I'm
going to wind the clock back twenty five years. A much younger me was
heading south down the M6 when things started to unravel. It is fair
to say I wasn't exactly in tip top shape back then. I was a heart
attack waiting to happen and the odds on me making my fortieth birth
day were pretty much slim to none. My life was a caricature. Forty
cigarettes and two packs of Rennies a day and every night when I made
it back home I would have two treble gins down my neck before I got
my coat off. We had a family business back then and my fourteen hours
a day were all about ducking and diving my around two million quid's
worth of debt. Not a bunch of laughs I can assure you.
All
of which made the sudden lancing pain in my chest pretty ominous, though not
entirely unexpected. Decision time. I could pull up on the hard
shoulder and dail 999. Or I could throw the dice and try to make it
home.
I
threw the dice and made it home.
An
hour or so later I was wired up like Frankenstein's monster in the
ICU unit of Blackburn infirmary.
Eventually
a laconic consultant pitched up at my bedside and started hitting me
with a series of lifestyle questions.
"Do
you smoke?"
"Well.
Yes and no."
"That's
an odd answer."
"I
know. Yes, as in I have smoked 40 a day for years. No, as in I gave
up three days ago."
This
induced a wry smile. "Ahh. I dare say you will have been
coughing up all kinds of stuff, right?"
"Totally.
I always do when I give up."
"Well.
That's the problem."
He
then went on to explain the precise nature of my problem. All the
gunk I had been coughing up for three days had hitherto provided the
walls of my lungs with a protective lining. The sudden lack of gunk
had left my lungs exposed and had therefore given a few billion pesky pneumonia virus
cells the chance to burrow themselves in.
"So
I've got pneumonia?"
"You
have."
"And
if I hadn't given up smoking I wouldn't have pneumonia?"
This
tickled him pink. "Nope. So what are you going to do? You know.
With the smoking?"
A
no brainer. "Start again of course."
"Thought
so. Just have a word with the nurses. They all smoke. They'll show
you where to go."
Things were different in NHS back then!
And
they did indeed show me where to go and it turned out the ICU unit of
Blackburn infirmary was home to several handy nooks and crannies
where a patient could sneak a crafty fag.
When
the Covid 19 crisis started to escalate a few weeks ago, someone
asked me if I was going to have a go at giving up smoking. As a
precation. As a sensible thing to do. The idea made me chuckle in
much the same way my consultant had chuckled all those years ago.
No
thank you. I am more than happy to keep my lungs well and truly
coated in protective gunk. And I recounted my very formative
experience from way back when.
All
of which brings me to a Guardian article I read the other day which
put a smile on my face which has barely moved since.
Here
are the bones of it. A French doctor took a look at the statistics
pertaining to 380 guys who had been admitted to his Paris hospital
for treatment for Covid 19.
They
had an average age of 65.
4.4%
were regular smokers.
Hang
on a sec here. 4.4%? That seems kind of low. What is the percentage
of French guys of 65 who regularly smoke?
In
a nutshell, way way more. 40% of guys in their 40's and 50's. 12% for
the over 65's.
But
surely this couldn't be right? Smoking damages the lungs, right? We
see gruesome pictures of mashed up lungs on our cigarette packets. So
surely smokers should be more likely to be admitted to ICU for
emergency Covid 19 treatment, not less likely. Surely?
So
my man got on the phone to China and asked doctors out there to check
their stats.
Bloody
hell.
Same
story.
12.8%
of Chinese Covid patients were smokers. 28% of the Chinese population
smoke.
Next
up the Doc took a look at the whole of Paris. Ooops.
11,000
patients admitted into the capital's hospitals for Covid 19. 8.5%
were smokers.
25.4%
of the French population smoke.
Which
brings us to the why. They reckon there might well be a couple of
reasons. It seems there is something in cigarettes which makes it
harder for the Covid to break its way into our cells. It also seems
there is something which calms the huge overreaction of our immune
systems to the presence of Covid 19 which as often or not is the
thing which kills us.
So
where next? Well the French are gearing up to issue doctors, nurses
and patients with nicotine patches and no doubt they must be praying
it is indeed nicotine which is offering such protection. Because if
it isn't nicotine, then it is something which requires actual smoking.
What
a nightmare for the health gurus who have spent so many years
lecturing the likes of me for our craven wickedness.
The
last couple of paragraphs of th article really whacked me across the
head.
“Our
cross-sectional study strongly suggests that those who smoke every
day are much less likely to develop a symptomatic or severe infection
with Sars-CoV-2 compared with the general population,” the
Pitié-Salpêtrière report authors wrote.
“The
effect is significant. It divides the risk by five for ambulatory
patients and by four for those admitted to hospital. We rarely see
this in medicine,” it added.
We
very rarely se this in medicine. Bloody hell!
Wow.
Basically smoking every day makes you between 4 and 5 times less
likely to become a Covid 19 victim.
All
of which brings me to some pretty interesting thoughts.
It
looks pretty much nailed on that smoking greatly increases our
chances of avoiding death by Covid 19. Amazing but almost certainly
true.
When
all is said and done, it is entirely legal for anyone who is over 18 to go
into a shop and buy themselves a packet of fags.
And
it is entirely legal for the shop to sell them.
Which
means a life saving product is readily available in the required
numbers for each and every one of us. If the French studies stand up
what seems pretty much nailed on, then right know we can probably reduce the number of Covid 19 deaths dramatically.
So
what will our leaders do about it?
There's
the question. Picture Nicola Sturgeon doing her daily Covid 19 thing. I
guess it would have to go something like this.
"I
am going have to make an announcement today which I really, really
don't want to make. But I am the First Minister of Scotland and it my
job to save Scottish lives, even though doing so can feel
uncomfortable. I won't beat about the bush. Research from China and
France shows that people who smoke every day are between four and
five times less likely to succumb to Covid 19 than those who don't
smoke. Astonishing, but true. Well desperate times require desperate
measure and these are indeed truly desperate times. So as your First
Minister, I must recommend all of you to smoke at least five
cigarettes every day. This of course is harmful in the long term and
we all must give up as soon once the current crisis passes. But in the
short term, those five cigarettes might very well save your life. I am
sure you will understand these are words I never thought I would say.
But I promised to treat the people of Scotland as grown ups and as
grown ups we all have the legal right to go to a shop and buy
cigarettes or tobacco. It is time for each and every one of us to
make a grown up decision."
Can
you imagine it? I certainly can't. It would be just too much.
Something tells me our leaders would rather see hundreds of us die
every day rather than admit to the fact that fags are the unexpected
magic bullet which can help to save us. If it was milk or sun dried tomatoes or kale which provided the surprise armour they would be queueing up to shout the news from the rooftops. But not fags. Not a chance.
What
an utterly, utterly weird world we live in.
By
the way, here is the link to the story of you suspect this blog to be
tad far fetched. Have a read and make your own mind up.
THE GUARDIAN STORY
A
few hours later
I
emailed the link to this blog to Ewen, the surgeon who fixed up my
ear a few years ago and who is now my proof reader. This is his
reply. I think it is fair to say he isn't as enthusiastic about the
French research as I am!
Hi
Mark
As
the saying goes, numbers don't lie, but they don't always tell the
whole story. Perhaps the smokers are so short of breath that they
don't go out much - self isolation.
Perhaps
smoking has already killed off those with a "weaker
constitution" so that the remaining 65+ smokers are better able
to fight off infections - survival of the fittest. Consider
sickle-cell disease; it confers a certain amount of resistance to
malaria, which would seem to be a good thing. But then consider the
bouts of agonising pains that sicklers get; it turns out that the red
blood cells are so damaged that the malaria parasites don't want to
infect them. Malaria can be cured, sickle cell disease can't.
So
could your Covid/smoking stats be telling a similar story? That
smoking is a condition that gives resistance to one single problem
(Covid) at the risk of many others, e.g. COAD, lung (and other)
cancers, arterial disease causing loss of limbs, strokes, heart
attacks, dementia and all the rest? I think I'll take my chances with
CoVid.
Feel
free to copy this on your blog if you want to.