emerge. Even although poverty, illness, war and famine are avoidable, we manage not to avoid them. There are lots of good things that we can now do which previous generations didn’t even dream about. But for all that we appear to be largely stuck.

Maybe this is because fundamentally humanity’s big problems aren’t intellectual or technical. Therefore the really big issues do not have intellectual or technical solutions. The nub of our problems are moral, and beyond that, spiritual. The real tunnel we’re naturally stuck in is that we’re just not what or who we are supposed to be. But particularly at this time of year, we remember a light that appeared. And it appeared not at the end of our tunnel, but in the middle of it. It would be hard to put it better than John put it at the beginning of his Gospel:

9 “The true light that gives light to everyone was coming into the world. 10 He was in the world, and though the world was made through him, the world did not recognize him. 11 He came to that which was his own, but his own did not receive him. 12 Yet to all who did receive him, to those who believed in his name, he gave the right to become children of God— 13 children born not of natural descent, nor of human decision or a husband’s will, but born of God.” John 1:9-13

Note to self: It’s time I stopped fixating on the pandemic, and considered again the events that culminated in the arrival in this very world of Jesus, who came to illuminate the way out of this very tunnel.

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