#104 - COVID-19 for kids with Olivia Attia

Apr 8, 2020 Episode Page ↗
Overview

Peter Attia and his daughter, Olivia, discuss COVID-19 for kids, covering what a virus is, its origin, and why preparedness and discipline are crucial. They also address questions about school, herd immunity, and safe package handling during quarantine.

At a Glance
4 Insights
34m 16s Duration
14 Topics
4 Concepts

Deep Dive Analysis

Defining a Virus and Its Scale

Origin of SARS-CoV-2

COVID-19 Compared to Previous Coronaviruses (SARS, MERS)

Future of COVID-19 and School Reopening

US Preparedness and Response Failures

Impact of Earlier Quarantine Measures

Understanding Herd Immunity

Age-Related Risk for COVID-19 Severity

Precautions for Handling Delivered Packages

The Importance of Long-Term Discipline and Preparedness

Assigning Blame for the Pandemic's Impact

Olivia's Experience with Early School Withdrawal

Challenges and Appreciations During Quarantine

Olivia's Zone 2 Workout Progress

Virus

A virus is a microscopic, 'sort of living' entity containing genetic material that cannot replicate independently. It must infect a host cell to use its machinery to make more copies of itself, sometimes causing illness in the process.

Host (in virology)

In the context of viruses, a host is the organism (person or animal) that a virus infects to facilitate its replication. Viruses lack the necessary internal machinery to divide on their own, so they rely on a host's body to multiply.

Sequencing (of a virus)

Sequencing a virus refers to the process of identifying its unique genetic 'fingerprint.' This allows scientists to understand the exact makeup of the virus, similar to how a person's DNA sequence is unique.

Herd Immunity

Herd immunity is the concept that if a large enough portion of a population becomes immune to a disease (either through infection and recovery or vaccination), the spread of the disease slows down or stops because there are too few susceptible individuals for it to infect.

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What is a virus?

A virus is a tiny, 'sort of living' thing with genetic material that cannot replicate on its own; it must infect a host cell to make copies of itself, sometimes causing illness.

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How small are viruses?

Viruses are incredibly small, about 100 nanometers wide, meaning approximately 1,000 coronaviruses could line up across the tip of a human hair.

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How did the SARS-CoV-2 virus originate?

The virus likely originated in bats, then transmitted to pangolins, and finally to humans, with the first human infection probably occurring in Wuhan, China, around November of last year.

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How does COVID-19 compare in lethality to previous coronaviruses like SARS and MERS?

SARS-CoV-2 is less lethal than SARS (which killed ~10% of infected) and MERS (which killed ~30% of infected), but it spreads much more widely, leading to a higher overall number of cases.

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When will kids go back to school?

It is uncertain, but Peter guesses not this year, and potentially not until next year, depending on how many people have already been infected and the level of risk.

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Why has the US surpassed China in COVID-19 cases?

The US failed to heed early warnings, lacked infrastructure for pandemic preparedness (like national stockpiles of PPE), and was slow to develop and deploy testing, leading to a much higher death rate per capita compared to countries like South Korea.

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Would earlier quarantining have helped?

Yes, especially in high-density areas like New York and New Orleans, where close proximity and commuting challenges amplify viral spread.

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What is 'herd immunity' and is it a good idea to try to achieve it by letting everyone get sick?

Herd immunity is the idea that once enough people are immune to a virus, it stops spreading; however, it's uncertain how long immunity to SARS-CoV-2 lasts, and there are high risks for vulnerable populations who could get very sick or die.

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Which age groups are most and least at risk for severe COVID-19?

Younger people are at virtually no risk of dying from the virus, while older individuals and those with underlying conditions like high blood pressure or diabetes face a much higher risk of severe illness or death.

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Why do we need to wipe down delivered packages?

Studies show the virus can survive on surfaces like cardboard for one to two days, so wiping down packages and washing hands thoroughly reduces the potential for infection from contaminated surfaces.

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Is China solely to blame for the pandemic's impact?

While the virus originated in China and may be linked to certain food handling practices, Peter argues that the US must take responsibility for its own lack of preparedness, slow response, and 'bungling every aspect' of the situation.

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What was Olivia's initial reaction to being pulled from school early?

Olivia was upset and thought her father was 'out of his mind' because she didn't realize the severity of the virus, none of her friends were leaving, and she would miss sports and activities.

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What has been the hardest part of quarantine for Olivia?

Not seeing friends and missing sports like basketball season.

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What does Olivia appreciate more now that she didn't before quarantine?

School in general, realizing how much she and her friends took it for granted.

1. Prioritize Future Preparedness

Cultivate discipline and make sacrifices in the present, even if it feels less pleasurable, to ensure future benefits and preparedness. This approach helps you be responsible enough to handle challenges when they arise, preventing negative consequences later.

2. Own Your Preparedness

Take responsibility for your own actions and level of preparedness in any situation, rather than solely blaming external factors. While external events may occur, your readiness significantly impacts the outcome.

3. Safe Package Handling Protocol

Assume that any incoming packages could potentially have the virus on them, as it can live on cardboard for 1-2 days. Open packages outside, clean their contents, and then wash your hands thoroughly for 20 seconds to prevent potential infection.

4. Discuss COVID-19 with Kids

If you are a parent, consider bringing your children to listen to this specific podcast episode. It aims to answer many common questions kids have about the coronavirus, potentially addressing concerns parents might not have answers to.

I think if you're a kid and you're listening to this, it's important to understand that the adults screwed this up. This is a great example of the adults not doing their homework, not saving their allowance, not eating their vegetables, not exercising, just completely dropping the ball. And now we're paying the fiddler.

Peter Attia

To sit here and blame China for all of this, even though that's clearly where the virus originated. And it's probably in part due to practices of food handling that we would never do in this country. And all of those things are true. But again, we have to take responsibility for all this.

Peter Attia

Just school in general. Like me and my friends are saying how we took school for granted and we didn't realize how amazing it was to have school because now we wish we had school.

Olivia Attia

But the point here is, it's sometimes really hard to do things for which the payoff is far in the future.

Peter Attia

Discipline equals freedom.

Olivia Attia

I mean, to be clear, I didn't know anything about it until a couple of months ago. So there are people who spend as much time as I spend thinking about longevity or Formula One or all the other things that I love to think about. There are people who spend their whole lives thinking about these viruses. And so I just have talked to a lot of those people.

Peter Attia

viruses can't divide without using another body. They don't have the machinery, so to speak, to divide on their own. So they have to infect a host.

Peter Attia

Handling Delivered Packages During Quarantine

Peter Attia
  1. Open Amazon packages outside.
  2. Clean off the contents of the packages.
  3. Wash hands really thoroughly for 20 seconds.
100 nanometers
Virus width Approximate width of a virus
1,000
Coronaviruses across a human hair Number of coronaviruses that could line up across the tip of a human hair
10%
SARS lethality rate Percentage of people who got SARS that died
30%
MERS lethality rate Percentage of people who got MERS that died
over a million
Confirmed COVID-19 cases Global confirmed cases at the time of recording
more than five times
US vs. South Korea COVID-19 deaths US deaths per adjusted population compared to South Korea, starting at the same time
1-2 days
COVID-19 virus survival on cardboard How long the virus can live on cardboard surfaces
80-95%
COVID-19 recovery rate Estimated percentage of people who get the virus and recover
not a single person
Child deaths from COVID-19 (US) Number of people Olivia's age (children) who had died from COVID-19 in the United States at the time of recording
65-70 watts
Olivia's Zone 2 workout watts Olivia's current power output for her Zone 2 workouts
2.1-2.3
Olivia's lactate level at 70 watts Olivia's lactate level during her Zone 2 workout at 70 watts