If someone predicted half a century ago that a Los Angeles police station or indeed L.A. City Hall would be in danger of periodic, flea-borne infectious typhus outbreaks, he would have been considered unhinged. After all, the city that gave us the modern freeway system is not supposed to resemble Justinian’s sixth-century Constantinople. Yet typhus, along with outbreaks of infectious hepatitis A, are in the news on California streets. The sidewalks of the state’s major cities are homes to piles of used needles, feces, and refuse. Hygienists warn that permissive municipal governments are setting the stage — through spiking populations of history’s banes of fleas, lice, and rats — for possible dark-age outbreaks of plague or worse.
High tech does its part not to clean the streets but to create defecation apps that electronically warn tourists and hoi polloi how to avoid walking blindly into piles of sidewalk excrement. In Californian logic, public defecation butts up against progressive tolerance, so it is exempt from the law. Yet for a suburbanite to build a patio without a permit, for example, costs one dearly in fines. Indeed, a new patio without a permit can be deemed more dangerous to the public health than piles of excrement in the public workplace.
One out of three Californians who enters a hospital for any cause is now found to be suffering from either diabetes or pre-diabetes, an epidemic that hits the Hispanic community especially hard but for a variety of reasons has not led to effective public-health efforts and sufficient publicity. State-run dialysis clinics now dot the towns and communities of the Central Valley — a tragic symptom of dietary culture, massive illegal immigration, and poor public-health educatio