The Fog

The light of the sun is barely penetrating the early morning fog. Some trees are visible, some are hidden. It should be a warm spring day but instead it’s cold and there are still patches of dirty snow on the ground.

This is the weather.

This is my mood.

The pandemic is still raging on despite those who try to hide the infected and dead behind the fog of words.

The war in Ukraine is raging on and those who declare it is just another war are trying to obscure what is at stake.

Even if we can see through the fog created by today’s chatter, none of us can see how the pandemic or the Ukraine war will end.

When the pandemic first hit, I was naively convinced that we could manage it well by following advice by scientific and medical experts and that vaccines would come rather quickly.

The vaccines did come quickly but their durability is still problematic. I’m certain we’ll get the better, more durable vaccines. However, the hit to science, to medical expertise, I worry may also be more durable.

The Omicron variant was first detected in Canada in late November, a few months ago. Since then, we have had 53% of deaths in people 19 or younger and 20% of all deaths from COVID-19. Long covid - a disease that impacts the brain, heart and many organs - will be worsened by the increasing infections we are seeing with omicron and its new variants. Yet the narrative that this variant is ‘mild’ reigns, so people are removing their masks, interacting in unsafe ways because they are convinced that the danger of COVID-19 is over.

How can the ‘mild’ narrative be so persuasive when the facts prove it wrong? One of the main reasons is that the anti-science, anti-expert movement has gained great strength during this pandemic by feeding on its favourite food: fear. When people are frightened, science, with its nuanced and new emerging facts, is less enticing than the strong, definitive anti-science narrative where answers are clear and unalterable because they aren’t true. It’s easy to make up a narrative when it’s immutable in the face of facts, and it is the very rigidity of the narrative that appears to make it strong and a haven for the frightened - fear is reassured by strength, even if it is false strength.

Now that some people have been convinced that science and experts are the enemy - we can only hope that the numbers of people convinced are fewer than those who recognize that the truth - even with facts that change as new evidence emerges - is a better alternative than lies.

The future of how this will play out is unclear: the fog is thick.

The war in Ukraine appears to be a very different animal than the pandemic but they rub shoulders in a very important way.

Right wing, authoritarian ideology has been nipping at the heels of many European countries. The pandemic seems to have worsened this, particularly in countries where restrictions limited the number of infections, they were “sceptical about their governments’ intentions behind lockdowns, and are most likely to accuse them of using COVID-19 as an excuse to control the public”

The pandemic has, “eroded young Europeans’ trust in the political system could have long-term consequences for the future of democracy. Research by the Centre for the Future of Democracy at Cambridge University shows that – even before the crisis – today’s young people are the generation most dissatisfied with the performance of democratic governments. Members of this generation are more skeptical of the merits of democracy compared not only with the older generation now but also with young people polled in earlier eras.”

This merging of the distrust in science with a distrust in democratic governments is the birthplace of autocracy.

The war in Ukraine is a war waged by an authoritarian government against a democratic country. The suffering of Ukrainians has moved the world and also divided it. As Ursela Gertrud von der Leyen - the German politician, physician and President of the European Commission summarized during a visit to Ukraine:

“It is indeed a decisive moment … Will autocracy be dominant or will democracy be the long term dominant winner or will the right of might be the rule or will it be the rule of law. This is what is at stake in this war…it is these big questions that will be decided in this war.”

The rule of might is decisive and clear - a haven for those who crave certainty. The rule of law, like science, is nuanced and cumbersome, as evidence is weighed and considered. Justice, like science, is messy business but it is a crucial pillar of democracy. 

None of us can see how the war in Ukraine will end or what Europe will look like when it does. Nor can we see what the end of the pandemic will look like and what we will have become in response to it.

The fog.

It’s the weather.

It’s a whole mood.

Wanna be a Paperback Writer? Ten things you didn't know

Alternate title… Perils of Publishing…
How to keep sane while traversing a career in the wilds of publishing.

Hello there!  Melodie here, with more shop talk about the perils of publishing.  Oh, how I miss those writer gabfests in the bar at the Drake Hotel where we did what authors like to do best when they get together. Which is, bitch about the industry.

There are many steps to becoming a published author with a traditional house, and each one is a milestone.  First, you finish that book (pass the scotch.)  Then, you bag an agent if you're lucky (more than a wee dram for that.)  Then, you get a contract for your first book (break out the champagne.)

You make it through that fiendish obstacle course, and people think you've got it made.  Hell, YOU think you've got it made.  All you need to do now is write!  Other people will take care of all the rest of it.  But believe me, everything is not clear sailing from there.

Strange things happen in publishing.  Things that not even a clairvoyant with a crystal ball could predict. 

You may say, "Oh, she's being so far-fetched.  That'll never happen."  But let me tell you, every one of these things have happened to me.

And guess what?  I'm still standing.  (okay, sitting in a comfy chair while typing this)  Still writing.  And still getting published.

Welcome to the insane, inane world of publishing.

1.  Your agent - the one from New York who finally agreed to represent you after months of negotiation...the one who was negotiating a deal with Ace Fantasy in England and Berkley Paranormal at home, will kick the bucket before cementing a deal (no disrespect meant.  He was a class guy.)  Worse, no one in his office will let you know for two months.  Worse, you didn't think to question the length of time between emails, because he was so lousy at getting back to you in the first place.

2.  The ad campaign that was carefully planned and paid for by your publisher will feature an ad where the title of your book is misspelled in such a way that not even Saturday Night Live could have come up with it.  Or saved it.

Rowena and the Dark Lard may be a great name for a cookbook. But it is unfortunately not the sort of thing to entice readers of epic fantasy to part with their money.  (real name of book:  Rowena and the Dark Lord)

3.  The book that was an outlier (Sci-fi) that your publisher loved, that your pals thought was your best, that got so many good reviews on Amazon...will go nowhere.

4.   The publisher that took a chance on you, believed in you, applauded when your book was featured on USA today and helped to bring your book series to bestseller status, will go out of business.

5.   You can't get the rights back for the covers of those books because the artist who worked for the house has disappeared off the face of the earth.

6.   Your next publisher - the one with the world-wide reputation and selling legs - will decide to close the line your series is in, even though your books are bestsellers for them.

7.  And the unfunny one - Someone closest to you will die the week your 15th book comes out, such that the book receives no attention at all for the year-plus you are in heavy grief.

8.  Back to funny - Your 16th book will come out the first month of a world-wide Pandemic, and all promotion events will be canceled for at least two years.

9.  More pandemic humour - You will be asked to emcee a prestigious book award event, which will be cancelled due to the pandemic.

10.  And More - Your 17th book will be held up in production at least 6 months due to a paper shortage worldwide.

I used to tell my writing classes that you need three things to become a writer:  You need talent.  You need to learn the craft.  And you need passion.

I've now decided that the most important thing you need to continue to be a writer is a healthy sense of humour! (and a big supply of scotch)

So raise a toast to all the authors out there who continue to write and publish, while continually having to face loopy hurdles like the above.

How about you?  Would love to hear more Perils of Publishing stories in the comments below.

Melodie Campbell continues to write books and short stories south of Toronto, in spite of the perils. You can find her books in all the usual suspects.

The Z-Files

  

We've seen a lot of recent posts at this blog about mystery short-story markets--their editors, content, guidelines, response times, pay rates, preferences, etc.

Today I'd like to talk about preferences again, and specifically about a story of mine that was accepted by Alfred Hitchcock's Mystery Magazine earlier this week. It's a 6000-word story called "The Zeller Files," one I wrote and submitted to them just over a year ago. It includes a crime that's essential to the plot--all mystery submissions should have that--but it's not your usual mystery/crime/suspense story. In fact it's as much science fiction as mystery, which as the months passed led me to suspect it might not stand much of a chance. But it also features something else that I thought made it an even bigger longshot, for publication: It's set during the pandemic.

I don't just mean it was written during the pandemic, although it was. I mean it includes references to the wearing of masks, social distancing, and other things most of us never even thought about until early last year. Some of that ties into the crime itself, which in this story is a bank robbery and its aftermath.

The plot

Here's what happens: Software engineer Eddie Zeller and his wife Lisa find out from their local newspaper's gossip-column that a couple named Fairmont from another part of the country are moving to their small town. The problem is, Andrew Fairmont and his wife were once famous because of their highly publicized report of being kidnapped and observed by aliens many years ago--and so was Eddie Zeller. (Lisa jokingly refers to Eddie's story as The Z-Files.) He and Lisa also know that the number of self-professed alien-abduction-survivors in the U.S. is tiny, and Eddie suspects that the federal government keeps a file and a close eye on all these victims and their activities. So, what are the odds that not one but two of these people would wind up in the same town as a third who already lives there? Could the Feds--or even the victims' otherworldly kidnappers--somehow be trying to gather all of them together for some reason? If so, why? 

Eventually the Zellers, who are unemployed and struggling because of the impact of Covid on their careers, resort to extreme and criminal measures to try to get the funds they'd need to get out of town, possibly even out of the country, to avoid whatever disaster Eddie is now convinced is being planned for them. During all that, they of course run into the Fairmont family, who have their own mysterious agenda, and Eddie soon comes to understand that it's not only the government who's been tracking them, all these years. 

Concerns and conclusions

My point is, this story has two liabilities. It is (1) mixed-genre and (2) set during the pandemic. The first oddity, since what I mixed in was science fiction, would automatically make the story unsuitable for mystery markets like EQMM, Black Cat Mystery Magazine, the Strand, and others, and I was afraid the woo-woo element would make acceptance doubtful even for places like AHMM, which is a little more receptive to the occasional western, humor, fantasy, or SF story. Mostly, though, I was worried that the second odd thing--the Covid angle--might prevent it from being accepted anywhere.

Let me explain that. Since the pandemic began, I've written several mystery stories featuring the virus and the restrictions and requirements it presents. (After all, that's been the reality of our world for the past two years--and besides, how could a crime writer resist using a situation where everybody's already running around with masks covering their faces?) But alas, no matter how much I liked those stories and how much fun I had writing them, all were rejected soon after I'd submitted them. Some of them were rejected immediately, and some more than once. 

Since Mama didn't raise no fools, I finally got the message and started changing those stories by removing any and all references to the pandemic (enter Dr. Watson, exit Dr. Fauci)--and when I did that and submitted them again, every one of those stories sold. All, that is, except one. I had submitted "The Zeller Files" to AHMM almost fourteen months ago, on 10/6/20, so that particular story had not yet been changed. It had also not yet been rejected, since the jury was still out--and then, lo and behold, it was accepted by AH this past week. Say Hallelujah.

Here's what I learned from this: Never say never, with regard to questionable or controversial story content. If you believe it works, and if the guidelines for the market(s) you're targeting don't specifically say no, give it a try. The odds of success might be less, but--and I truly believe this--if a story seems to the writer to be good enough, it probably is good enough, and will eventually find a respectable home. As for "The Zeller Files," if you happen to see it when it comes out, I hope you'll have half as much fun reading it as I had writing it.

Questions for the class

Now . . . what's your opinion on writing pandemic-based or pandemic-setting stories or novels? Have any of you tried it? Have you even wanted to try? I've heard some writers say it would be too depressing, for both the reader and the writer. And if you have written those stories, have you seen any success at placing them in a magazine or anthology? If you've created a novel containing pandemic references, have you been able to find a publisher for it? 

How about mixed-genre short stories? I feel sure you've written those, but have you submitted any of them to mystery markets? Any successes, there? What about stories that include both a different genre AND a dose of the virus?

In summary, I can certainly understand if the only masked characters you choose to put into your fiction are either committing a crime, skiing in Aspen, trick-or-treating, or riding a white stallion to the tune of "The William Tell Overture." But I'm here to tell you, you might want to try writing a Covid story now and then, and see what happens.

Sometimes it works.

Chasing Healthcare Workers Off Twitter: Who are these people?

Those of us advocating for vaccines and masks on Twitter during this pandemic have had some rather interesting replies.

Here is one:

As you can imagine, many of my colleagues are asking- who are these people?

Certainly not the kind people you would meet at a dinner party - for those of us old enough to remember these much loved pre-pandemic events.

CSIS, the Canadian organization responsible for protecting us against security threats, has given one answer about who some of these people might be and by whom they may be influenced.

CSIS has accused “Russia, China and Iran of spreading COVID-19 disinformation to promote their strategic ambitions…COVID-19 misinformation has flourished since the start of the pandemic, fuelling what has been called an “infodemic” of conspiracy theories and falsehoods amid efforts to contain the coronavirus.

“Declassified documents obtained by Global News under the Access to Information Act show that CSIS has been monitoring the national security implications of the phenomenon.

“Threat actors have used the pandemic as an opportunity to spread disinformation online,” CSIS spokesman John Townsend said, “It is important to note that disinformation, originating from anywhere in the world, can have serious consequences including threats to the safety and security of Canadians, erosion of trust in our democratic institutions, and confusion about government policies and notices including information on the COVID-19 pandemic.”

It makes sense that undermining democratic institutions during a deadly pandemic includes undermining any health department both provincially and federally and their attempts to administer vaccines and make mask mandates. To be clear, this is about diminishing our government and nothing diminishes a government like portraying them as responsible for worsening deaths, providing inadequate solutions and flat out lying to the public. 

It would be wise to assume some of the social media misinformation comes from these foreign actors. It would also be wise to assume that discrediting healthcare professionals is one of their aims.

Some accounts on Twitter are influenced by this misinformation - created by foreign actors or concocted by people from our own country who genuinely believe it.

On Twitter, I have watched colleagues deal with anti-vaccine and anti-mask accounts, most of them anonymous. Some appear benign at first. An anonymous account will start with simple questions or tweet things that are incorrect but relatively innocuous. When you respond, it starts a long back and forth and at the end they accuse you of vile things - like killing patients.  This experience is like following a little bunny and getting your foot caught in a trap. 


Personally, I like to answer them with sassiness and I also block these accounts quickly now. Blocking is an important weapon against misinformation - these accounts can’t appear on your tweets and don’t have access to your followers. If more people blocked them, we would diminish their reach substantially. There have been days where even my sassiness fails me and I’m not amused at all. These unpleasant experiences have exhausted and chased many healthcare professionals off Twitter. There is only so much abuse one can take.

There are accounts that are also dangerous in many ways. I worry about my colleagues because of them. Some people behind these accounts spend a great deal of time reporting doctors, nurses and other professionals to their licensing bodies and filling rating sites pretending to be disgruntled patients. Also, some colleagues have had threats against them and their families.

There is nothing that enhances the spread of misinformation like chasing healthcare professionals with accurate information off Twitter, by bothering them, damaging their professional reputations and forcing them to defend themselves to their colleges.

Perhaps we should return to why this is happening. It’s simply healthcare professionals asking people to get vaccinated and wear a mask. If these healthcare professionals get chased off Twitter, who remains to educate and help? During a pandemic the most precious commodity is scientific information - this is what keeps people safe. Distributing false information endangers people’s health and may even kill them.

Everyone tries to figure out, for themselves, how to keep advocating during this pandemic. Personally, my Twitter account - you guessed it - is largely about stories. Not just stories about the pandemic, but stories about many aspects of peoples' lives - I try to highlight the stories others tell and, occasionally, tell my own. 

For the pandemic advocacy that I do, I try to keep my sense of humour, lift up colleagues by highlighting their work, and use my block button. Who knows if any of us individually makes a difference, but I do know that chasing reasonable, science based voices off Twitter is a bad thing during a pandemic.

The Pandemic: Babies and Stories

With so much time together with our lovers, many expected a pandemic baby boom, but it is looking more like a bust.

I get it.

My writing fantasy is to have stories - the ones that reveal the places we live and breathe, the dark places, the places of joy - and also the time to write them. 

I now have the time but the onslaught of stories is just too much. The edits on my book are not a boom but a bust. A total bust.

Normally, when I work I shut out the world. Ignore it. However, this is a time in history when absorbing what is going on in the world is needed.

When I sit down to write, my head swirls from the page outward. Perhaps my characters are talking on the phone - I think of all the people isolated by #COVID19 who can only talk to those they love by phone. When my characters sit for coffee, I think of all the lonely people unable to gather and the small coffee shops struggling to survive in this pandemic.

Then there are the elderly in long term care homes, isolated and at times suffering with dementia - how do they make sense of the long days when no familiar faces come? Do they forget them? Do they remember them in their dreams?

The children who once rushed up to playgrounds to do what we have forgotten to do - play with abandon with children they have just met. Now, they are masked and are asked to keep their distance. Will they play with abandon when the virus is gone or will they grow up too soon into the far more distanced adults that surround them? Hell, we are asking them to keep their distance so it would be a small wonder if they don’t.

The lovers, the ones that had planned romantic trips, weddings and parties - what happens when none of that is possible? Do they put that spontaneous side - the most romantic moments - on hold. Can they return?

And then there are those who don’t return at all.  Their families watch them disappear into the bowels of an ambulance or hospital and then can’t see them, hold them before they die. 

I’m bombarded by stories of my colleagues in the #COVID ICUs. They have so many tools to save people but now, their tools are often useless against Covid-19. Death after death. It's everything they've been trained to fight and yet they lose the battle constantly. They are tired and demoralized when one patient dies, the numerous deaths are just too much for them.

And, perhaps a few blocks from these ICUs, people are gathering without masks, perhaps in homes, to have a drink, laugh and spread this damn virus around another room.

Will all the pandemic stories raging around demanding attention finally settle when the worst of this pandemic is over? Will we have time to write them when life returns to normal?

My hope is that these stories will be written and we will take the time to pay tribute to each person we can. There have never in my lifetime been so many stories crying out to be told. There are also so many people who are now no longer with us to tell their story and we need to honour them by telling it.

I have practiced medicine. I have written. Both involve a similar process.

In medicine, the key to a diagnosis is always the story - the more fulsome the story, the more likely the diagnosis will be accurate. And after diagnosis, following the story allows us to assess the treatment and, more importantly, how the patient is doing. 

With writing, the key is always the story and the more fulsome, the more accurate. 

With the pandemic stories that will be written, I hope that that they will be about how we recover, or don’t, from this terrible time in our history. Like a medical story, we need to follow this up. 

At this point in time I have no idea how the story ends for us all.

Oh, and babies. We need to see more babies please. We need a new generation to whom we pass on our stories, because this has been a time of such important stories. But until we pass on our stories, we need the joy of a new beginning.

Earth's Future?

Back in March when the idea that this Covid-19 was contagious and we all needed to quarantine at home, my thoughts turned to space. Yes, first to Isaac Asimov's robot books, then to thinking about our astronauts. Ever since the space program started the astronauts had to be in quarantine for two weeks before going out into space. They didn't want to take some earth germ to the moon. Then when they came  back from the moon, they once again had to go into quarantine  in case they picked up some germ from space and didn't dare give it to earth and cause a pandemic. They didn't necessarily like it, they wanted to see their families to assure their family they were still the same person. That space had not changed them into some weird "outer space creature." 

As the days and weeks passed people began to learn Zoom meetings for business because many  people were now working from home. Before long folks learned Zoom for personal visits. My side of the family who never have reunions had one by using Zoom and our computers. I have two sisters, we all live in Texas but each of us have grown children and some of those grown children have children. One niece lives in NM, one nephew in MO, my daughter and her sons live in TN so it was great fun to at least see everyone, even if it was just in and out on the computer via Zoom for a few minutes. My daughter had taught me how to Zoom and it was great to see her. Actually on Thanksgiving afternoon she and I visited for a couple of hours and even played a dice game. 

In my little town, I'm on the Parks and Rec committee and we had a couple of  meetings on Zoom. There are eight of us and this was a great way to discuss our  projects and plan what to do next. 

This all brings me to Asimov robot books and he writes about the planets of Aurora and Solara where people NEVER "see" each other in person. They "view" each other on large screens in their home. Even married people. They go for walks "together" but they are holographic images not together in actual physical contact. This has gone on for so long that people have become afraid to actually touch each other. Some people actually can become physically ill to even be in the same room room with a human being. The idea of being in the same room with a human from that nasty germ filed planet Earth can cause such a mental upset can be even as bad if not worse.

If this pandemic can't be controlled will earth ever become like that? Will people who are not afraid of science and technology eventually be the only population left in 2050 or 2075? What about the people who won't take the vaccination? Will they just eventually die off? Could visitation by computer only happen on Earth even sooner than 2050? Say 2035? 

Protect your eyes from COVID19 infection.

There’s a saying: if you’re the smartest person in the room, you’re in the wrong room. I recently found myself in the right room—a masked, backyard get-together with close friends.

My husband mentioned he’d added a face shield to his mask in indoor public places, to protect his eyes during the second wave of COVID-19. One of our friends, Brian Foody, said that using a face shield with a mask wouldn’t protect eyes from airborne COVID-19 but goggles would.

This statement was very surprising. Public health experts have been clear, given the airborne transmission of COVID-19, that face shields and goggles protect the eyes equally.

For the public, Dr. Anthony Fauci said in an interview, “. . . you should protect all of the mucosal surfaces, so if you have goggles or an eye shield, you should use it.”

In healthcare settings, face shields are irreplaceable to protect against splatter during procedures, but face shields and goggles are recommended by public health as interchangeable eye protection.

For protection during aerosol-generating medical procedures, Canadian Public Health recommends, “eye, nose and mouth protection (mask and eye protection, or mask and face shield, or mask with attached shield) that fully covers the eyes, nose and mouth and ensures that no part of the face is exposed.”

The CDC states, “The PPE recommended when caring for a patient with suspected or confirmed COVID-19 includes the following . . . Put on eye protection (i.e., goggles or a face shield that covers the front and sides of the face) upon entry to the patient room or care area.”

If face shields don’t protect the eyes from airborne COVID-19, the definition of “adequate PPE” changes and this may save lives. A large study of healthcare workers showed that they accounted for 10% to 20% of COVID-19 infections and, even more worryingly, “even among frontline healthcare workers reporting adequate PPE, the risk for COVID-19 was increased . . ..”

Given the importance of this issue for the public and for healthcare workers, I interviewed Brian Foody, president and chief executive officer of Iogen Corporation and an MIT-educated mechanical engineer, who specializes in fluid motion.

The movement of COVID-19 infected air is at the heart of this issue.

“Imagine two people wearing face masks, one has on a face shield and the other is wearing goggles, walking into a closed room where the ambient air contains COVID-19 infected aerosols,” Foody explained. “Whose eyes are better protected? For our wearer of the face shield, with every breath, the clean air behind her face shield is ventilated and exchanged with the contaminated ambient air. Because of this ventilation, the air behind the face shield will have the same concentration of aerosols as the rest of the room within a matter of minutes. On the other hand, for our goggle wearer, the clean air behind her goggles is sealed off from the ambient air.”

The mixing of air behind a face shield is based on the basic scientific principles of fluid dynamics: if there are COVID-19 particles, they’ll be drawn into the face shield and up to the eyes.

This behaviour of aerosols is supported by a 2014 study. “Face shields can substantially reduce the short-term exposure of health care workers to large infectious aerosol particles, but smaller particles can remain airborne longer and flow around the face shield more easily to be inhaled,” it noted.

A review of the literature in March, 2020 stated that, “There is a lack of research on the effectiveness of different forms of eye protection.”

And yet, certainly the public health recommendations consider goggles and face shields as equivalent.

I am reminded of the early days when many of us recognized the pattern of airborne transmission of COVID-19 infections and advocated for masks, contradicting public health recommendations. Now the widespread use of masks is recognized as an important tool to limit COVID-19. This information on face shields is just as important: face shields protect from splatter but do not offer eye protection and public health recommendations for the public and healthcare workers must change.

Then Brian asked a crucial question: “What are the chances of getting infected through your eyes?”

To begin to find my way through this issue, I had to enter the right room, so I unabashedly called my friend, Dr. Sherif El-Defrawy, at his cottage on Thanksgiving.

Dr. Sherif El-Defrawy is an ophthalmologist who’s chair of the Department of Ophthalmology at the University of Toronto, before which he held a similar position at Queen’s University. He’s also president of the Canadian Ophthalmological Society and of the Association of Canadian University Professors of Ophthalmology.

In short, Dr. El-Defrawy knows eyes.

“If COVID-19 infects the conjunctiva of the eye, it could travel to the nose via the nasolacrimal duct and colonize the nose or throat,” he explained. “However, we would expect to see conjunctivitis. I find it highly unlikely that there would be enough COVID-19 to cause illness without seeing conjunctivitis.”

He explained that the number of COVID-19 infected patients with conjunctivitis wasn’t that large but it was unclear how many patients were checked for this. Finally, he expressed surprise that goggles were not universally recommended in healthcare settings along with face shields.

So, first things first, I’m not a fan of primate studies but there was one that answered many questions about COVID-19 infection via the eyes, so with great regret I present it here.

Three rhesus macaques were infected with COVID, two via their conjunctiva and one via intratracheal route. The conjunctival swabs were positive for the first day only, “indicating that the inoculated virus may transfer from conjunctiva to respiratory tract and other tissues . . . specific IgG antibodies against SARS-CoV-2 were detected in the rhesus macaques, indicating that the animal was indeed infected with SARS-CoV-2 [showing] that conjunctiva is a route of SARS-CoV-2 transmission.”

A literature review concluded, “The overall prevalence of ocular symptoms in patients with COVID-19 was 11.2%, which is not a common finding. Nevertheless, this reported prevalence might be an underestimation because patients with COVID-19 present with life-threatening clinical scenarios, which may preclude a detailed ocular examination or relevant history.”

Speaking of ophthalmologists, we should acknowledge with deep gratitude that it was the ophthalmologist, Li Wenliang, who was one of the first people who warned the world about the new disease we now call COVID-19. He later succumbed to the disease after contracting the virus seemingly from an asymptomatic glaucoma patient in his clinic.

So, how does eye protection play out on the ground in healthcare settings? Here I turned to information from Dr. Rick MacDonald, a community paediatrician on staff at Halton Healthcare hospitals where he takes call seeing paediatric patients and works in the NICU.

When many other physicians’ offices were largely doing virtual visits, “we decided early on that if we were going to be a useful resource for our paediatric population. . . .We needed to see patients [and] to provide this service, PPE is the most important first step without which it could not be done.”

Dr. MacDonald spent hours sourcing PPE for his office, opting for an N95 and a face shield but now also wears goggles as well. “To [keep our office open] we need full protection. No skimping, no cheating, full attention to detail. . . . Overkill is better and no government official or cloistered ID staff will convince me otherwise.”

He’s correct: protection, including eye protection, is crucial. Doctors are often in closed examining rooms, crowded emergency departments or intensive care units, with potentially large volumes of COVID-19 aerosols. So are nurses, paramedics, respiratory therapists and many others.

Certainly, we could benefit from research on the fluid dynamics of COVID19 aerosols with people wearing face shields and masks. However, we are in the second wave of this pandemic and there are a frightening number of infections in the public and healthcare workers.

I’m asking public health, in light of the basic science of fluid dynamics of aerosols, to change their recommendations:

The public should wear eye protection if they are indoors with others.

Healthcare workers working with patients that are potentially COVID-19 positive, should use face shields for splatter alone. Goggles are the only safe eye protection for aerosols.

Little Plague on the Prairie: The 1918-19 Diary of Anna Eneboe

Page One of Anna Eneboe's diary, which she kept from 1918 until late 1919:

Miss Anna Eneboe

Pierpont So. Dak.

My day book

Come read my thoughts

Anna Eneboe and her Diary

She was the great aunt of my dear friend Allyson Giles Nagel, who graciously gave me permission to use Anna's writing. The diary is very short, very simple, very spare, written in a small red notebook that's pretty worn after all these years. Anna was 19 years old in 1918, unmarried, and treasurer of the local Independence Red Cross (organized June 13, 1918). Some of the people mentioned in the diary are her older brothers, Henry (called Hank) and Rudolph (called Rud), her two adopted sisters, Lillian (called Lillie) and Agnes, her parents, and her future husband, Bernt Nerland. The family all lived on a farm outside Pierpont, SD, up in Day County, in northeastern South Dakota. Today its population is 135, back then somewhere between 314-400 (the census of 1910 and 1920 respectively). I've guestimated it to be around 380 in 1918.

Now, before we get started reading excerpts from the diary, you need to remember that the Spanish Flu roared through the United States three times. The first was in the spring of 1918. It was fairly mild and it disappeared for the summer. People believed that it was over. And then with the fall, came the flu, and October - when this diary begins - was the deadliest month of all. 195,000 Americans died that month from the Spanish Influenza.

Wikipedia – Link

Victims died within hours or days of developing symptoms, their skin turning blue and their lungs filling with fluid that caused them to suffocate. There was no treatment, no vaccine, no cure. Thanks to WW1 (BTW – the Spanish flu killed more soldiers than died in battle in WW1), there was also a shortage of doctors and nurses back home. And no one, no place was immune. Even President Woodrow Wilson got it in early 1919 while negotiating the Treaty of Versailles in Europe. (Link)

It's hard not to believe that it was the Spanish Flu's return in October, 1918 that got Anna to writing things down. Not that she knew it, but that month was the peak – but not the end – of the pestilence. But she was well aware that men were coming home from the war, some of them sick, some of them dying. That people all around her were sick, dying, but also marrying and giving birth. And that's what she writes about.

1918

Camp Funston Hospital Ward for Soldiers sick with Influenza

Oct. 14^th – Hans Oswood seriously ill at Camp Funston of the Fluenza.
Oct. 15^th – Alfred Nelson gassed in France in August and has been at the hospital since.
Emil Sanders sick of the Fluenza in Camp Dodge.
School closed in Pierpont Oct. 14^th on account of the Flu.
Dr. Murphy sick of the Flu.
Mrs. Eddie Kamestad died in the evening Oct. 14^th.
Luther Hofstad wounded severely in France Oct. 14^th.
Edwin Ronshaugen died in Camp Funston of the Flu., Oct. 14^th.
Kristian Mjolsness was married to Lina Likus Oct. 18^th.
Anna Rindahl was married to Mr. Jensen November 3^rd.
Mr. and Mrs. Monk Osby are the proud parents of a baby boy, born Oct. 3^rd.
Rudolph Baukol lost in action [in pencil].
Magnus Brindenuven died of wounds received in France.
Oscar Nymauen died of the Fluenza in Camp grand.

My Note: "On Oct. 16, 1918, the South Dakota State Board of Health ordered everything closed: Schools, houses of amusement, sporting events, speeches, everything. The order was enforced by police and the Home Guard, a quasi-military force that patrolled cities looking for violations." (Argus Leader)

SD Historical Archives

Mrs. Martin Jacobson died of the Influenza in November at Nigdahl Minn.
The oldest boy of Rev. Danielson died of the Flu at Langford.
Ole Jacobson’s little baby boy died of the Flu Sunday evening 28^th of Dec.
Henry was married to Jennie Eggen the 4^th of Dec. at New Effington.
Alma Gunderson was married to Dennie Holland in December.
Selma Liknis was married to Synerk Anderson in October.
Josie Oswood was married to Boyd Vikers in August at Camp Lewis, Washington.
Enok Liknis was home in a furlough in Oct.
The soldiers who came home for Xmas is as following –

Earl Hutenburg
Hans Oswood
Gust Johnson
Mat Johnson
Harry Nerheim
Rev. Husley from France [in pencil – Y.M.C.A.]
Adolph Eikaness
Martin Midland - -

Mathilda Hanson was married to Mr. Olson
Howard and Marie spent Xmas with us.
A cablegram from the battlefields of France last week Thursday, conveyed the heartbreaking news of the first sacrifice made by one who spent his childhood days in Farmington, and lived here in the adjoined vicinity on the north, the greater part of his life.

Henry O. Osness in company with his brother Chester departed from Langford April 26, 1918, with the Marshall County soldier boys of that date, who were sent to Camp Funston, Kansas.

WW1 Soldiers Returning Home

A sorrowful group of half-sisters and brothers mourn his loss, also a number of other relatives.
He is survived by his two sister, Misses Josephine and Anna, and by three brothers, Chester, his comrade, and Theodore and Selmer.
Three years ago, Henry enlisted in the navy, but was honorably discharged on account of physical disability. He appeared well and was of a happy, jolly disposition. The selective draft admitted him, and he went to death bravely fighting for his glorious country. “Over the top” was his motto, and t’was there he payed the supreme sacrifice.After only a brief time, they were called “over there” and on July 11^th Henry gave his life nobly in this great crisis, which the United States was suddenly thrust into and from which nearly the entire world is so grandly, so nobly extricating itself. Henry was the son of Mr. and Mrs. Christian Osness and was born in Newport township, Marshall Co., June 10, 1889. The family resided in Farmington a number of years, during which the children were left orphans by the death of both parents.

O’er the sea there came a cable message from the battlefields of France.The golden star in their service flag appeals with honor and sadness to Henry’s countless friends here.

Henry is gone, never hereafter to wake nor to weep.
Sleep, soldier, sleep.
Ne’er more the bugle shall call you, call you to fight fierce and long.
Yours is calm rest. We your memory sacred will keep.
Sleep, soldier, sleep.
We gaze at a star turned to golden. That shortly in deep blue did shine. O that in heaven, your soul is in keep.
Sleep, soldier, sleep.
“Chester’s Tale”

Henry was blown to pieces. Half of the body were all that they could find to bury. There’s a little white cross somewhere in France that now marks his grave.

Aerial view of Pierpont, SD.
Pierpont Quasquicentennial - Pierpont SD Facebook page

1919

January

Walter Sletten and Bernt Norland arrived from Camp Dodge Jan. 3.
School opened again January 6^th – met Bernt at the Ladies Aid at Synert Sampson January 9^thTheodore Roswell died in January
Old Mr. Brookings was buried January 9^th.
Born to Mr. and Mrs. Boyd Vikers a baby in January.

Boyd Vikers and Christ Oswood return home from camp.
Charly Paulson has been home on furlough.
Meeting in Falness [Lutheran Church, Langford, SD] Jan. 19 – also to Y P.M. in the evening.
Mr. Knut Syvertson and Mrs. Dahl was married this month.
Was at John Enstad Sunday the 12^th in the evening.

21^st - has been very lovely weather now for the last days. Today it is foggy.
23^rd – Henry Fossum returned home from Camp Lewis. Oscar Brandly also is home from Washington.Olaf Syre returned home from camp.

Lillie’s partner was Clarence, my partner was Emil Erickson – we had a very nice time talking and laughing. Played games and so on. Shook hands with Olaf Syre. Hobart Syre and Joseph Nygaard came home today.23^rd – very nice weather, social in Hainess school house tonite. Quite a few there. The sum paid for Baskets $72.74.
28^th – had our first trip in the Overland to Pierpoint. Sawsa Brandle’s a baby in January

My Note The Overland was a "runabout", and the Overland Automobile was produced from 1903-1926. Pa's new vehicle was probably Model 83:

Overland automobile (Wikipedia)

February

My Summation: February was cold, snowy, with more running about in the Overland. Alma Asdland died on the 10th and was buried on the 13th, which means the ground wasn't frozen solid. (Not always true in a South Dakota February.) There were meetings, cleaning, crocheting, and an oyster supper, along with one day when it was warm enough to play croquet, and more days when it was bitter cold with snow.

March, 1919 - the flu returns - the Third Wave

1^st – Sat. – Enstad’s – washed the floors and baked was what Hattie did, and I tried to help her along. Snap’d our pictures.
2^nd – Sun. – kind of nice today. Rudolph came over after dinner. We made up a poem. In the evening we were discussing different things. Told our fortunes, and had a little lunch. Rudolph stayed over night. (In pencil on the side, Mrs. Ole Enstad died this morning.)
3^rd – Mon. – very mild and nice this morning. Rudolph went to Lee’s and then he came back for me. We had a Dakota blizzard going home.
4^th – Tue. – Mr. and Mrs. Carl Sampson a boy. Cold, but clear. Have not been doing very much. 5^th – Wed. – washing clothes today, nicer weather.
6^th – Thurs. – Ironed. Jennie baked cookies, I washed upstairs.
8^th – Sat. – Doing the Sat. work in the forenoon and in the afternoon we four girls went to Bakke’s but only Selmer at home. In the evening, Julian and Hattie came over.7^th – Fri. – Washed the floors. In the afternoon we went to town. Talked to Chris L. Oswood. Myrtle & Lillie went with us home.

11^th – Tue. – Rud sick of the flu. Very nice weather. Not doing very much.
13^th – Thurs. – Ironing. Colder. Feeling punk tonight. Uncle and Selmer is here.
14^th – Fri. – Sick in bed today of the fluenza.
15^th – Sat. – Sunshine again today. Been up this afternoon. Last year today we sure had a nice time this evening but now it is only memorys.
16^th – Sun. – Home all day. Have the “flu”.
17^th – Mon. – Feel better today.
18^th – Tue. – Pa has the flu today – nice weather.
19^th – Wed. – Nice weather. We are all feeling fine after the flu. Mrs. Huxley died of the flu.

And then it's done - the Spanish Influenza is over.

Wikipedia - Chitrapa - Own work

On Thursday, May 22^nd, Anna and the family went "to Pierpont, had a reception there for the soldiers. First time I seen Chester in uniform. The soldiers were seated on the stage. Had Annie Sparks duet and a quartet. Drawed number on a Red Cross quilt and Chester won it. had ice cream and cake. Only one vacant chair and that was Henry Osness." (Whose death, as you'll remember, Anna recorded in the first part of her diary.)
23^rd – Fri. – Lillie and I have been home alone today. The folks been in town. In the evening we went to Pierpoint to take in “The Birth of a Nation”.

A few more months, barely three pages more, and Anna's diary came to an end.

My Note: Anna mentions 14 cases of the flu, 6 of them in October, 3 in November-December, and 5 in March. In the whole diary, 12 people die - 3 in October, 3 in Nov-Dec., and the rest in Jan, March, May, two at least of whom died of the flu. Not a lot, right? But in a community of 380 people, where everyone knows everyone else and has since they were born, that's a lot.

Six cases of flu in October, including the doctor, would have frightened everyone. The whole family coming down with the flu in March would have everyone scared.

And those 12 people dead - they would leave a hole in the community, from the newborn to the soldiers who never came back. Small towns are tight-knit, and memories are long. Weddings and funerals, births and deaths, all get talked about for years, if not generations. The proof is that we know the rest of Anna's story, because it's still being talked about, in Allyson's family, and now here. Anna continued to live on the farm until she was married. She was an older bride: she and Bernt were married in 1931, when she was 32.

https://vintagedancer.com/vintage/1930s-wedding-history/

But marriage isn't the end of the story, no matter how happy it was. And while I wish her story had a happier ending, it doesn't: Anna died in 1933, in childbirth, at the age of 34. As you can see from the photo of her in the casket, she was buried in her wedding dress, a custom of the time. The baby died as well.

Written On The Back Fly-Leaves of her Diary:

Could we but draw back the curtains that surround each other’s lives, see the naked heart and spirit. Know what spur the action gives. Often we would find it better, purer then we judge we should, we should love each other better. If we only understood.

I’m getting tired of dreaming. Dreaming of you all day. I’m getting tired of sceming [sic]. Hope I shall get you some day.

I envy the dimples that hide and go seek, and play with the roses that bloom on your cheek.

Our eyes have met.
Our lips not yet
But O you kid

I’ll get you yet

Smile, and the world smiles with you.
Weep, and you weep alone.

Anna Eneboe

Stay well, stay safe, stay  HOME.

PS - for Anna's entire diary, go here.

PPS - Other sources for information of the 1918 Spanish Influenza Pandemic in South Dakota include these article:

• https://www.sdhspress.com/blog/covering-the-spanish-flu
• https://www.yankton.net/community/article_80ba8110-237d-5111-9b51-7c71dc8672ab.html
• https://history.sd.gov/Archives/docs/Spanish%20Flu%20Article.pdf
• https://www.capjournal.com/news/a-deadlier-enemy-than-poison-gas/article_46049404-accc-11e8-99ea-0bb3f262f5ee.html