David Quammen -- Spillover: animal infections and the next human pandemic =========================================================================== Quammen's meta subject is the human species and its relationship to the ecosystem we live in and to specific species of plants and animals in that ecosystem. His subject also revolves around how humans (and other forces, too, I suppose) have modified that ecosystem and what effects those modifications have on us. Actions have consequences, often unintended ones. And, when our behavior as a species modifies our environment and our surroundings as significantly as we do, we can expect that some of those consequences will be "interesting" and some might be negative. Add to this that we have modified our own behavior and have changed *where* we live, in some cases building our homes out into nature and in some cases moving out into natures because of population pressure. See "Nature wars", by Jim Sterba for more on that. In other cases as we expand our agricultural efforts the plants we grow and the animals we raise come into closer contact with nature and some of the species "out there". Quammen says that bats are a serious disease vector. I'm a fan of bats. I believe that insect eating bats, which is mostly what we have in the U.S., are beneficial. So, I'd try to argue that whether bats are harmful or beneficial (to humans, of course; we're always going to be human-centric, aren't we), depends on what species of bat you are thinking about. But, certainly, Quammen is right to claim that bat colonies, where thousands and sometimes millions of bats live close together, are very effective environments for breeding and transmitting some diseases. You (a human) do not want to spend very much time there, and you likely want to avoid contact with those who do, that is, with the bats themselves. Quammen makes clear that the specific cases of pathogens transmitted by bats that he is talking about are transmitted by fruit eating bats. The reason for that, in one case at least, is that the fruit eating bats that he is discussing roost in trees. Domestic animals (horses, in one case) stood under those same trees during the day and acquired the pathogens there, possibly from bat feces. Quammen treats each disease and its outbreak like a detective story; he traces the occurrences from a reservoir host, through vectors (e.g. the species that transmit it), possibly to other amplifying hosts, and then to humans. It's puzzle solving and it's similar to the scientific method: hypothesis, evidence (or counter evidence), reject or modify the hypothesis based on evidence and arguments, then repeat. I found some of these "detective stories" to be fascinating. But, it's not all just good fun, because Quammen is also *very* good at making each outbreak seem fearful and threatening, and at helping us to worry about how many more? ... and when will be the next one? ... and how bad will that one be? Here is one such scary thought: An outbreak is defined as an explosive increase in the population of a species in a relatively short period of time. Outbreaks are almost always followed by a crash in the population size. We, humans are an outbreak: our population has grown explosively in the last century. So, should we not expect a crash in our population? Quammen gives us good reasons to suspect that this is true and to expect that the cause will be influenza. There are the animal reservoirs (chickens, pigs, bats); we're in close contact with those species; and we (humans) travel fast and widely, so we're an especially effective vector. What's even worse is that influenza viruses are constantly trying new genetic combinations. Someday, that virus will hit on the combination that is both lethal and can be transmitted from human to human. Quammen gives us some comfort and reassurance by telling us about how effective researchers are at tracking down an outbreak, what caused it, and how it is transmitted. Scientists now understand viruses and their genes mutate, about how errors are introduced in genetic copying, and about how chunks/sequences of genetic code break apart and are recombined, how chunks of DNA are swept along with neighboring genes, and so on. This advanced scientific understanding gives us some reason to be hopeful, doesn't it? ... Some of these stories are very complicated problems. Transmission is ecology and ecology is complicated. For example, Lyme disease -- The tick that transmits it (the bacteria) has several life stages. The tick lives off and is supported by several host mammals. Whitetail deer, yes, but mice and shrews are much better at infecting and supporting the ticks. It's significant that the tick is not born with the bacteria and must acquire it from a host. Some hosts are better at infecting the tick than others. So, Quammen's claim is that a forest with greater biodiversity and a reduced mouse and shrew population (which seem to be especially good at infecting the ticks they carry) has less likelihood of passing Lyme disease along. Quammen's meta-subject is the human species and its relationship to the ecosystem we live in and how we have modified that ecosystem and those relationships. He describes the world we have created that enables zoonosis, which is the ability of a pathogen to jump from non-human animals to humans. There have been serious human die-offs in the past, for example the Black Death in the Middle Ages. It could happen again. And, we've created the conditions that would enable it. Some of those enablers: (1) Reservoir hosts in the wild that can carry and maintain a supply of the pathogen and that cannot be eliminated. (2) Hosts that we raise, for example pigs, chickens and other fowl, and that we live close to. (3) Humans that live in dense populations and that move frequently from one population center to another. And, humans are living in closer contact with nature and animals as we build out into the forests and (in the southwest U.S.) into the desert and into the hills (around Los Angeles, California). Again, for more about that, see "Nature wars", by Jim Sterba. You will want to learn (from "Spillover") about zoonosis -- the ability of a pathogen to jump from one species to another. Surprisingly to me, we care about pathogens that can be transmitted from one non-human species to another non-human species. The ability of a pathogen to do so means that there is the possibility of a "reservoir" host that can maintain the existence of the pathogen even if we were able to eliminate the host (vector) that passes it to humans. Again, the complex life cycle of some pathogens, their ability to pass between multiple hosts is what makes some of the detective work in Quammen's book fascinating. See Wikipedia for more on zoonosis: http://en.wikipedia.org/wiki/Zoonosis. 06/24/2013 .. vim:ft=rst:fo+=a: