I got a private message from a FB friend recently that basically said she felt insulted because I argued with her about the folk "cures" and preventions that are going around the Interwebs (esp. Facebook) for COVID 19. She's learning to be an Ayurvedic therapist and feels, somehow, that this is on par with the level of knowledge that microbiologists, immunologists, epidemiologists, geneticists, pharmaceutical and organic chemists, and MDs on the front lines of treatment are bringing to the COVID 19 table right now. Imma just say it: older is not necessarily wiser.
The argument was over this piece of disinformaton (with my comments in brackets), which Snopes has debunked piece by piece:
Doctors are reporting they now understand the behavior of the COVID 19 virus due to autopsies that they have carried out. This virus is characterized by obstructing respiratory pathways with thick mucus that solidifies and blocks the airways and lungs. So they have discovered that in order to apply a medicine you have to open and unblock these airways so that the treatment can be used to take effect however all of this takes a number of days. Their recommendations for what you can do to safeguard yourself are ...
1) Drink lots of hot liquids - coffees, soups, teas, warm water. In addition take a sip of warm water every 20 minutes bc this keeps your mouth moist and washes any of the virus that’s entered your mouth into your stomach where your gastric juices will neutralize it before it can get to the lungs. [gastric acids do not kill it; it's been found in feces. Liquids must be 133° F—hot enough to scald you—to "kill" it.]
2) Gargle with an antiseptic and warm water like vinegar or salt or lemon every day if possible [only bleach, alcohol, and soap "kill" it. These gargles do nothing.]
3) The virus attaches itself to hair and clothes. And detergent or soap kills it but you must take bath or shower when you get in from the street. Avoid sitting down in your home and go straight to the shower. If you cannot wash your clothes daily, hang them in sunlight which also helps to neutralize the virus. [You do not need to wash your clothes every day or shower every time you go out. Nobody is doing this. Just don't shake what you've worn outside as it releases the virus into the air.]
4) Wash metallic surfaces very carefully bc the virus can stay viable on these for up to 9 days. Take note and be vigilant about touching hand rails, door knobs, etc. and keep these clean in home home [This is true.]
5) Don’t smoke [this is true in general.]
6) Wash your hands every 20 minutes with any soap that foams and do this for 20 seconds [You don't need to wash your hands every 20 minutes. Only if you've been outside or touched things that have come in from outside.]
7) Eat fruits and vegetables. Try to elevate your zinc levels [Maybe this helps, maybe it doesn't]
8)Animals do not spread the virus to people. Its a person to person transmission. [This is true.]
9) Try to avoid getting the common flu as this already weakens your system and try to avoid eating and drinking any cold things. [Getting the flu or anything else doesn't weaken your immune system. If you get too many things at once it might stress it though. Eating and drinking cold things don't affect you one way or the other; that's a holdover from Chinese folk medicine and they have a different definition of hot and cold foods that has nothing to do with temperature.]
10) If you feel any discomfort in your throat or a sore throat coming on, attack it immediately using the above methods. The virus enters the system through the throat but will sit in the throat for 3-4 days before it passes into your lungs. [The virus does not sit in the throat for 3-4 days. It immediately enters the mucosal tissue in the mouth and nose and starts replicating itself.]
In addition ...
Experts suggest doing this simple verification every morning: Breathe in deeply and hold your breath for 10 seconds. If this can be done without coughing, without difficulty, this shows that there is no fibrosis in the lungs, indicating the absence of infection. It is recommended to do this control every morning to help detect infection. [Fine. whatever]
The problem here is that the pathogenesis (how the virus infects and proceeds to make you sick) is not just factually false for this virus, but the recommendations are starting from a baseline assumption of some immunity. We've been exposed to cold and flu viruses for years and have some immunity even if those viruses mutate a bit. They are still cold and flu viruses, and we already have some antibodies to them floating around in our bloodstreams from exposure and vaccines. The blueprint for more antibodies is already programmed into us.
For this virus there is nada. Nunca. Nothing. Squat. Fuck all.
Those pre-existing antibodies from other corona viruses don't help. Our baseline means nothing right now. This is an entirely new species. It doesn't matter how healthy our immune system is because it has nothing to work with. We are starting from zero. None of these things mentioned above will help us produce antibodies to a brand new pathogen any quicker. Perfectly healthy people with well-functioning immune systems are getting this and are totally overwhelmed by it. Something similar happened with the 1918-1919 Spanish flu. It was the healthy people it really pummeled, overactivating their immune systems. We were terrorized by that virus for much the same reason that we are being terrorized by COVID 19: there were no vaccines to jumpstart our antibody production. We're at the mercy of this corona virus as we were at the mercy of Yersina pestis, the cause of the Black Plague—except that we now have Science on our side.
When we talk about a "healthy" immune system, we're talking about one in which all the component parts function as they should. That's a lot of different kinds of cells, and a lot of complex processes. While it's true that being healthy in general, and eating real food that's good for you probably means your natural processes are getting the fuel they need to work as they should, that's no guarantee you won't get sick, because you can't guarantee you won't get infected with something. Some vitamins and minerals, which are best gotten through diet and not supplements, directly contribute to the healthy functioning of your immune system, but the way you boost it is to get vaccinated.
Vaccines provide the blueprint for possible future infections and prime the body to start producing the specific antibodies in large enough quantity to overwhelm and shut down the invader when it starts showing up in large quantities in your body, whether it's bacterial or viral. Without a vaccine for a pathogen, you have to fall back on treatment and support. For a totally new pathogen, finding a treatment is a bit hit or miss. You have to look at the symptoms and decide what's causing them, then match that up with an existing pharmaceutical that treats a similar problem. That may or may not work because you might have the wrong cause, or there's a different mechanism causing that symptom. Failing successful treatments, you can only support the body physically while it fights like hell to produce enough antibodies on its own to kill or deactivate the invader. In the worst cases of COVID-19, that can mean ventilators, because the most horrifying and critical symptom is the production of bloody mucous that floods the lungs. Sometimes the support is enough. Sometimes it's not.
Common sense should tell you that if gargling and good food and not smoking and avoiding the flu were enough to prevent getting this, we wouldn't have an out-of-control pandemic. People like to think they can do easy things to avoid terrible consequences because we're all basically lazy and it gives us a sense of control. Good news! In this case, you can do some easy things to avoid getting sick:
- Stay the fuck home. If at all possible, don't go out for groceries or anything else for the next three weeks, especially if you live in New York (we're kinda fucked right now). Isolation will stop this virus dead in its tracks. That's the best case scenario and it's not going to happen. The best we can hope fore is keep it from overwhelming our medical facilities. Staying home is literally the best thing you can do.
- If you do have to go out, wear gloves and a mask, don't touch your face, and stay at least 6 feet away from other people. I know the evidence for cloth masks is uncertain right now but here's something else to think about: a mask reminds you to not touch your face, and it keeps other people safe from you by catching the moisture from your breath. It's also a reminder that this is serious business.
- When you get home, or when you touch anything you or other people have brought in from outside, wash your hands with soap for at least 20 seconds after you've disinfected what's been brought in with a bleach solution or wipes (or Lysol), or use hand sanitizer with at least 60% alcohol in it. If you're wearing gloves, peel them off so they turn inside out, and for God's sake, don't throw them away in the parking lot of the grocery store. Who do you think is going to have to pick them up, and why are you spreading your germs around more?
You won't kill the virus doing any of these things, but you will thwart its spread or deactivate it. I use the word deactivate because viruses, bless their freaky little selves, are not living things. They are molecular constructs built to deliver RNA or sometimes DNA to the interior of a host cell to hijack the host's replication machinery and insert its own genes to make more of itself rather than the host cell. In the case of the corona virus, there's a lipid (fat) shell, holding together little protein molecules that bind with the surface of the host cell and let it penetrate the host. When you wash a greasy pot with soapy water, the grease breaks down and washes away. Same thing with the virus. When the soap breaks the lipids down, the virus falls apart and the mechanism by which it enters a cell becomes inert. Deprived of moisture, it dries out and falls apart, also becoming inert. So you want to either break down the lipid shell or dehydrate it. Soap, bleach or alcohol are the only things that do this.
So if somebody is telling you to use vinegar or peroxide or some other non-toxic "natural" cleaner, wake them up. I've been moving from some of the more egregious chemical cleaners to less toxic ones; I clean my windows with vinegar instead of Windex, for instance. But I keep bleach and alcohol in the house to disinfect surfaces and really ugly wounds (like cat punctures), respectively. This is a mean virus and it needs to be dealt with harshly. Bleach, soap, alcohol. This is what the scientists tell us, and they've been doing their damnedest to keep us all safe. The other people telling you other stuff? At least some of them are out to make a buck. Some of them mean well but don't have any scientific basis for what they're saying. Some of them don't believe in science, and those are the most dangerous.
Rigorous, science-based medicine and hygiene based in germ theory are the new kids on the block, relatively, but the track record for them is a hell of a lot better than anything else we've come up with in the last 6,000 years for just about any acute and infectious disease and condition that you can name: typhoid, yellow fever, polio, measles, mumps, scarlet fever, rubella, chicken pox, small pox, intestinal ulcers, cancer—you name it. Anything that was a scourge to humans before germ theory and antibacterials and antivirals, western medicine has done a great job of getting a handle on it. So great that people have forgotten what it's like to live just like we're living now: in terror of something that we can't see without a microscope. People who got AIDS or were at risk for it remember, but the treatment and prevention of it have been so successful in my lifetime that the younger generation has never experienced that terror, either, and has too often thrown caution to the wind. That's the beauty of science based medicine: it's its own worst PR. But no other theory of health successfully found the cause, explained the mechanism, and developed those treatments and preventions. No other system is going to do it now. Peer reviewed, systematic, replicable science is going to save our asses.
Unless you can explain the actual mechanism of how what you're touting works on this virus and its symptoms in the body, just sit down and let the experts save lives. Stay at home, sanitize with bleach or alcohol or soap, wear a mask if you go out, and wash your damn hands in the meanwhile.