Dealing With a Once-In-A-Century Pathogen

Back in 2015, Bill Gates published an editorial in the New England Journal of Medicine (NEJM) warning that the world would likely see a pandemic in the next 20 years. He was writing in the aftermath of the Ebola outbreak in Guinea, Sierra Leone, and Liberia, and argued that while the world had an effective system for containing Ebola, it did not have adequate preparation for dealing with a disease with a substantially higher transmission rate. “[O]f all the things that could kill more than 10 million people around the world, the most likely is an epidemic stemming from either natural causes or bioterrorism.” Gates likened preparation for dealing with epidemics to preparation for another global threat—war: The North Atlantic Treaty Organization (NATO) has a mobile unit that is ready to deploy quickly. Although the system is not perfect, NATO countries participate in joint exercises in which they work out logistics such as how fuel and food will be provided, what language they will speak, and what radio frequencies will be used. Few, if any, … Continue reading Dealing With a Once-In-A-Century Pathogen