Even if he is not literally worm food, one can be metaphorically dead. If one is forced to hide in remote regions while being protected by 12th Century human relics, and/or if one is forced to hide in small holes in the ground, that is a form of death comparable to being shut away in a Medieval prison.
On the other than, since 9/11 a release of bin Laden tape has preceded a terrorist attack by only a few weeks. The attempts on Musharraf, the big spike in jihadists "chatter," and now the tape certainly suggest that a large attack somewhere may be imminent.