The COVID-19 Catastrophe. Richard Horton

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tempting to sympathise with this point of view. The tragedy that began in December 2019, and continues still despite the allure of a vaccine, was surely unprecedented in many ways. But comforting though such a conclusion might be, it is, unfortunately, not true. And the reason is history.

      When the first cases of plague were reported early in 1665, London’s authorities endeavoured to conceal the outbreak, echoing evidence that police officials in Wuhan, China, sought to suppress what they disingenuously called ‘rumours’ of a new SARS-like disease. When plague was finally accepted as a reality in London, the government was unprepared. And the public was understandably terrified as the infection took hold with forceful menace. Mental health, for example, suffered badly – a kind of ‘melancholy madness’ descended on England’s capital.

      There was fake news in the era of plague too. ‘Deceivers’ proposed plague to be the judgement of an angry God. Or, insisted others, it was caused by a blazing star or comet. ‘One mischief always introduces another,’ wrote Defoe. The plague enabled fortune-tellers, wizards and astrologers to flourish. Quackery prospered – an array of pills, preservatives, cordials and antidotes were peddled. We should not, perhaps, have been surprised by the furore over President Trump’s unevidenced advocacy of disinfectant, irradiating light and hydroxychloroquine as remedies for COVID-19.

      We should not be surprised that the behaviour of the public was similar across the centuries. During the first wave of lockdown in 2020, people willingly, even enthusiastically, followed the instruction to stay home. They learned to enjoy the opportunity to take up new activities. The same was true in 1665. Defoe mentions baking bread and brewing beer. Public compliance during the first wave of the 2020 pandemic successfully suppressed the outbreak. But, once it was controlled, people desperately wished to return to some level of normal life. Governments wanted to reignite their economies. Perhaps everyone was exhausted and fatigued by the ‘anthropause’ – this temporary cessation of humanity. The result? Many countries let their guard down and the virus bounced back – a second wave. In 1665, a similar complacency took hold. By the end of September the plague’s fury was beginning to relent. People came out of their homes, shops opened, businesses resumed. The outcome of this ‘imprudent rash conduct’ was a second wave of plague that ‘cost a great many’ lives.

      There are, of course, differences between plague and COVID-19. There were no effective therapies to treat plague. Doctors in the seventeenth century were impotent in the face of a disease for which they didn’t even understand the cause. And the plague did eventually die out in December 1665, with the onset of a harsh winter. There is no expectation that our present-day coronavirus will recede into the background of our lives quite so gracefully. Mutated variants are giving the virus new life.

      Meanwhile, the virus continues to shock. A new variant of coronavirus

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