|
Physique-wise, Trump is the perfect embodiment of the country he "leads". |
The French author Joseph de Maistre famously said that "Every nation gets the leader it deserves." With the obese fraudster Donald Trump, the United States gets a leader whose bulbous, Jabba the Hutt-like physique mirrors the unhealthiness of its general population. To be sure, Trump's slothful response the COVID-19 outbreak Stateside is nothing short of
disastrous--but what exactly did you expect? (See de Maistre's statement above.) From stating there's nothing to worry about with the coronavirus to downplaying the virus as a hoax meant to harm his political prospects, Trump is behaving
true to form--a snake oil salesman to the last.
As I write, the United States now has the highest number of cases of COVID-19 of any country on Earth. To be fair to Trump, however, the United States' situation is not entirely down to the federal government's ineptitude. Often forgotten is that a nation's susceptibility to pandemics not only depends on the quality of its health system--a significant determinant of which is state action--but also the underlying health of its people. In 2004, Greg Critser
described the United States as
Fat Land. The title was true enough back then when the US obesity rate was around 30%. That statistic was, for me and many non-Americans, mind-boggling even then. Imagine now that the US obesity rate is 42.4%.
42.4! More than 4 in 10 Americans are at least as fat as their "leader".
Lest you think I'm just being mean, it's relatively
uncontested that risk factors associated with obesity such as cardiovascular disease, diabetes, and respiratory illness have been found to exacerbate the severity of COVID-19 infection:
The huge burden of obesity and other chronic conditions among Americans
puts most of us at direct risk. In fact, with obesity rates in the
United States much higher than affected countries like South Korea and
China, our outcomes — economic- and health-wise — could be much worse...
Data from China suggest that many chronic health problems increase the likelihood of a bad outcome, including cardiovascular disease, which affects nearly half the adults in the United States in some form, and diabetes, which affects about 10 percent. In Italy, 99 percent of the fatalities were people with pre-existing medical problems, especially hypertension...
Moreover, in the United States, obesity-related metabolic conditions may
put the public at exceptional risk. Today, more than two of three
adults have high body weight, and 42 percent have obesity, among the highest rates in the world. Almost two in 10 children
have obesity. Excessive weight, and the poor-quality diet that causes
it, is strongly associated with insulin resistance, chronic inflammation
and other abnormalities that may lower immunity to viral respiratory infection or predispose to complications.
Preliminary
studies from China certainly do not contradict this assessment, which is proving uncannily accurate of where the US is headed. Speaking of which, early observations suggest that obese Yanks will not fare any
better:
In a report from the CDC’s
Morbidity and Mortality Weekly Report (MMWR)
published Thursday, researchers conclude that Americans with diabetes,
chronic lung disease and cardiovascular disease — all diseases linked to
obesity — are at higher risk of experiencing a severe infection due to
COVID-19.
The
study analyzed more than 7,000 cases of coronavirus from February 12 to
March 28. Out of the 457 individuals admitted to the ICU in that time,
358 — or 78 percent — reported having one or more underlying health
conditions. Nearly 11 percent of the ICU-admitted individuals listed
diabetes, followed by 9.2 percent reporting chronic lung disease and 9
percent reporting cardiovascular disease. Less than 30 percent of
COVID-19 patients who recovered without hospitalization reported having
an underlying health condition.
Also read the
full report to get a better picture of what's happening Stateside:
What is already known about this topic?
Published reports from China and Italy suggest that risk factors for
severe COVID-19 disease include underlying health conditions, but data
describing underlying health conditions among U.S. COVID-19 patients
have not yet been reported.
What is added by this report?
Based on preliminary U.S. data, persons with underlying health
conditions such as diabetes mellitus, chronic lung disease, and
cardiovascular disease, appear to be at higher risk for severe
COVID-19–associated disease than persons without these conditions.
What are the implications for public health practice?
Strategies to protect all persons and especially those with
underlying health conditions, including social distancing and
handwashing, should be implemented by all communities and all persons to
help slow the spread of COVID-19.
Let's skip the fancy terms here: In plain English, there would be far fewer Americans with "underlying health conditions" that exacerbate COVID-19's impact if they simply weren't so fat. Trump's buffoonery has undoubtedly contributed to the United States' mounting death toll--near the top of global league tables already. However, Americans being as outrageously fat as he is should be noted as an extenuating factor.
As bad as things are Stateside, they are likely to get
even worse when more cases pop up not in relatively healthier coastal cities but in the heartland where people are fatter and have a higher death rate as a result:
The coronavirus has been a far deadlier threat in New Orleans than the
rest of the United States, with a per-capita death rate twice that of
New York City. Doctors, public health officials and available data say
the Big Easy’s high levels of obesity and related ailments may be part
of the problem.
“We’re just sicker,” said Rebekah Gee, who until January was the health
secretary for Louisiana and now heads Louisiana State University’s
healthcare services division. “We already had tremendous healthcare
disparities before this pandemic – one can only imagine they are being
amplified now...”
New Orleans residents suffer from obesity, diabetes and hypertension at
rates higher than the national average, conditions that doctors and
public health officials say can make patients more vulnerable to
COVID-19, the highly contagious respiratory disease caused by the
coronavirus.
And which
places voted for Trump? In the end, you indeed get the leader you deserve.