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gained consciousness but nottheir former liveliness。 they existed in a state of profound apathy； 鈥渓ike extinct volcanoes；鈥潯nthe words of one doctor。 in ten years the disease killed some five million people and thenquietly went away。 it didn鈥檛 get much lasting attention because in the meantime an even worseepidemic鈥攊ndeed； the worst in history鈥攕wept across the world。
it is sometimes called the great swine flu epidemic and sometimes the great spanish fluepidemic； but in either case it was ferocious。 world war i killed twenty…one million people infour years； swine flu did the same in its first four months。 almost 80 percent of americancasualties in the first world war came not from enemy fire； but from flu。 in some units themortality rate was as high as 80 percent。
swine flu arose as a normal； nonlethal flu in the spring of 1918； but somehow over thefollowing months鈥攏o one knows how or where鈥攊t mutated into something more severe。 afifth of victims suffered only mild symptoms； but the rest became gravely ill and often died。
some succumbed within hours； others held on for a few days。
in the united states； the first deaths were recorded among sailors in boston in late august1918； but the epidemic quickly spread to all parts of the country。 schools closed； publicentertainments were shut down； people everywhere wore masks。 it did little good。 betweenthe autumn of 1918 and spring of the following year； 548；452 people died of the flu inamerica。 the toll in britain was 220；000； with similar numbers dead in france and germany。
no one knows the global toll； as records in the third world were often poor； but it was notless than 20 million and probably more like 50 million。 some estimates have put the globaltotal as high as 100 million。
in an attempt to devise a vaccine； medical authorities conducted tests on volunteers at amilitary prison on deer island in boston harbor。 the prisoners were promised pardons if theysurvived a battery of tests。 these tests were rigorous to say the least。 first the subjects wereinjected with infected lung tissue taken from the dead and then sprayed in the eyes； nose； andmouth with infectious aerosols。 if they still failed to succumb； they had their throats swabbedwith discharges taken from the sick and dying。 if all else failed； they were required to sitopen…mouthed while a gravely ill victim was helped to cough into their faces。
out of鈥攕omewhat amazingly鈥攖hree hundred men who volunteered； the doctors chosesixty…two for the tests。 none contracted the flu鈥攏ot one。 the only person who did grow illwas the ward doctor； who swiftly died。 the probable explanation for this is that the epidemichad passed through the prison a few weeks earlier and the volunteers； all of whom hadsurvived that visitation； had a natural immunity。
much about the 1918 flu is understood poorly or not at all。 one mystery is how it eruptedsuddenly； all over； in places separated by oceans； mountain ranges； and other earthly impediments。 a virus can survive for no more than a few hours outside a host body； so howcould it appear in madrid； bombay； and philadelphia all in the same week？
the probable answer is that it was incubated and spread by people who had only slightsymptoms or none at all。 even in normal outbreaks； about 10 percent of people have the flubut are unaware of it because they experience no ill effects。 and because they remain incirculation they tend to be the great spreaders of the disease。
that would account for the 1918 outbreak鈥檚 widespread distribution； but it still doesn鈥檛explain how it managed to lay low for several months before erupting so explosively at moreor less the same time all over。 even more mysterious is that it was primarily devastating topeople in the prime of life。 flu normally is hardest on infants and the elderly； but in the 1918outbreak deaths were overwhelmingly among people in their twenties and thirties。 olderpeople may have benefited from resistance gained from an earlier exposure to the same strain；but why the very young were similarly spared is unknown。 the greatest mystery of all is whythe 1918 flu was so ferociously deadly when most flus are not。 we still have no idea。
from time to time certain strains of virus return。 a disagreeable russian virus known ash1n1 caused severe outbreaks over wide areas in 1933； then again in the 1950s； and yet againin the 1970s。 where it went in the meantime each time is uncertain。 one suggestion is thatviruses hide out unnoticed in populations of wild animals before trying their hand at a newgeneration of humans。 no one can rule out the possibility that the great swine flu epidemicmight once again rear its head。
and if it doesn鈥檛； others well might。 new and frightening viruses crop up all the time。
ebola； lassa； and marburg fevers all have tended to flare up and die down again； but no onecan say that they aren鈥檛 quietly mutating away somewhere； or simply awaiting the rightopportunity to burst forth in a catastrophic manner。 it is now apparent that aids has beenamong us much longer than anyone originally suspected。 researchers at the manchesterroyal infirmary in england discovered that a sailor who had died of mysterious； untreatablecauses in 1959 in fact had aids。 but for whatever reasons the disease remained generallyquiescent for another twenty years。
the miracle is that other such diseases haven鈥檛 gone rampant。 lassa fever； which wasn鈥檛first detected until 1969； in west africa； is extremely virulent and little understood。 in 1969； adoctor at a yale university lab in new haven； connecticut； who was studying lassa fevercame down with it。 he survived； but； more alarmingly； a technician in a nearby lab； with nodirect exposure； also contracted the disease and died。
happily the outbreak stopped there； but we can鈥檛 count on such good fortune always。 ourlifestyles invite epidemics。 air travel makes it possible to spread infectious agents across theplanet with amazing ease。 an ebola virus could begin the day in； say； benin； and finish it innew york or hamburg or nairobi； or all three。 it means also that medical authoritiesincreasingly need to be acquainted with pretty much every malady that exists everywhere； butof course they are not。 in 1990； a nigerian living in chicago was exposed to lassa fever on avisit to his homeland； but didn鈥檛 develop symptoms until he had returned to the united states。
he died in a chicago hospital without diagnosis and without anyone taking any specialprecautions in treating him； unaware that he had one of the most lethal and infectious diseaseson the planet。 miraculously； no one else was infected。 we may not be so lucky next time。
and on that sobering note； it鈥檚 time to return to the world of the visibly living。
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21 LIFE GOES ON
灏彛昏…t…xt澶ｅ爞
it isn鈥檛 easy to bee a fossil。 the fate of nearly all living organisms鈥攐ver 99。9percent of them鈥攊s to post down to nothingness。 when your spark is gone； everymolecule you own will be nibbled off you or sluiced away to be put to use in some othersystem。 that鈥檚 just the way it is。 even if you make it into the small pool of organisms； the lessthan 0。1 percent； that don鈥檛 get devoured； th