Sjukdomen kommer från alla nano tech i luften.
Part the First, Nell sees something peculiar; Harv explains all:
"See, there's mites around, all the time...They're in the air, in food and water, everywhere. And there's rules that these mites are supposed to follow, and those rules are called protocols. And there's a protocol from way back that says they're supposed to be good for your lungs. They're supposed to break down into safe pieces if you breathe one inside of you." Harv paused at this point, theatrically, to summon forth one more ebon loogie, which Nell guessed must be swimming with safe mite bits. "But there are people who break those rules sometimes. Who don't follow the protocols. And I guess if there's too many mites in the air all breaking down inside your lungs, millions– well maybe those safe pieces aren't so safe if there's millions."
När det gäller varför han inte botades finns det ingen specifik citering, men från bokens övergripande ton hade Harv säkert kunde botas om han var rik, kraftfull, ansluten eller "värdefull". Eftersom han bara är en vanlig gata kid - tuff lycka.