So this is where we come to the dying
from or dying
with part. It’s a tricky one, because it’s a bit like the chicken and egg. Would a 90 year old career-smoker have died on that same day if they hasn’t had Covid? Who can tell, but it seems unlikely. But it seems equally unlikely that they’d have died with covid if they were twenty years young and healthy.
This is always an emotional topic, and everyone knows for example that among the most vulnerable in our society are those in nursing homes. My own dad was in one, and it was heartbreaking to visit him, while at the same time it was the best part of my week. In Ireland, our health honcho suggested last year that it would be “heartless” to stop the residents from having visitors during the pandemic, going against the advice and wishes and fears of the nursing homes, who wanted to restrict visits for a while.
The result was inevitable, and so covid got into the homes and the largest percent of fatalities in Ireland came from the nursing homes. Now, it’s a brutal and tragic fact, but had the residents all been young and healthy the result would be different. This is just the awful truth. This is why the nursing homes wanted to restrict visitors, because they knew this. My dad was in his nursing home because he had Alzheimers and we couldn’t look after him at home. He clung on for a year in the home, and for a long time he was just lying there, barely able to draw breath, but alive. Had he caught covid, or had he overheard a car backfiring and got a fright, there would be no difference. The problem was that he was already dying.
Most people in nursing homes are old and frail and with fewer immunity weapons than the young buck on the football team and we’d be negligent and dishonest if we pretended that Covid affects everyone equally.
Covid is largely a disease which is killing people with co-morbidities and compromised immunity. Most deaths are occurring in countries with larger obesity rates. This isn’t being judgmental. In America you have that ideas that it’s “fat shaming” to say that being fat is unhealthy. But unfortunately it’s an indicator for getting a worse dose of covid.
The CDC said that “Adults with excess weight are at even greater risk during the COVID-19 pandemic.”
https://www.cdc.gov/obesity/data/obesity-and-covid-19.html
Johns Hopkins university and WHO show that most deaths are occurring in countries with the highest obesity rates:
https://www.bmj.com/content/372/bmj.n623
It may sound heartless but this is also The Science, and I hope that since covid hit, we all tried to see how we can improve our own health to give us a better chance, because it matters.