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markhoofnagle.jpg Mark Hoofnagle has a PhD in physiology from the University of Virginia and is currently a 3rd year medical student. His interest in denialism concerns the use of denialist tactics to confuse public understanding of scientific knowledge.

Chris Hoofnagle Chris Hoofnagle is an attorney with experience in consumer protection advocacy in Washington and Sacramento. His interest in denialism concerns the use of rhetorical tactics by various industries in dumbing down policy debates. He is the author of The Denialists' Deck of Cards.

Picture%20131.jpgPalMD is a pseudonym for Peter A. Lipson, a practicing internist in the Midwestern United States. Aside from the great joy he finds in his family and his work, he likes communicating some of that joy to others. He has a special interest in the ways patients---and we are all patients at one time or another---are deceived by charlatans. He aims to change the world, one reader at a time. Previous writings can still be found here.
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« Aye, there's the rub--open dream thread. | Main | Skeptics' Circle #86---don't bitch to me about it »

What's in store for Burma?

Category: Medicine
Posted on: May 8, 2008 3:12 PM, by PalMD

As the death toll in the immediate aftermath of Cyclone Nargis becomes clear, new dangers loom. Complete breakdown in essential services and sanitation will conspire to kill thousands more via disease unless the world moves quickly (and maybe, even if we do).

Arthropod-borne diseases such as malaria and dengue fever are likely to flourish as standing water serves as breeding ground for mosquitoes. Malaria kills around a million people a year. Dengue is most often a disabling illness characterized by fever and severe pain, but in endemic areas it can lead to dengue hemorrhagic fever, a fatal illness resembling Ebola and Marburg viruses (but not as contagious).

Diseases related to lack of clean water, such as diarrhea, cholera, and hepatitis A can be especially nasty with little fresh water available for rehydration.

Tetanus, acquired from wounds, is a particularly grizzly death, and was seen frequently in victims of the Pakistan earthquake.

As bad as the initial death toll is (perhaps around 100K), it can get much worse quickly. Hopefully the world will respond as it did after the Great Tsunami, and hopefully the Burmese Junta won't stand in the way. If they do, they may not have much left to rule over.

Comments

They're still dead set, I believe, on having an "election" this Saturday, as that was the day their astrologers chose.

Posted by: Cain | May 8, 2008 4:04 PM

This is a terrible situation. According to Canadian news the military leadership has allowed some aid to trickle in now that China has urged them to accept the help. I think they're holding firm on refusing help from the U.S. unless something has changed in the last few hours.

Posted by: FullFrontal | May 8, 2008 7:21 PM

Particularly bothersome about dengue is that once you've had the milder first infection, subsequent reinfections are quite likely to kill you from the hemorrhagic variant. Any gains they may have made in vector control can be wiped out given that so many of the population are already carrying antibodies.

Posted by: Eric | May 9, 2008 2:27 AM

Found at Shakesville this morning: "It's all tied to sovereignty, which we respect whether it's on the ground or in the air."--U.S. Defense Secretary Robert Gates on why the U.S. won't be airdropping any humanitarian aid to Myanmar anytime soon.

Every single irony meter in the universe just exploded.

Posted by: Laurel | May 9, 2008 5:38 AM

The other issue here is that a lot of the effects of the storm surge could have been prevented if the government had taken notice of peer-reviewed research released in the wake of the Tsunami: See http://layscience.net/?q=node/119

Posted by: Martin | May 9, 2008 8:25 AM

Prepare yourself for the stupid - the June 2008 issue of Discover magazine has a lengthy article about Peter Duesberg, HIV/AIDS denialist. It's of the remarkably shallow and "balanced" he said- she said variety.

Posted by: Bayesian Bouffant, FCD | May 9, 2008 9:29 AM

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