No symptom with high virus, camouflage of immunology for harmony- Are we barking up wrong tree
Evolution and nature doesn’t give space for any new species
to evolve just to destroy or eliminate the other. The theory of live and let others live is
seen even among prey-predator relationship.
The prey species are advantaged with greater food availability,
fecundity power and niche based, modified distribution etc., so that the
population of ratio of the predator in the given ecosystem is always balanced.
The arrival of novel coronavirus has caused more scare than actually
cause disease or death. Incidentally the
novel coronavirus has thoroughly exposed the shallow wisdom of the so called
science and profit centric approach of medicine in manufacturing and selling
fear over awareness about novel coronavirus and COVID 19.
The interesting facet of the viral contraction was that vast
majority of people despite with high load of virus remained asymptomatic or
recovered from the virus with mild and manageable symptoms.
Initially it was presumed that the viral load may not be high
enough in asymptomatic people and hence they remain asymptomatic. Further the robustness of the immune defence
was also hypothesised as the reason for asymptomatic situation. But the recent study has shown that despite
very high viral load of novel coronavirus that is sufficient enough to cause
infection based the viral load assessment in full blown COVID 19 patients,
still majority of people remained asymptomatic.
No one could explain why such paradox had occurred in vast majority of
people.
But recently it has again been postulated that ‘disease’
tolerance might be happening in vast majority of people. Perhaps the immune mechanism may not be
reacting against the virus due to the possible cost of such immune exercise and
associated consequences or the immune mechanism might be sensing the virus to
be new and hence wants to wait and watch, before react.
Why we over credit human ‘immune defence mechanism for the
above ‘goldilock situation’ and why the scientific community is not accounting
the intelligent design of the virus-man harmony. The term host-parasite needs to be elaborated
and accordingly we must also fine tune our scientific deliberations about
host-parasite equilibrium. Every species
of life on earth are a parasite in the larger space called earth and the earth
being the host. Every parasite also does
act as host for many other species of life form and in such relationship both
beneficial and detrimental outcomes are possible. Commensal flora is the best example for how
two dissimilar species association is beneficial to both the host and the
commensal flora and the pathogen is the best example for the harmful end of
such relationship.
When a species of microbe that had already evolved and living
elsewhere and if it invades man accidently, the choice before such organism is
quite high, either it can go back to its original habitat or host or can learn
to adapt to live in the new host or due to panic, can do harm to the new host
and then escape.
The new microbe like the novel coronavirus when evolve and
accidently invades human being, the possibility of the virus undergoing the
‘paradox in paradox’ situation is quite high because it had just evolved and
hence it may not have a host to harbour due to possible incomplete natural selection.
Besides that the new virus may not have
many options except explore, learn, adapt and live in the host it had invaded. Such situation would naturally create panic both
in the virus as well as the host. When
both the virus and the host reach to each other in panic without any
recognition of the virus or the cost and benefit of the reaction of the host
(example – cytokine storm), the result would be ‘death’ and credit is given to the
virus.
In co-morbid people, perhaps the immune defence mechanism may
be over reacting to outreach the virus so that the virus can be
eliminated. But unfortunately the host
system is already impaired due to various pre-existing medical condition, the
assault of the immune defence mechanism on the virus does assaults the host as
well, which ultimately kill the host.
Once again the virus grabs the credit.
When we keep celebrating and crowing the already crowed virus
by imposing lockdown, imposition of social distancing norms, mandating the
wearing of mask and keep updating about the statistics of corona positive cases,
naturally the science slips away and utter selfishness born out of fear,
hopelessness and how to exploit the opportunity alone shall prevail.
Tachyphylaxis is an obvious scientific fact; when someone is
administered with a same drug for prolonged period of time, the cellular
response towards the drug would diminish over time and the body may not even
respond to such drugs in future.
Similarly our body, especially the immune system not responding or
reacting to a virus (new pathogen) is called ‘disease tolerance’. But the point of difference is that the virus
is totally new but in the case of tachyphylaxis, the system might have been
fatigued with the drug due to its prolonged exposure.
When the smart immune system analyse the risk versus reward of
the host who is likely to endure in fighting the novel coronavirus, accordingly
propels no to least response, naturally asymptomatic condition or goldilocks
situation shall occur.
We must ask why the immune defence mechanism decides not to
react towards totally a stranger virus.
Won’t we expect our immune defence mechanism to recognize and react
violently against something which is totally new and strange? If the immune reaction doesn’t occur under such
circumstances, should we call such immune defence mechanism robust or weak?
It may be also due to the confidence of the immune defence
over the novel coronavirus which the immunity may be sensing as ‘non pathogen’
or ‘harmless’ and hence may be trying to accommodate the virus as normal
flora. Let the pre-existing normal flora
at various anatomical regions fight the virus if they ever recognize the virus
to be a competitor of their space and resource may be the stand taken by the
immune defence mechanism in some people.
The disease tolerance seen among vast majority of people with
novel coronavirus load that is sufficient enough to cause infection, warrants
us also think the role of evolution in establishing harmony between man and
novel coronavirus. When the immune
defence mechanism decides not to react towards the virus, the virus also seems
to cause fewer problems to the host and hence host-parasite accommodation leading
to harmony may be taking place.
Whereas in some people the immune reaction is so violent and
disproportionately aggressive which results in the death of the host but we
credit the virus. The aggrieved and
unnecessarily over reactive immune defence of the host may be the cause for
casualty and not the coronavirus.
Because of the newness of the virus, science would have
easily made the novel coronavirus, scapegoat of human death. Who knows, the pre-existing pathogens and or
commensal flora in the host may lead the combat against the virus and that may
be inciting the immune reaction in the host which ultimately killed the host in
order to seal the fate of the invader.
If we use unitary concept and harnessed scientific wisdom
than linking every observation with evolution and answering every question not
from the evolutionary angle, we are simply barking up the wrong tree.
Time has come, we must accommodate novel coronavirus and must
give its space and due share otherwise we may kill our economy, employment opportunity,
education and the very social and societal fabric of human values and
civilization in the name of lockdown, quarantine and other nonsensical
prescriptions. Disease tolerance should
be seen as virus-man accommodation towards a possible harmony which is a
positive sign and hence man must forget the virus and move forward in life.
Testing, quarantine and lockdown etc., also must be removed totally.
Beautifully expressed personal thoughts of a person not symptomized by the disease?
ReplyDeleteOnceagain author explained newnormal situation in his style. India like country has no infrastructure to meet the huge patients in short span of time. Thats why Lock down and other things are continuing. Govt also looks the Goldolocks situation to open the country.
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