Health –what is it? The older I get, the more I wonder what I’m supposed to feel like. Is it merely the absence of something like sickness and incapacity, or are there positive attributes, whose presence somehow summons it from the vasty deep? There are official attempts to define it of course -the 1984 WHO revised definition of health defined it as ‘the extent to which an individual or group is able to realize aspirations and satisfy needs, and to change or cope with the environment’- but that’s about as solid as a cloud, and as useful as a stopped clock.
No, I want to know whether, apart from having survived long enough to have a history, I am hale. I figure I get sick as much as the next person, but insofar as I can determine, I am content… And yet I realize that’s not saying very much.
Anyway, I am always amused by those who claim they never get sick, and yet are unwilling to define their terms. An article in the Guardian newspaper renewed my interest: https://www.theguardian.com/lifeandstyle/2017/jan/24/secrets-of-people-who-never-get-sick?CMP=share_btn_link and it reminded me of my recent trip to New Zealand. Many of those on the plane –well, at least those sitting nearby- had personal hand-sanitizers that they would brandish from time to time like crucifixes. I felt distinctly apostate, and not a little unprotected when I dared to eat the meal unconsecrated. At least it kept the person in the next seat off my arm rest, though.
But I mention the trip because a 14 hour direct flight demands entertainment other than movies, and creates opportunities that are otherwise impractical: it allows time to design and conduct scientifically rigorous observational experiments. The possible topics are, of course, legion, but I decided to measure Health –or at least, its simulacrum –as best I could from my aisle seat, mid-plane, and in spite of an elbow that kept poking me. Would hand-sanity prevent anything, I wondered –at least in the short term? And what would that be? The sniffles? Respiratory infections? Polio?
I decided I would do a simple comparative analysis. I could measure the difference in health between the beginning of the flight (before they served the dinner) and its end (in the morning before breakfast) -with maybe a few random observations mid-flight during the enforced sleep to validate the progression towards whatever conclusions I might draw as we landed.
I had a purpose at last, I realized with a sigh as I drew some columns on the pale and rumpled surface of an air-sick bag someone had re-stuffed in that little pocket behind the seat ahead. To wit: were hand sanitizers effective disinfectants -or merely proxy-deodorants that gave the impression they were eliminating something that they were only temporarily covering up?
In the interests of adequate and representative sampling, I decided on two study groups: those who initially hand-sanitized without symptoms -no use of tissues- (i.e. initially healthy -arguing that the act of wiping or blowing was likely purposive), and of course the comparison group -the healthy control group- were those who neither sanitized, nor were startup tissuers. I accepted the occasional sneeze in this group in appreciation of the accepted wisdom that we all sneeze from time to time. I wasn’t sure what to do with polite little coughs however, so I tabulated these in each group. Horky, wet coughs, of course, I immediately assigned to the already sick group and just made sure they were not doing it around me or anything –I figured that was fair. So, any change by the end of the flight, and Nobel’s your uncle.
As the flight wore on, I began to hope that this data might well be cutting edge research -New England Journal of Medicine stuff. I was concerned, however, that during those periods of turbulence when I was unable to write, let alone judge the intricacies of tissuing (simple wiping vs full-nose clearing), data compilation might be compromised -but of course both groups would be equally affected, so I decided it would probably cancel out nicely.
I began to have some doubts again during the lights-off section of the trip, however. For some reason, the absence of light and the difficulty of individual identification seemed to engender episodes of what I can only describe as spiteful rogue coughing and camouflaged blowing –the perpetrators obviously having waited for darkness in order to remain anonymous. But fortunately, the distribution was random –indeed, stereoscopic. The initial no-blow areas seemed to be contributing as much night noise as the areas I had previously thought were affected regions –although in the dim light, and ubiquitous ambient groaning of uvular obstruction, all my previously ascertained and meticulously mapped certainty seemed to meld together into unclassifiable lumps.
I suppose the greatest disappointment, however, was with the innocuous, albeit large man seated next to me –the one who had ceded the armrest. It wasn’t so much his sleeping head constantly sliding dangerously close to mine before it mercifully underwent a miraculous gyroscopic correction, nor the gurgling that -in the absence of sufficient light- reminded me of the pebbled creek that burbled and bubbled behind my house. No, rather it was his surreptitious experiments in clandestine wiping and foxy rasping, hitherto undisclosed. Who would have thought that an experimental subject that I had, in good faith, enrolled and randomly allocated to the hand-sanitizer healthy arm, would go over to the dark side? I felt betrayed. But not only that, it made me realize just how porous my categories had become. How similar to Matryoshka dolls were even the best dressed passengers. How they will all ‘round a varnish’d tale’, as Shakespeare could have had Othello say, but didn’t.
So, in the dim, inadequate glow of floor lights, and amidst a symphony of unheralded respiratory dissonance, I decided to suspend the as-yet embryonic study before arriving at the statistically verifiable conclusions for which I had striven. And yet I suppose that with the current penchant for counting simple trends as signifiers, and given observations that were unable to reach even the firm ground of bullet points, let alone a satisfactory level of corroborable validity, I can say with words Shakespeare did write -this time for Banquo: ‘The instruments of darkness tell us truths, Win us with honest trifles.’ So, despite a bout of violent turbulence when the lights came on again, I began tabulating the trends with shaky arrows on the sick-bag until a pale-green shoeless man grabbed it as he torqued past me down the aisle.
I can therefore offer only a shadowy recollection of my findings. First: hand-sanitizers clearly do not work in the absence of light (which serves to let nearby people know you have one); second -people who only cough at night are hiding something; and finally, but even more startlingly, herd immunity becomes herd acquisition on a plane -flagrant plagiarism that begs for further studies.
Me? I didn’t resort to tissuing until the third day of my trip, and even then it was desultory –I’m really not very good at sickness. I did find that I developed an inordinate proclivity for washing my hands, though. That’s healthy isn’t it?