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How Viruses Have Shaped Our World with Joseph Osmundson

How Viruses Have Shaped Our World with Joseph Osmundson

Released Wednesday, 7th December 2022
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How Viruses Have Shaped Our World with Joseph Osmundson

How Viruses Have Shaped Our World with Joseph Osmundson

How Viruses Have Shaped Our World with Joseph Osmundson

How Viruses Have Shaped Our World with Joseph Osmundson

Wednesday, 7th December 2022
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0:00

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0:52

Hello and welcome Factually. I'm Conover.

0:55

Thank you so much for joining me once again

0:57

as I talk to an incredible expert. about all

0:59

the amazing shit that they know that I don't

1:01

know and that you might not know. Both of our minds are

1:03

gonna get blown together and we're gonna have so

1:06

much fun doing it. I wanna remind

1:08

you, if you wanna support the show, please head to

1:10

patreon dot com slash adam Conover for

1:12

just five bucks a month. You can join our Patreon

1:15

Discord You can get every episode

1:17

of this show, ad free, and you can join

1:19

our community book club. It's such a fun

1:21

community. I love hanging out with everybody

1:23

there, and I hope you will come join us

1:25

at patreon dot com slash Conover. Now

1:27

this week on the show, we're talking about

1:30

viruses. I love viruses

1:33

so much. No. I know. It's weird to say I love

1:35

viruses. Okay. don't like it when they infect

1:37

me and get me sick. I don't like when they

1:39

when they shut down our entire society. I

1:41

don't like when they kill loved ones of

1:43

mine or anyone's loved ones. But

1:45

I do find viruses endlessly

1:48

fascinating as a form of

1:50

life because

1:51

By thinking about viruses, we can get

1:53

a sense of what life is at the

1:55

absolute

1:56

minimum. When I think about viruses,

1:58

it makes me realize that life

1:59

is nothing but a complicated chemical

2:02

reaction because viruses are

2:04

just a teeny tiny little sequence

2:07

of chemical instructions that hack our

2:09

cells and control how they replicate

2:11

and cause ourselves to replicate the virus

2:13

instead of themselves. They are

2:15

alive. As you'll hear

2:16

me grapple with in the episode, they are alive

2:19

evolution and natural selection do work

2:21

on them, but they are such an

2:24

absolutely minimal, simple form of

2:26

life that it makes me think about how all

2:28

of us at the end of the day

2:29

are just a complicated series of chemicals

2:32

reproducing themselves through the

2:34

laws of physics and chemistry. And that

2:36

is so fucking cool.

2:38

And not only that, by understanding

2:41

them, we understand more about ourselves

2:43

and the world around us. Part of what makes

2:45

mRNA vaccines so cool

2:47

is that we are using some of the same mechanisms

2:49

viruses use, but we're using

2:51

it to hack our immune system so we

2:53

can teach our body to fight back diseases

2:56

like COVID-nineteen that it has never encountered

2:59

before. It's a tiny little hack with

3:01

massive world historical impact

3:04

and that's true of viruses as well. They

3:06

are so tiny and so simple in so

3:08

many ways, but they're also a major player

3:10

in our history, our society, and,

3:12

of course, our lives. Viruses

3:15

can cause our entire global economy to shut

3:17

down for years on end. They can throw

3:19

governments out of power. They can kill

3:21

us in droves. And as we'll discuss

3:23

today, a virus became a flash

3:25

point moment in the fight for LGBT

3:28

rights. Viruses are a biological

3:30

force but they are a social one as

3:32

well. They start their work in ourselves,

3:34

but they end up woven into the fabric

3:36

of our world. So To dive

3:39

deep into this topic today, we

3:41

have an incredible guest.

3:43

Joseph is a scientist

3:46

and writer. He's a professor of biology

3:48

at NYU and most recently he's

3:50

the author of virology essays

3:52

for the living, the dead, and the small

3:54

things in between I was so

3:56

fascinated by this conversation. I laughed

3:58

so much. He's one of the most entertaining

3:59

and thought provoking guests we've ever had on

4:02

the show. and I know you're gonna love it. Please welcome

4:04

Joseph

4:07

Joseph,

4:08

thank you so much for being on the show.

4:10

It

4:10

is a true pleasure to be here.

4:12

Oh, it's a true pleasure to have

4:14

you. So look, tell us

4:16

a little bit about yourself. You have a new bookout about

4:18

viruses, tell tell tell us

4:20

more about your work generally though.

4:21

Yeah. You know, so I have been a have

4:24

been a scientist my whole life. Imagine that.

4:26

I've been doing science. professionally

4:28

as long as I've had a job, and

4:30

I've studied microbes. So small,

4:32

invisible things that cover the

4:34

planet Viruses and

4:36

microbes are more numerous than us

4:38

on this planet by many orders

4:40

of magnitude. there are more viruses

4:43

on planet earth than there are stars in

4:45

the sky. Mhmm. And they shape

4:47

our reality. So, you know,

4:49

oftentimes when there's something that is so

4:51

small, so difficult to understand

4:53

scientifically, but it has such a

4:55

profound impact on

4:58

how we live as humans we

5:00

can actually attach too much

5:02

meaning to that thing. You know, it becomes like

5:04

super saturated with

5:06

meaning. And I think with COVID-nineteen, my

5:08

goodness. have we seen the

5:10

rhetoric spill And

5:12

everyone is trying to grapple. Make

5:14

sense of it. It's nonsensical. So

5:17

in my book, I really argue that

5:19

you have to understand science, to understand

5:21

viruses, but science alone

5:23

is insufficient. We have to look

5:25

at art We have to look at

5:27

narratives and stories. We have to look

5:29

at clear theory and philosophy

5:32

and what they tell us about how

5:34

we've always lived alongside viruses.

5:37

And that through these different sort

5:39

of methods or ways of looking, we

5:41

can start to better approximate the nuances

5:44

of these very complicated, very small

5:46

objects. I love

5:47

that you have that perspective because so often,

5:50

you know, I'm I'm from a liberal arts background.

5:52

I studied philosophy as I've said on the show, far

5:54

too many times. But, you know, the liberal

5:56

arts ideas to sort of take all the different

5:58

-- Yeah. -- fields in together and

6:00

have them all in conversation with each other.

6:03

which is the way that we know more about the world. But science

6:05

tends to be the one that does that the least that, you

6:07

know, you'll have, I don't know,

6:09

historians and philosophers who learn a lot

6:11

about science The scientists tend to not, you

6:13

know, engage with philosophy a lot. So I

6:15

love that you come at it from that angle.

6:17

I'd love to just talk a little bit

6:19

about viruses themselves. You

6:21

said microbes and

6:23

viruses. I know that viruses are not

6:26

microbes. Is that correct to

6:28

say viruses? viruses are

6:30

so interesting. What the fuck are they? Just

6:33

Like, I love thinking about what viruses

6:35

are because I know there's this whole are

6:37

they alive? Are they not alive? Yep. Like, they're not

6:39

themselves able to reproduce.

6:41

They're not unit they're not

6:43

like where they're

6:45

not, like, on the fucking tree of life, really.

6:47

But they're, like, some sort of little thing

6:50

that hacks our DNA. Please, you tell me what how do

6:52

you describe viruses. And and

6:54

yet, you, Adam, sitting

6:56

here right now, are roughly ten

6:58

percent

6:59

ancient virus. Your DNA has

7:02

is roughly eight to ten percent what we

7:04

call endogenous retrovirus. So

7:06

these are viruses related to HIV that

7:08

have infected you know, our ancestors

7:10

many, many generations ago that have

7:12

lost the ability to leave our bodies that have

7:14

become us. They are

7:17

us. Right? Viruses

7:19

are certainly are microbes.

7:22

Microbes sort of are microscopic

7:24

organisms, and they include everything

7:26

from bacteria. The virus

7:28

is to yeast and fungi.

7:30

Yep. Yep. Yep. You know,

7:32

as you mentioned to a biologist,

7:35

a virus is not a living

7:37

object because it cannot replicate itself.

7:39

But it gets messy, dare I

7:41

say clear, because

7:44

there are viruses are clear microbes.

7:47

Okay. Keep going. Keep going. I was I was going to see

7:49

all of these distinctions are get

7:51

very messy because for example, there

7:53

are species of bacteria that

7:55

we consider living, but that are

7:58

obligate endosymbctions, which

7:59

means they exist only

8:02

and can exist only in

8:04

the gut of a worm, for example. So

8:06

that bacteria can't replicate on

8:08

its own, and yet we call it

8:10

living, whereas -- Mhmm. -- for a virus,

8:12

we say it's not living precisely at only

8:14

because it cannot replicate on its own.

8:16

Mhmm. So, you know, evolution

8:19

you know, is this driving force of

8:21

what makes different organisms, what they

8:23

are at every level from

8:25

the hands that I have to the DNA

8:27

that is in my genome? and

8:30

evolution acts on viruses and microorganisms

8:32

and viruses are weird as fucking

8:34

shit. You know, I was studying a

8:36

virus in my PHD.

8:38

that had just we knew its genome.

8:40

We knew what genes were in it. We knew nothing

8:42

else about it. And like eighty

8:44

percent of its genes were not related to

8:47

anything else that existed ever been

8:49

studied. Right? So each virus sort

8:51

of often finds its own

8:53

evolutionary niche, its own way

8:55

of being in the world that that

8:57

no other living thing and maybe no

8:59

other known virus has

9:02

has evolved that same pathway.

9:04

So they are fascinating tricky

9:06

little things and, you know,

9:08

they're tricky precisely because you can make it

9:10

antibiotic for a bacteria

9:12

because they all have similar mechanisms of

9:14

living -- Yeah. -- whereas each virus

9:16

is do something different.

9:19

Right? So an

9:21

HIV drug is not going to work

9:23

against the polio virus or a monkeypox

9:25

virus or any other virus necessarily.

9:27

You sort of have to tackle each virus

9:29

individually in terms of vaccination

9:31

and also in terms of medicines

9:33

to stop it from replicating?

9:35

Here's so Okay. Thank you for

9:37

correcting all the wrong shit that I said.

9:39

And I I love that you point

9:41

out that viruses are operated

9:43

on by evolution, by natural selection,

9:46

and that if we wanna call evolution

9:48

something that happens to living things, then we

9:50

would, as suppose, say, the viruses

9:52

are living. But here's what I trip

9:54

out about. when I think about

9:56

viruses, is that like bacteria,

9:58

okay, I understand it's a little, you

9:59

know, unicellular organism and it's

10:02

reproducing and it's having you know,

10:04

etcetera, it's doing its

10:06

thing. Viruses almost

10:09

strike me as like, it's almost just like a

10:11

chemical reaction. that's happening. Right? It

10:13

seems like it's very simple in some

10:15

ways that, hey, I've got a whole bunch of cells

10:17

and a self perpetuating

10:20

reaction starts happening where this particular, you

10:22

know, little collection of molecules when it

10:24

enters my field,

10:25

oh, it interacts with my

10:28

molecules in a way that causes it to be reproduced.

10:31

in this way that I find very inimical. It

10:33

hurts my life. Right? But

10:35

we talk about them so often as though

10:37

as though there are enemies. You know, COVID

10:39

nineteen is a very smart virus. If you

10:41

know, it's very clever. People

10:43

describe, we'll enter more programorifies it this way.

10:45

But then on the other hand, it's just

10:47

like it's it's a I don't

10:49

know. It's it's something very simple and small

10:51

happening. I'm talking around in

10:53

circles. You respond to whatever nonsense

10:55

I'm saying. You have you have it precisely well,

10:57

not precisely. You have roughly forty three

10:59

trillion in sales in your body

11:01

any given day. Some more or

11:03

less. your your DNA

11:05

that makes you up is

11:07

made of three point two billion

11:09

unique letters of information

11:12

Well, to a to a biophysicist

11:14

in a way you are not neither

11:17

no more nor no less complicated than

11:19

a virus. Right? your DNA

11:21

programs a set of cells

11:23

to create a bunch of structures

11:25

that give you the ability to be a

11:27

human and, you know, Your consciousness

11:29

is related to your development of your brain

11:31

and your neurons. And, you know,

11:33

functionally, everything

11:35

we experience see taste,

11:37

smell. It's just electricity across

11:39

a membrane. Right? And

11:41

and viruses play on that same level

11:44

of biology, that same

11:46

level of information encoded

11:48

in genetic material, then

11:51

is acted upon based on nothing

11:53

more than the sequence of the genetic

11:55

material. I find, you know, first of

11:57

all, I will say, you know, viruses can

11:59

make us sick. Of course, they can.

12:01

And they can even kill us.

12:03

Ninety nine point 999999999

12:07

etcetera, percent of viruses on this

12:09

planet will not.

12:10

Really? Even oftentimes when you are

12:13

infected with the virus, you

12:14

are not sick. Wow. If you

12:17

get herpes, If you get a

12:19

cold sore, you will

12:20

have herpes for every day that you live

12:22

until you die. That

12:23

virus will always be in

12:25

you and your immune system will essentially

12:27

always be talking to it and telling it to shut

12:29

up, and the virus will always be there kind of

12:31

hanging out. There's work

12:33

by this guy name, get this.

12:35

This guy's literal name is skip

12:38

version the third.

12:39

Amazing, amazing

12:42

virologist name. I love how after two

12:44

skip versions they're like, you know what?

12:46

Go again. we're going again with skip

12:48

version. You gotta skip just just make

12:50

sure you skip every third version. Okay? If you're

12:52

going on list of versions, just you can

12:54

you can go with it, you can you can fuck the first

12:56

version, you can fuck the second version, skip the third

12:58

version, then go to number four. That's what

13:00

that makes me think. I

13:02

really wanna know I really wanna know

13:04

if there's skip version the fourth. I think I'm gonna email

13:06

him later. We we didn't meet a couple of times. I

13:08

have met skip version.

13:11

He does this incredible work on how

13:13

important microbes are for

13:15

a functioning immune system. A lot of people are

13:17

taking us out of perspective with COVID like,

13:19

oh, we've been wearing masks for two years

13:21

and that's why everyone's getting sick right now, that's

13:23

bullshit. But because

13:25

the world is covered in microbes, it

13:27

is the only human experience

13:29

to grow up constantly interacting with

13:31

microbes. And Skip actually showed

13:33

that having a herpes one infection,

13:35

like pretty much everyone does,

13:37

is actually preventative against

13:39

certain bacterial and

13:41

parasitic infections. So -- Wow. --

13:43

almost think about herpes one, as

13:45

part of your immune system. It

13:47

is actually activating your immune system

13:49

to be ready to fight off other

13:52

things. Right? So you know, we will

13:54

always, you know, this

13:55

notion of virus as being our enemy. I

13:57

think it's

13:58

it's one that I worked very hard in my

14:01

book. try to reframe because if

14:03

we view it that way, you know, essentially, they're

14:05

gonna win and we're gonna lift because they yeah.

14:07

They're gonna be here long after we're

14:09

gone. They they were here before life

14:11

evolved, you know. It's sort of like trying to

14:13

fight the wind. Yeah. It's just like

14:15

it's just not it's just

14:17

not hot. happened. But so how do wait. III

14:19

want you to go into more detail than that. Why

14:21

do you say the viruses were here before

14:23

life evolved? Because to me, I think of what

14:25

might just, again, dumb dumb understanding what

14:27

a virus is is a virus is something that sort

14:29

of operates on life that it needs to take

14:32

advantage of an existing organism in order to

14:34

reproduce itself. So how would a virus exist

14:36

before life? We think that

14:38

early life was essentially like a

14:40

virus. Before there

14:42

were cells, there were virus

14:44

like objects and, you know, that were

14:46

able to take things from the

14:48

environment and use very simple

14:50

systems to replicate their own genetic

14:52

material. Essentially, life

14:54

began as a virus is

14:56

the idea. That's

14:57

and now now you've just got me

14:59

thinking about what life is,

15:03

which I love to think about. Right? because

15:05

it bring again, brings you back to life as a

15:07

chemical reaction as nothing but a self perpetuating

15:10

chemical reaction that becomes more and more

15:12

complex over time. which

15:14

is just my favorite thing to just,

15:16

you

15:16

know, lie back and and just think about that

15:18

world for a long time. But okay. So I

15:20

I want you to go into more detail on

15:22

I believe you said endogenous retroviruses.

15:24

These are viruses that became

15:27

part of our bodies and are part of us permanently.

15:30

So how do we think that that happened? And and what

15:32

are some examples of those? So

15:34

the oh god. They're RTLVs or

15:36

something like this. They are all these horrible names.

15:39

that I can never remember. And

15:42

there's an open evolutionary question

15:44

about whether

15:47

whether retroviruses like HIV

15:50

evolved from the endogenous ones by

15:52

gaining the ability to leave cells

15:54

or if the ones in us

15:56

evolved from retrovite from a previous HIV

15:58

like infection by losing

16:00

the ability to leave cells. Wow.

16:02

They were a long thought to be dormant.

16:05

So, you know,

16:07

genomes like

16:08

sets of genes in

16:11

organisms like humans. We can

16:13

carry a lot of junk around Factually metaphor.

16:15

Like, you know, there are plants that are like

16:17

ten percent of their genome is

16:19

is what they need to be a plant. Everything else

16:21

is endogenous a huge amount of

16:23

our DNA is just not

16:25

actually used for anything. And is that where the

16:27

viruses are? That's like in our

16:29

DNA. Wow. So it's a

16:31

part of what we used to call when

16:33

I was doing my PhD, we used to call

16:35

this junk DNA. Right? Because

16:37

it's there and it's not doing anything. But

16:39

of course, it it was doing

16:41

something. Junk DNA does a lot. We

16:43

didn't yet have sophisticated enough tools to

16:45

understand what it was doing. So

16:47

Factually endogenous providers is we

16:49

used to think about them like hanging out,

16:51

not doing anything. Incorrect, they

16:53

are actually play important roles in

16:55

early human development. essentially, they kind

16:57

of turn on when you're at the 123

17:00

cell or 124 cell embryo

17:03

level and help regulate your

17:05

gene expression. I mean, they are fundamental and

17:08

integral part of what it means

17:10

to be a human. And

17:12

so you so you say that there's a bit of

17:14

a debate how they actually became

17:16

part of our genome, so there isn't a

17:18

clear answer to that. because I know

17:20

there's the story of I love the story of what

17:22

is it? The the

17:24

mitochondria becoming part of the cell.

17:26

Am I right about that? Am I remembering this correctly

17:28

from whatever sort of radio lab I heard five

17:30

years ago? And

17:32

so to me, it sounds a little bit like that, but we have a little bit more of

17:34

that story. But in this case, we're we're

17:36

not entirely sure what happened. Yeah. The

17:39

evolutionary traject to be honest with you is

17:41

probably forever lost to

17:43

time. The other thing that

17:45

makes these viruses so difficult is they're all

17:47

quite similar to one another. And

17:49

so it can be hard to different it can be

17:51

hard to retell the story.

17:53

Whereas when we think about viral

17:55

evolution that's existed, in real

17:58

time. So HIV from

18:00

well, HIV actually emerges

18:02

in what was in the Belgian Congo around

18:04

the turn of the nineteen hundreds.

18:07

around the year nineteen hundred or

18:09

COVID, oh my god, we are watching COVID

18:11

evolve in real time. Right? It's

18:13

like, oh my god, it's

18:15

b dot q dot x dot z,

18:17

you know, and and oh my god,

18:19

it's gonna kill us all. We

18:21

can understand those evolutionary

18:24

steps by watching them in real time.

18:26

A lot of these, you know, I've

18:28

been looking super fascinated by

18:30

the studying of the Neanderthal

18:33

genome that was actually the the sequencing of the

18:35

Neanderthal genome won the Nobel Prize

18:37

this year. Yeah. And so sort of what,

18:39

you know, humans in Neanderthals existed at

18:41

the same time in interbred. Yeah.

18:43

And Factually lot of some of our DNA

18:45

is Neanderthal DNA. Yeah. And

18:47

a lot of our DNA that's Neanderthal

18:49

DNA has to do with

18:52

infectious diseases, probably and potentially sexually

18:54

transmitted diseases between humans

18:56

and the andrials. I love that

18:58

humans have always been freaky because you know what I

19:01

mean? It's like a little

19:03

inner species yum yum. You

19:06

know, I know I love it. And it's like who who doesn't want

19:08

a little bit of strange, especially when,

19:10

you know, you're you're

19:12

living out on, you know,

19:14

the wilderness and and, you know, you're just trying to forge for food

19:16

every day. And then you see, so I've never

19:18

seen a person like that before. Yep. They

19:20

may I think they must have

19:22

been really into it. Like, I a couple friends who really like, hairy

19:25

Greek guys. You know, I think that's like it's

19:27

like a hair finish, you know. They just love

19:29

rubbing their hands. through the

19:32

back hair. That's that's what I'm

19:34

imagining. That's why New Neanderthals like

19:36

to us. Right? I don't know. I

19:38

mean, who does it love

19:40

tall with a big forehead, like, signing me up. I would

19:42

climb in the Neanderthal, like a tree.

19:49

I love it. And so we actually well,

19:51

there were there were STD's passed in this

19:53

way that then influenced our genome is

19:55

what you're saying. the majority of our

19:58

genome that still stems from Neanderthals

19:59

is around protection

20:02

against infectious diseases Osmundson in

20:05

all likelihood the the boing, going

20:07

diseases. Yeah. That's

20:10

true health care

20:12

as old as time. You know what I mean? That's

20:14

incredible. I mean, with something

20:16

like COVID-nineteen, I mean, our virus is

20:19

continuing to influence our genome. I

20:21

guess is the question I was driving towards.

20:23

almost certainly, although for a virus

20:25

like COVID-nineteen or even like HIV, it's

20:27

been too soon. But research

20:29

that just came out gosh,

20:32

a month or two ago. And

20:34

this is, of course, not a virus, but showed

20:36

that the plague in Europe

20:38

created bottlenecks in evolution that

20:40

still are influencing our genes to this day hundreds of

20:42

years later. That was because the population loss

20:45

during that. That's right. That's right. Yeah.

20:47

Mhmm. so that creates different

20:49

evolutionary scenarios where certain

20:51

genes of the people who happen to survive the

20:53

black plague are now more common in

20:55

descendants of those populations. And

20:57

we've had a large -- I mean, there's been a relatively

21:00

large reduction in population because

21:02

of COVID-nineteen. So, presumably, you'd

21:05

see some effect from that. I

21:07

mean, look, you love you

21:09

love viruses so much

21:11

clearly. It makes me wonder

21:13

when a new virus arises because they

21:15

do pop up like COVID nineteen or

21:17

like HIV back when it it

21:19

first arose. Does this excite you? I mean,

21:21

when when the news of COVID nineteen broke or

21:23

were you slightly like this is good. I

21:25

mean, it's horrible. But also, is

21:27

it kind of fun? It's

21:28

it's a morbid fascination -- Yeah. --

21:30

for sure. But it is not fun. You know, I Monkeypox

21:33

this summer, for example -- Yeah.

21:35

-- incredibly not fun.

21:37

You know, is there's

21:40

Viruses are awesome in sort of the

21:42

original sense of the word that

21:45

they do inspire ah. I mean --

21:47

Yeah. -- HIV has ten thousand

21:50

letters, and you have three point two

21:52

billion. And if you get that virus

21:54

and you don't take medication, it

21:56

will kill you. Yeah.

21:57

That is awesome. There is a power

21:59

in

21:59

that. That is incredible. The

22:02

the cool thing about that is that

22:04

studying, well, first of all, we've been able to

22:06

develop really good meds. That means that

22:09

HIV essentially has

22:11

not as much impact on your health.

22:13

Yeah. And studying HIV

22:15

has taught us really a

22:16

huge amount of the cell

22:19

biology that we learned in the 90s and

22:21

2000s was through studying how

22:23

HIV trick cells into doing all the

22:25

things that it needs to do. So of course,

22:27

when you study a virus, you also

22:29

study the cell that it infects and you learn

22:31

a huge amount about these biological

22:34

tricksters. Yeah, come to think of it, like,

22:36

as a kid growing up in the

22:38

'80s and early '90s, I mean, there was a ton of

22:40

information about HIV. I just

22:42

remember watching PBS, and it was like,

22:44

hey, here's a half hour explanation

22:46

of how HIV works, t cells,

22:48

and all that kind of thing. And

22:50

come to think of it. I'm like, that that is maybe part of

22:52

the reason that I have like a relatively good

22:55

understanding of how virus is what is because this

22:57

is like a hot topic. that it

22:59

was like something everybody was really

23:01

interested in learning more about and

23:03

fighting and and was cutting edge science

23:05

at the same time. that it was, you

23:07

know, tragically killing so many people.

23:10

You

23:10

know, the the story of

23:13

the scientific

23:13

response to HIV and the

23:16

demand from people who were most impacted

23:18

by the virus, the demand that

23:20

their wives mattered enough that this

23:22

should be a scientific priority.

23:25

shifted both science and

23:27

science advocacy for

23:29

forever. And in ways that are

23:31

still, you know, I in my work

23:33

on COVID, and on monkeypox

23:35

and continuing work on HIV. You

23:37

know, I've been able to work with some of these some of

23:39

these folks David Barr and Mark Harrington and

23:41

Greg Gonzalez, who were a huge part.

23:44

of the act up New York organization

23:46

that really pushed pushed

23:48

to be taken pushed for the

23:50

science of HIV to be taken seriously.

23:52

and without them, the drugs that did come in nineteen

23:54

ninety six would have certainly come

23:56

much later. Yeah,

23:58

that's that

24:01

interaction with that history, though, is,

24:03

like, incredibly fascinating. I have a lot more

24:05

I wanna ask you about it, but we've gotta take a

24:07

quick break We'll be right back with more

24:09

Joseph Osmundson.

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Okay. We're

26:56

back with Joseph Osminson. Right before break,

26:58

you were talking about you

27:01

know, the history of HIV, how that caused

27:03

a sea change in scientific

27:05

understanding of viruses, also the way

27:07

that science has been done because of

27:09

the demand by those activists for science to take

27:11

them seriously. And I'm just curious because it's

27:13

come up a couple times, like, how has

27:16

queerness influenced your scientific

27:18

work if it has at

27:20

all? Yeah, you know, I

27:22

think it impacts what

27:24

I find interesting. I always

27:26

wanted to study viruses

27:29

and I wanted to study viruses, I'm sure because

27:31

growing up as a person

27:33

born in nineteen eighty three,

27:36

they were just always on our minds. You know, HIV

27:38

was such a huge part of

27:40

my childhood. Yeah. It

27:43

connected

27:44

sex to death in

27:46

a way that I don't think is

27:49

healthy for a young person,

27:51

but that was the reality. I

27:53

mean, it was you know, my first met I

27:55

was born in eighty three, so I'm, like,

27:57

six to twelve in the early

27:59

nineties, late eighties. And

28:01

at that time, HIV was on their nose all the time,

28:03

and it was neurothelial sarcoma, and

28:05

it was people wearing eighty pounds

28:07

and their friends holding their hands, they

28:10

died. and it because sex

28:13

and they

28:13

were and queer sex more specifically.

28:15

You know,

28:17

and that,

28:18

I think,

28:19

imprint on you in ways both that you

28:22

realize and in ways that you don't realize.

28:24

Yeah. I also read the hot

28:26

zone in, like, middle school, and I was like

28:28

reading it on the bus. and, like, someone

28:30

bombarded, like, three c you know, it's about Ebola

28:32

hemorrhagic fevers. Right? And so it's like,

28:34

I'm I'm reading the scene and it's, like, in

28:36

the Congo and someone's, like,

28:38

vomiting out blood and their insides

28:40

are disintegrating and, like, Susie, three

28:42

seats back literally had too much candy

28:44

at lunch and, like, started vomiting

28:47

on the bus. And then I started

28:49

vomiting on the bus, and I was

28:51

convinced that I had Ebola, you

28:53

know. It was just like a In reality, you

28:55

were just one of a hundred thousand kids to throw

28:57

up on the bus that day. Kids just throw up to

28:59

be a bus driver is to constantly be cleaning

29:01

up kid vomit. Right? like,

29:03

looking for, like, speck specked

29:05

of black blood in my vomit. Like,

29:08

every totally fucking normal

29:10

twelve year old child. And this

29:13

brought you to where you are

29:15

today. Baby, my parents shouldn't have bought me

29:17

the hot zone in paper back from the

29:19

Michael Price Conover. It

29:21

was not that was the hot zone was a Preston,

29:23

I think Richard Preston. It was a It was a non

29:25

fix. It was A00 It's

29:27

a non fix. It was not the was not the abdronomerist

29:30

strain or That's what I was thinking of. Yeah.

29:32

Yeah. Yeah. Yeah. This was a nonfiction

29:34

about about Ebola virus.

29:36

and that family of viruses. And it

29:38

certainly is sensationalized. You know,

29:40

I have good friends now who work

29:43

on Ebola. including who have

29:45

done patient care on a

29:47

bullet. And a bullet

29:49

doesn't look like that most of the time in real

29:51

sense. Uh-huh. But that doesn't make for

29:53

a page turning, you know --

29:55

Right. -- best seller in the mid

29:57

nineties. So, yeah, I think, you know,

29:59

there's always been scientists

30:01

believe it or not, our people. And what

30:03

we find interesting comes

30:05

from things that have happened to us

30:07

and our wives. And so yes, certainly my

30:09

fascination with viruses has come from living

30:11

in the late twentieth century which is an age of

30:13

the reemergence of infectious diseases.

30:16

If you remember before HIV,

30:18

people thought infectious diseases

30:20

were forever gone. Right. Right.

30:22

Smallpox, we had wiped out all of these diseases, wiped

30:25

it out, you know, a polio, measles,

30:27

you know, we essentially

30:29

we thought viruses were to put because

30:32

of that seins, and bacterial infections were all

30:34

treatable with antibiotics. Infectious

30:36

diseases, humanity has

30:39

one you're done. It's

30:41

over. This is, you know, cancer is

30:43

real. Diabetes and heart disease are real.

30:45

Infectious diseases. What I done?

30:47

Yeah. Well, HIV

30:49

showed us that that was

30:51

a little bit of hubris. Uh-huh.

30:54

Yeah. You'd said right before

30:56

we started rolling, that some

30:58

of your work involves, you know, communicating with queer communities

31:01

about how to stay safe during COVID nineteen. Tell me

31:03

a little bit of that work and how you got involved

31:05

in it. Well,

31:07

yeah. You know, I'm just a nerd and

31:09

also a a fag and have

31:11

some slutty tendencies. And So

31:15

at the beginning of COVID-nineteen, when

31:18

all the scientists friends that I knew

31:20

infectious disease folks were watching data

31:22

and we kind of knew that something really nasty was coming

31:24

our way. You know, I

31:26

was doing some outreach to to

31:29

nightlife and sex parties because if

31:31

you're in a respiratory infection, being at

31:33

a circuit party with fifteen hundred people

31:36

or at a sex club in one tiny room

31:38

with two hundred people, It's

31:40

a pretty bad situation for the transmission of

31:42

the virus. Yeah. Because of the dancing

31:44

or the sex. Because of the ventilation.

31:47

Yeah. The ventilation, the

31:49

air. And so I was just doing outreach, you know, and just Yeah. You're like,

31:51

hey, guys. Fuck all you want, but go to

31:53

an open field. Like like like like three

31:55

holes are back, baby. They're back.

31:58

I literally, one of these parties so I've

32:00

been working extensively with these parties. One

32:02

of these parties literally set

32:05

up I'm not gonna name the name of the park or

32:07

the the spot, but a very infamous

32:09

park in New York has a very

32:11

infamous wooden area

32:14

that's used been used for gay cruising since the

32:16

sixties and seventies. Mhmm. And they brought

32:18

their party to that park,

32:20

you know. They hosted a weekly

32:22

outdoor cruising party, and I'm

32:24

like, fucking sluts are

32:26

the best. and

32:28

safe. Safe sluts is what we're we're getting

32:31

it in and caring for each other and

32:33

caring for our communities and it's

32:35

outside and You know? It's like people

32:37

are wearing masks and then taking them down

32:39

to do a blow job and then putting them back

32:41

on, you know. It's like, it's

32:43

winning, it's great, you know. Beautiful. Mhmm.

32:46

So it's it's, you know, these types of

32:48

solutions that, you know, that

32:50

come from someone who has the gay voice

32:52

and does the limpress. And

32:55

isn't I'm like the least

32:57

sex negative person on the face of the planet. So when you when I talk

32:59

to people about the risk

33:02

behaviors or this virus with that, they know it's not coming

33:04

from a place of a

33:06

lot of it historically has come of people

33:08

who just don't like queer sex, don't

33:10

like queer pleasure, don't like thinking about

33:12

the fact that people are out there enjoying

33:15

group sex, and use whatever virus it is, be it

33:17

HIV or monkeypox or COVID as a way

33:19

to put a stop to the thing that they already are

33:21

just deeply in terribly comfortable with.

33:23

Well, when you go and talk to that community, that

33:25

community knows that that you're

33:27

not someone from the eighties saying,

33:29

you know, hey, if if only you didn't,

33:31

you're saying, you're saying, hey, go nuts, but do it

33:33

safely. Right? And they and and they feel

33:35

that. Yeah. You know, and and

33:37

there might be times when there's no way to go

33:39

nuts safe. Right? Like, the the

33:41

sex parties in New York this

33:43

summer voluntarily shut down because of

33:45

monkey box because it just having

33:47

sex with multiple people in one night

33:49

without good access to vaccination

33:51

when there's high levels of a virus in the community. You're

33:53

not -- Right. -- you know, they said we're

33:55

not doing this. You know, when I go to do outreach

33:57

at an event nightlife

33:59

or a commercial sex venue. I wear my little

34:02

necklace that has my little poppers on

34:04

it. I I was in November

34:06

last weekend, and someone was

34:07

like, oh, I forgot my poppers. And I was like, oh, you

34:10

could borrow mine, and I

34:12

was doing outreach upfront and they did a little lap with my poppers

34:14

and then brought them back to me, you know, it's

34:16

like, there's not a

34:18

lot of translation.

34:20

You know, translation

34:22

of a community values or community communication when

34:24

you have someone who's both an

34:26

expert in the topic, but also

34:28

a member of the community. Yeah.

34:31

You know, people just love it. It's like people

34:33

are like, it's so cool that y'all are here.

34:35

We were doing monkeypox vaccines in

34:37

a van outside. if someone had I had two doses, I was walking

34:39

them down to the van. They were coming back to the party.

34:42

It's like it's how it should always

34:44

be. Yeah. It should be the the rule

34:46

and not

34:48

the exception. And that's public health too to say for that

34:50

for those parties to say, hey, there's a

34:52

there's a virus right now. It's sweeping

34:56

through. let's take a break for a couple months or however long it Let's

34:58

make sure people are vaccinated. Like, that's that's

35:00

the core of public health, and it makes

35:04

me reflect again on why when you look at vaccine

35:06

rates in America, there's so much attention given

35:08

to anti Vaxors and there's so

35:10

little attention given to the

35:12

fact that how many communities didn't have, and not necessarily the

35:14

queer community, but communities of color, and

35:16

whatever city you wanna list, didn't

35:18

have somebody from their

35:20

community, saying,

35:22

hey, this is how we keep each other safe who has that voice of

35:25

credibility rather than people who are seen as coming

35:27

from outside or or, you know, not

35:29

not being representative. I

35:33

think, you know, queer people incredibly high uptake of

35:35

the COVID-nineteen vaccine. And I think this is

35:37

a part of why. We

35:40

are it's it's very normal. We have community experts. We

35:42

have infectious disease doctors who are big

35:45

fags. You know, I you

35:47

know, when I'm doing outreach the

35:49

thing. Some people will be like, oh, I'm a doctor, you know, or I'm

35:51

a nurse or whatever. It's like, we are the

35:54

community, and so we don't have to

35:56

have anyway it's

35:58

not communication with outside experts. It's, you

35:59

know, sort of, elevating the

36:01

experts we have within our community because we

36:03

already have the trust. We already

36:05

have the knowledge. It's just

36:07

sort of, and the frustration with monkeypox this

36:09

summer was that when we were

36:11

going to, you know, people in

36:13

the FDA, the CDC, saying,

36:15

you know, my my dear friend,

36:18

this is a story for me. My dear friend had

36:20

monkeypox. He definitely

36:22

had it. He had gone to Europe and had

36:24

gone to a bathhouse. So he had high

36:26

risk exposure when the rates in

36:28

Europe were very high. He had come back. He had

36:30

developed symptoms.

36:32

and he tried to get tested five times over seven days and couldn't get tested.

36:35

Right. Right? And so that we're then in a meeting with people with the

36:37

FDA and the people with the FDA saying, oh, no.

36:39

Testing is great. You know?

36:42

we definitely, you know, everyone can get tested. We're nowhere near. You

36:44

know, not having enough tests. And we just

36:47

we were like, but that's a so

36:49

active. It's so untrue. You're just lying

36:52

to our faces and we have the

36:54

community knowledge to to show

36:56

that. So it was

36:58

very frustrating that we had so many community experts in

37:00

May, in May and June of twenty

37:02

twenty saying, take this seriously.

37:04

Give us

37:06

the tools. It's not just about messaging, oh, don't have sex. It's

37:08

about if you get if you're sick, get

37:10

tested, if you're having sex, get

37:12

vaccinated. Yep. You

37:14

know? And and we didn't

37:16

have those tools. We didn't have tests and we didn't

37:18

have vaccines. So it

37:20

was very difficult time. Just

37:23

getting back in the biology quickly, is there anything

37:25

particularly interesting about monkeypox as a as a

37:27

disease? I'm just curious as

37:29

a virus? Well, The

37:32

most interesting thing about monkeypox as a virus

37:34

is very similar to

37:36

the story from HIV. I'm actually

37:39

working on a a book with a dear friend of mine, a

37:42

girlfriend who's a podcast

37:44

singer and a human rights expert,

37:46

and he's from the Congo.

37:49

The Congo

37:49

is where both monkeypox and HIV

37:52

emerge. And

37:54

these viruses emerge in a social

37:57

and political context. and the social and political context

37:59

of the monkeypox virus is that it

38:02

emerges in the Congo.

38:04

In nineteen seventy, we identify it in

38:06

a human

38:08

And at that time, we were vaccinating for smallpox because we

38:10

were trying to eradicate it from planet earth.

38:12

Right. So basically, everyone in

38:14

that region where monkeypox is in

38:18

rodents and sometimes pops into humans. Basically, everyone was immune from the

38:20

smallpox vaccine. But when we eradicate

38:22

smallpox in nineteen eighty, we

38:24

stopped vaccinating

38:26

against smallpox. that therefore no one

38:28

born after that time has immunity

38:30

against monkeypox. So essentially the

38:32

population immunity

38:34

against monkeypox is going down down

38:36

down over time. And so the virus is popping up

38:38

more frequently and it's staying in

38:40

humans longer. And that

38:42

leads up to twenty ten, twenty seventeen, between twenty seventeen and

38:44

now, there's been a nonstop

38:46

monkeypox epidemic

38:48

in Nigeria. Right?

38:50

And and we somehow imagined this wouldn't affect the rest

38:52

of the world. Right? Because we think Western

38:55

lives are not

38:57

connected. to

38:58

West African lives. And that is an incorrect and

39:01

racist, colonialist assumption. Yeah.

39:04

And so,

39:06

you know, these viruses, the biology of

39:08

these viruses, intersects

39:10

and interacts with social

39:14

and political realities

39:16

and assumptions. And

39:18

so that to me is I think where

39:20

that's both the most depressing and the

39:22

most hopeful thing that there is depressing

39:25

because we try to ignore that

39:27

reality and hopeful because if we now

39:29

take the opportunity right now, to

39:31

say that our lives are connected to Nigerian

39:33

lives. And therefore, Jimio's

39:36

vaccine access to

39:37

Nigerian people, including

39:39

but not limited to Nigerian and queer people matters to

39:41

me materially, you know, and we

39:44

have that vaccine. We let twenty

39:46

million doses of

39:46

it expire in a freezer in

39:50

Denmark. as opposed to giving it to people in

39:53

Ghana, Nigeria, the Congo who

39:55

needed it. Right? And and

39:58

these choices Well, we

39:59

could make

39:59

them differently in the future if we had the

40:02

political will. Yeah. If we

40:04

recognize it, you and I can recognize it right here.

40:06

It's a bigger job

40:08

to make everybody else in power recognize it or to

40:10

make our culture give

40:12

give priority to that. overall.

40:15

It also makes me think about you say that

40:17

these viruses are intertwined with their social and political

40:20

distinctions or

40:22

conditions. that's clearly true because whether or

40:24

not these viruses even arise is related

40:27

to population density

40:30

and you know, proximity

40:32

to public health and and,

40:34

you know, proximity to concentrations

40:36

of animals and how many animals are concentrated

40:38

in a place. And all these sorts of I

40:41

mean, we we create these conditions ourselves. It's really

40:43

interesting that you brought up, that we

40:46

eradicated smallpox and these other

40:48

diseases with

40:50

you know, a technological solution with a vaccine that we distributed widely.

40:53

And then, as you say, had this

40:55

impression, oh, that's just gonna solve

40:57

everything forever. And neglected

41:00

as a as a global society to realize,

41:02

oh, well, more will arise.

41:04

And we actually are in control

41:06

of whether or not they do. They'll arise

41:10

because of our actions. That's right. Because we're concentrating

41:12

people, concentrating animals, increasing

41:14

that level of interaction, and not

41:18

distributing healthcare resources equitably,

41:20

that's going to be the

41:22

result. And it's like, you know, we had the medical

41:24

technology, but not the social technology. And it's a

41:26

thing we keep returning to on

41:28

the show. Yep. Yeah. And

41:28

and, you know, now that we have

41:31

the medical technology, is

41:34

constantly a choice who will have access

41:36

to it, which is another way of saying this social

41:38

technology. Right? Yeah. You know, I think

41:40

one of the stories it

41:42

gets lost in work on

41:44

HIV AIDS is

41:45

what happened between nineteen

41:46

ninety six and two thousand and six.

41:48

Right? In nineteen ninety six, you

41:51

have the biomedicine arise, be developed, they can

41:54

save lives. The three drug

41:56

cocktail that brings people back

41:58

from the brink

42:00

of death. you know,

42:02

activists then said, well, this pill

42:04

costs less than a dollar to

42:06

make. So shouldn't everyone on

42:08

planet Earth have access? and the

42:10

pharmaceutical companies said no. They

42:11

said no. People in South

42:13

Africa will not have access

42:15

to our drug. and work, really a decades

42:17

work, worth of work from

42:20

universities who co owned

42:22

patents to South

42:25

African officials that just said we're actually not going to

42:27

abide by patent law because it

42:29

is ghoulish and we are not going

42:31

to do it. companies

42:33

in India that began manufacturing the

42:36

pills and a huge

42:38

activist push, a global

42:40

activist push to really humiliate the drug companies

42:42

for their greed, and it

42:44

was largely successful. And I

42:46

really hate to do this. Are you ready for, like,

42:48

the worst in

42:50

the entire history of bad news. Oh, give

42:52

it to me. This is what I live for. Tell me

42:54

Have you heard a pet far? No,

42:57

I have not. Pepfar is a US

42:59

government funded organization that

43:02

ensures access access

43:04

to HIV medications to people globally. So in

43:07

South Africa, in India, and Thailand, wherever

43:09

you are, if you have HIV,

43:11

you get no cost HIV

43:14

meds. People shouldn't die of HIV

43:16

given that there are meds that can be made.

43:18

Do you know who funded,

43:20

Pepfar? No, I do not. George

43:22

W. Bush. Good job,

43:24

George. You know

43:28

In two in two thousand and

43:30

three George. I mean,

43:30

in two thousand

43:31

three, it it it it is one of

43:33

the most progressive it is probably the

43:35

most progressive piece

43:38

of American public health funding

43:40

-- Wow. --

43:40

that has ever been made. I think English has one

43:43

or two things on his record like that where

43:45

it's like somebody's administration was

43:48

like, hey, we should do this. And they were just like, yeah, good idea

43:50

because they weren't completely fucking insane yet.

43:52

They had a little bit of occasionally,

43:54

they would see reason. apparently

43:56

someone went to George Bush and said people are dying of HIV and

43:58

they don't need to, and that made him really

44:00

mad. Yeah. You you really was

44:02

like, I mean, this guy had

44:04

one compassionate thing in him. And and it was

44:07

that people don't need to die of

44:10

HIV unnecessarily. But, know,

44:12

we argued in January of twenty twenty

44:14

one that we needed a Pepfar for

44:17

mRNA vaccines for COVID. Right?

44:19

That that it's the same thing that no one

44:21

should go on vaccinated against a

44:24

deadly infectious disease just because of

44:26

where they live on the planet. we were we

44:28

actually had for some time some traction

44:30

in the Biden administration on that

44:32

idea, and pharma really shut it down.

44:34

that the manufacturers of the mRNA vaccines weren't,

44:37

you know, it was the same thing where like

44:39

you're not going to lose money. Let's have a

44:41

factory in South Africa.

44:44

on how to make mRNA vaccines for this one. And they basically

44:47

said, no, bitch, you can't do it because it's not

44:49

just about this mRNA vaccine. It's

44:52

about the next one and the next one and the next one and we are not gonna teach other

44:54

people how to use this technology. They

44:56

they see it as a slippery

44:59

slope for them where it's

45:02

gonna reduce ability to capitalize on any number of

45:04

future, so other mRNA

45:06

vaccines using that technology to

45:09

to cure other diseases? Is that what they were concerned with having

45:11

their vaccine? Wow. But this

45:14

but mRNA vaccines, as we've talked about

45:17

on this show, are the greatest you you got your hands up. You're

45:19

like, hey, it's not me, man. Meet

45:21

you. mRNA vaccines are one

45:23

of the greatest medical

45:26

technology break throughs of the last couple decades. They're incredible.

45:28

We did a bunch of episodes on them and

45:30

how how like, once you understand how

45:32

they work,

45:34

they're like, fucking space

45:36

race shit. They're incredible, and

45:38

they are so there's such a positive

45:40

move for our ability to fight other diseases.

45:42

And so the fact that they would stand

45:45

in the way of that is unconscionable.

45:47

Yep. It

45:47

was, I mean, it was it was

45:49

just a very, yet again, a

45:51

very frustrating activist you

45:54

know, three, four month push where

45:56

we really thought we might be able to get something

45:59

really incredible done. on mRNA vaccines, you know, that

46:01

could have prevented Omecron. Right? It's like if you get

46:04

enough people vaccinated that there's less viral

46:06

replication, you also prevent

46:08

viral evolution.

46:10

It's such a win win. We thought it

46:12

was such a no brainer. It wasn't that much money. You know, people around the

46:14

globe love Pepfar. I think there's a lot of philanthropy

46:16

that people in a lot of countries

46:20

are resentful about. They don't love it. People fucking love

46:22

the pet far. You go to any country of

46:24

the world. And people are like, yeah,

46:26

pet far is fucking awesome. them,

46:28

you know. And it and it brings people into into primary healthcare for other things

46:30

as well. It's just like a really great

46:32

program. Yeah. And so, you

46:36

know, these patterns of emerging diseases

46:38

where Pepfar is basically funding

46:40

for HIV meds. So, you know,

46:43

then we saw the need for a pet

46:45

for egg program for COVID. And then we saw the

46:47

need for a pet for egg program

46:49

for monkeypox. So I think what

46:51

infectious disease experts are thinking about is

46:53

that infectious disease money needs to

46:55

no longer be siphoned into this is

46:57

HIV money and this is COVID money and this

46:59

is monkeypox money. there's gonna be shifting global needs and

47:01

there is a high global need as you're saying

47:04

now, you know, given the planet is warming,

47:06

people have more and more interactions

47:08

with wildlife, animals

47:10

are concentrated in certain places

47:12

where people also are, there's going to be

47:15

a global need for HIV monkeypox.

47:18

COVID, you know, got polio, malaria.

47:20

Right? So we need money that is

47:22

able to be accessed by what people

47:26

need that funding for

47:28

for treatment, for testing, for

47:30

research and development. And I think we're

47:32

really pretty much everyone I know

47:34

in the infectious disease world is no longer funds

47:37

for this disease than that, funds

47:39

infectious diseases, and have the

47:41

flexibility to be able to move and

47:43

respond to emergencies. because

47:46

our our lives are so global now. We're so

47:48

connected to everybody else on Earth like we need

47:50

this, not just for them, but

47:52

for ourselves. and you would think that would

47:54

be the lesson we learned from

47:56

COVID-nineteen, but it doesn't sound

47:58

like

47:58

we have. I mean, it's the

47:59

challenge of the entire century as

48:02

global collaboration this on climate change,

48:04

on everything else, but it

48:06

continues to be the thing

48:08

that a hundred years from now they're gonna

48:10

be screaming into the past going, why the fuck didn't you

48:12

do this? It was obvious it needed to be done. It just the

48:14

there's there's

48:14

good choices and there's bad ones and we're not making

48:17

the good ones. We have to take another really

48:19

quick break. We'll be right back

48:21

with more Joseph Osmudson, and I positive I promise it

48:23

might be a little bit more positive. Or maybe not, we'll find out

48:25

Oh, yes. Let's let's get hopeful in this one. Let's do

48:28

it again. I believe Okay. we'll we'll we'll

48:30

be right back. We'll be hopeful with

48:32

Joseph Adlington.

48:35

I'm

48:36

gonna start a podcast called

48:38

being hopeful with Joseph

48:39

Osminson. Oh, that's a wonder that's

48:41

a wonderful idea. Okay. Each

48:44

each episode will be exactly seven seconds

48:46

because that's about as much hope as I can

48:48

muster any

48:50

given day. Okay. Well, we're gonna include that. We're back now. IIII

48:52

want I want I want that promise from you on the

48:54

record. So, Joseph, I wanna ask about

48:56

your book because it is

48:59

really fascinating when I started looking into

49:01

it in preparation for this episode. It's it's

49:03

really a book of literary essays in in

49:05

addition to being a book about vaccines

49:08

and viruses and all the other

49:10

biological things that we might expect. And

49:13

so tell me about you

49:15

know, that part of your work and and

49:17

how you, you know, became how

49:20

you wanted to start doing that sort of

49:22

writing? Yes. So, you know, I don't know if you

49:24

ever. Anyone's paid attention to the rest of this conversation, but I'm kind of a nerd.

49:27

Mhmm. Actually, you know, I also

49:29

come from Arts back around.

49:31

And so in at the very beginning of

49:33

my education coming out of, like, a

49:36

really poor town in the in the

49:38

rural west, I studied French literature and biology by

49:41

side. And then

49:42

I studied biology in France.

49:45

I did a one year

49:48

master's program in Glenobbe, France -- Mhmm. --

49:50

where I was studying the biophysics of the

49:52

pre on protein, which causes mad cow

49:54

disease and crops sold Jacob. And

49:58

I've always

49:59

had reading and writing as a really

50:02

essential component of my life.

50:04

I just again, that's someone who grew

50:06

up in a really rural town without a lot of access to ideas

50:08

and to people, you know,

50:10

to to scholars or writers or

50:14

people doing creative work.

50:16

I met so many ideas that

50:18

expanded my life in books, you

50:20

know. And when I read Judith Butler's

50:22

gender trouble, about

50:24

how all gender is

50:26

performative. When I read

50:28

foucault's interview

50:29

where he

50:31

said, homosexuality

50:32

is not so much a system of desire,

50:34

but something desirable because

50:36

of the friendships that lets you

50:39

make. you know, I mean, that

50:41

shifted my insights. Like, that

50:43

that sentence changed my insights

50:46

because I've I had felt that for a long time. I

50:48

had felt that Whereas

50:50

growing up, I was scared of

50:52

being close to other boys. I would

50:55

you certainly couldn't touch other

50:57

boys, you I have a life that's full

50:59

of casual intimacy with

51:02

friends, men and women, and non

51:04

binary. And what I gift that

51:06

is in So, you know,

51:08

books have had this hugely

51:10

profound impact on my

51:12

life and and

51:14

and I'd always been writing. And it comes out of

51:16

writing a scholarly article. I was writing a scholarly

51:18

article about the genetics of sexuality.

51:22

back in the Lady Gaga days if I was born this way, remember those

51:24

remember those days. Mhmm. And I

51:26

as as a noted bisexual, I

51:29

was like, I actually have a lot of choice in my

51:32

sexuality. I actually have a lot of choice around

51:34

who I sleep with, who I'm romantically and

51:36

sexually attracted to Factually, just because I

51:38

could choose to only super women

51:40

doesn't make my queerness any worse or

51:42

better than anyone else's. Yeah.

51:44

So I was kind of pushing back on the notion

51:46

of the soul gay

51:48

identity was like, I've known I was five that liked

51:50

boys and -- Yeah. -- and

51:52

and the the trouble that comes

51:54

with a a genetic

51:56

reductive view of human sexuality,

51:59

and a dear friend of mine who ran a website at the

52:01

time called the feminist wire, which was kind

52:03

of public facing scholarships. So please write

52:05

about this for the

52:08

feminist wire. And I was like, oh, no. I'm I don't do that. I've you

52:10

know, five thousand words emails to my

52:12

friends. I mean, we we would do book clubs

52:14

and just, like, write emails about every channel.

52:17

back That sounds like you're a little bit SAS curious if you're writing

52:19

five thousand word emails to friends. I

52:22

was they were essays that we were just

52:24

writing an email. My this is my

52:26

dear friend. Whitney,

52:28

and she Factually, for my birthday

52:30

one year in the Aats,

52:32

had bound our emails that we

52:34

had written to each other. Hundreds and hundreds of

52:36

pages. of emails about books and art and experiences

52:38

that we had had. Yeah. You know, so

52:40

it it I had always been doing

52:44

the work privately. And the other amazing thing

52:46

that starting to do more public

52:48

writing gave to me was a

52:50

whole new a set of

52:52

friends and community, queer

52:54

writers are just fucking

52:56

awesome and smart and hardworking.

52:58

And often humble, although

53:00

not always, and often

53:02

with good senses of humor,

53:04

although I'll sometimes not always. And

53:06

it and it is through

53:08

actually this work public writing and

53:11

activism that I made so

53:13

many friends who are a generation older than

53:15

me. I had always sort of

53:17

wanted to have queer elders.

53:20

And I had this sort of notion

53:22

that all the queer elders had died of

53:24

AIDS, which of course is not true.

53:26

Yeah. Many people, you know, who are elders for me

53:28

on forty, so sixty and

53:30

up, did not

53:30

die of AIDS. And I

53:34

have varied your friends now who have met, who are

53:36

writers or

53:37

activists. And all of those

53:39

things are just

53:42

in such incredible gifts in

53:44

my life. So I really wanted my book to

53:46

it is it's exactly literary essays.

53:48

His literary essays about viruses

53:51

and how our bodies interact with them. And I wanted to

53:53

bring that craft and that care,

53:55

that rigor, that

53:58

curiosity, that experimentation

54:00

to the page. My favorite

54:02

I honestly, my friends and I were talking last

54:06

night about doing an event where we all got up and read one

54:08

star good read reviews of our

54:10

books. And

54:14

I honestly honestly love the one star good read review

54:16

of my books that are saying, I thought this

54:18

was gonna be a textbook

54:20

on virology. Conover there was a

54:22

blowjob on gate on page

54:24

two. Like, you're a

54:26

bitch. I got your sixteen

54:28

ninety five.

54:30

Literally, one just said not about viruses,

54:32

about gay culture. But

54:36

Yes. Yes.

54:38

You read the book correctly.

54:40

That is that's wonderful.

54:42

I mean, come on every goodreads

54:44

review. Even when you read Even when you

54:46

get the five star ones, you're like, oh, come on. This is this is

54:49

like, no good reads review is

54:51

any good. You know? everybody

54:53

should go back. Just

54:56

just write down what you thought about the book in a little

54:58

journal. You know what I mean? We Write write your

55:00

friend a five thousand word email. There

55:02

you go. write an essay about what you thought about the

55:04

book. Well, I love writing like that. Some

55:06

of my favorite writing is is, you know,

55:08

that which someone who understands the

55:10

science deeply then

55:12

starts thinking about, hey, what does it mean to us? You know, or

55:14

or how does it affect my life in a

55:17

non trivial way? I mean, sometimes

55:19

it's done trivially, but I

55:22

think that that's so

55:24

beautiful. And so let's let's sort of move in

55:26

that direction when you think about what

55:28

you know about viruses and

55:30

virology and all of this. How does

55:32

that change your notions

55:34

of, say, sickness or

55:36

wellness as you know, as a human

55:38

moving through the world or how how might we think

55:40

about them differently? Yeah. You

55:42

know, I write about about this

55:44

in the book that a a human

55:46

being is I is sort of in a

55:48

constant continuum of sick

55:50

and well. Mhmm. Right? You have

55:52

viruses, you have a herpes virus, and you

55:54

almost certainly The example that I like here is Caparci

55:56

sarcoma, which of course is a famous

55:58

cancer that reads the purple

55:59

blotches on

56:02

ACE patients. the patient did

56:04

not -- it's this virus called

56:08

HHS eight or

56:10

HHV eight herpes simplex virus

56:12

eight, and it is an infection that that person has had for many years. But

56:15

because they have a functioning immune

56:17

system, the virus doesn't

56:20

do anything. it chills.

56:22

It sits there. It's when you have a depressed

56:24

immune system due to aids

56:26

you actually, the virus, can

56:29

activate and cause cancer. Right? So do

56:31

you have HHV eight in you

56:33

all the time? Yes. Are you sick from

56:35

it? No. You're only

56:38

sick. when a set of conditions comes about

56:40

that leads to sort of

56:42

the expression of that virus is

56:46

impact. you know, I think there are writers thinking of Susan

56:48

Sontag and you, Avis here. I

56:50

love you, Aviso. I was thinking of

56:52

her when you were talking about

56:55

we're talking about writing in this way. She's -- Yeah.

56:57

-- such a wonderful essayist about

57:00

medical and scientific issues. Sorry, please go on her.

57:02

And and she writes a lot

57:04

about wellness as a moral

57:06

state. Right? Mhmm. The

57:08

American notion that one can purchase

57:10

wellness, that eating a just salad at

57:12

lunch and having a personal

57:14

trainer and having two percent body fat and only drinking

57:16

smoothies. And it's sort of a class

57:18

symbol is what a

57:21

good person does. and

57:24

therefore, you know, being fat

57:26

or being sick is what

57:28

is by inversion an

57:30

indication of a not

57:32

good person. Yep. And fundamentally, the problem with

57:34

this is the only human

57:36

truth that we all share is that

57:38

we all will get sick and die. That is

57:42

that's it. The only experience all human share is

57:44

sickness that we know for sure you

57:46

experience this and so have I. And

57:48

so it sets us all up to

57:50

inevitably be

57:52

the not good person that we are trying to consume

57:54

our way into being.

57:57

And, you know, I think

57:59

there's something deeply tragic about

58:01

-- Yeah. -- about that. And so I think,

58:03

you know, writing against that and

58:06

remembering that we are always

58:08

influx, that being being

58:10

sick sucks, Right? And

58:11

I thought about this so much with

58:13

monkeypox. My dear friends, two of my I have five

58:15

friends total, not a lot of friends. Two of them

58:18

had monkeypox at

58:19

the same time. and

58:20

they were miserable, not just because they had an infection,

58:22

but because they were feeling all

58:24

of the weight of the stigma about having

58:26

a sexually transmitted infection. Palmanet

58:30

is an incredible writer who died of HIV and

58:32

he wrote about the shame of dying

58:34

of an STI. You know, when your

58:36

mother holds your hand on your deathbed,

58:39

in in a way she knows you died from fucking,

58:41

you know, there and there's an

58:43

inherent shame in that. And, you

58:46

know, it's quite bad enough to have AIDS.

58:48

It's quite bad enough to have

58:50

monkeypox. One doesn't need the

58:52

additional illness of the

58:54

stigma associated

58:56

with it. you know, so it inevitably will harm us

58:58

all. So I think there, you know, it is

59:00

hard to undo

59:02

thinking

59:02

about

59:04

being

59:05

sick as

59:06

sort of a moral failure

59:08

or any sort

59:11

of not, you know, not way of being

59:13

healthy, not being I'm turning forty, my body is changing. I used to have a

59:15

six pack. I don't anymore, you know.

59:17

It just, like, it just

59:19

is not possible. for

59:21

me, and that makes me feel away. And

59:24

that's not good, you know. And so I it's

59:26

this constant sort of working toward

59:30

taking value out of states

59:32

of sickness and health and

59:34

wellness and bodies and size.

59:38

It's

59:38

so true what you're saying. I think about

59:40

when people would do COVID-nineteen posts,

59:42

and they still do, of course. But, you

59:44

know, the I've got COVID-nineteen posts.

59:47

so often they would say, I don't know

59:49

what happened. I did everything

59:52

right. I was good. I

59:54

was good. and I got it and

59:56

you could you could feel in that that there

59:58

was a shame about yet somehow

59:59

I got it anyway. I

1:00:02

also

1:00:02

write it I mean, III do a joke

1:00:04

on stage about this right now that I've been working on

1:00:06

about how, you know, when I drink a diet coke and

1:00:08

people are like, oh, don't you can't drink that, that's

1:00:10

worse than regular coke. And, like,

1:00:12

that's not scientific. They're just they're just saying it's a sin. It's a sin to drink

1:00:15

it. Yeah. You shouldn't be drink. It's

1:00:18

it's chemicals. love

1:00:20

when people say it's chemicals. I'm like, bitch, everything is chemicals. Yes. Water

1:00:22

is a chemical. I'm like, you wanna

1:00:24

rock with you. Yes. God.

1:00:28

I, you know, I

1:00:30

love nothing more than like

1:00:33

a barbecue piece of meat. Yeah.

1:00:35

And the thing that makes barbecued meat

1:00:37

is that char on it, and that's literally

1:00:39

a carcinogen. It causes cancer. I

1:00:42

don't I would rather die of

1:00:44

cancer than live a life without grilled meats. You know

1:00:46

what I mean? I think it's fucking

1:00:48

fine. I I don't need to live to

1:00:50

be a hundred and three. I wanna

1:00:52

do poppers. and eat hard steak. But have a

1:00:54

glass of wine and

1:00:56

just it's there's there's

1:00:58

more to life than just

1:01:00

a thirst or

1:01:02

like the right thing all the time. Barry

1:01:04

me in a coffin of Diet Coke for cup

1:01:06

steak. Mine mine would be gin and tonic. Barry

1:01:08

me in a gin and tonic baby.

1:01:11

Incredible. That that's

1:01:14

you know what? I was gonna ask you another question, but

1:01:16

I actually wanna end right on that

1:01:19

as I get I think perfect way to

1:01:21

go out. Popper's mistake.

1:01:24

Thank you, Joseph, for coming on

1:01:26

the show. Please tell us the

1:01:28

name of the book one more time and where

1:01:30

people can get if you have a favorite bookshop you

1:01:32

wanna shout out. Yeah. It's

1:01:34

virology essays for the living, the dead, and the

1:01:36

small things screen and it's wherever books are sold.

1:01:38

Yeah. Bookshop dot org is great.

1:01:40

Yeah. And we have us actually have a special

1:01:42

affiliate bookshop

1:01:44

at factory pod dot com slash books that takes you to our special

1:01:46

affiliate bookshop, if you wanna support this show

1:01:48

and support your local bookstore. Thank you so much, Joseph,

1:01:50

for coming on the show. This has been so much

1:01:54

fun. I've had a I've had a blast. And less

1:01:56

clinically depressed than I was before.

1:01:58

Morris, you know. Oh,

1:02:00

That is what that is the experience I wanna be

1:02:03

I want people to have on this show. Thank you

1:02:05

so much, Joseph. Thank you.

1:02:06

Well, thank

1:02:08

you once again to Joseph for

1:02:10

coming on show, if you wanna pick up his book,

1:02:12

you can get a copy pod dot

1:02:15

com slash books. That's factualy pod

1:02:17

dot com slash books. and you'll be

1:02:19

supporting not just this show, but your local bookstore when you do so. I

1:02:21

wanna thank our producer, Sam Roudman,

1:02:23

our engineer, Kyle McGraw, and everybody

1:02:25

who supports this

1:02:27

show. dollar a month level on Patreon. Now

1:02:30

look, I'm not recording this episode at

1:02:32

home, so I don't have my complete list of

1:02:34

patrons in front

1:02:36

of me. and also the list is getting very unwieldy at this

1:02:38

point. But let me just shout out a couple

1:02:40

people. I wanna thank Mark Harris. I

1:02:42

wanna thank

1:02:44

Peter Zeglen. I wanna thank Oren Cohen. I wanna thank Clifton

1:02:46

Vargas. I wanna thank Larry Lathouf.

1:02:48

I wanna thank Chris

1:02:50

McInlis. I wanna

1:02:52

thank Kelcro. so many of you signed up in the last few weeks, and really

1:02:54

thank you for doing so. If you wanna

1:02:56

join them head to patreon dot com

1:02:59

slash Adam Conover. We'd love to have you join our

1:03:02

community. Thank you to Falcon Northwest for

1:03:04

building the incredible custom gaming PC

1:03:06

that it records so many of my episodes for

1:03:08

you on. Thank you

1:03:10

to enter w k for our theme song. You can

1:03:12

find me online at adam conover

1:03:14

wherever you get your social media or

1:03:16

adam conover dot net Thank you so much for

1:03:18

listening, and we will see you next time

1:03:20

on factually.

1:03:25

Stipends

1:03:27

audio. A podcast a podcast

1:03:29

network.

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