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Gates Package, p.923 · gates:exh:00333
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7. We can do better next time--if we start taking
pandemic preparation seriously.
The world responded to COVID faster and more effectively than to any other disease in history.
But as the late educator and physician Hans Rosling put it, "Things can be better and bad."10 In
the Better column, for example, I'd put the fact that the world developed safe, effective vaccines
in record time. In the Bad column, I'd put the fact that too few people in poor countries are
getting them. I'll return to this problem in Chapter 8.
Another entry in the Bad column: the world's failure to get serious about preparing for
and trying to prevent pandemics.
Governments are responsible for the safety of their people. For common events that cause
damage and deaths--fires, natural disasters, wars--governments have a structure for their
response: They have experts who understand the risks, get the resources and tools they need, and
practice how they'll respond in an emergency. Militaries run large-scale drills to make sure
they're prepared for action. Airports run exercises to see if they're ready for an emergency. City,
state, and federal governments practice responding to natural disasters. Even schoolchildren go
through fire drills.
When it comes to pandemics, though, virtually none of this happens. Although people
had been raising the alarm for decades about novel diseases that could kill millions of people--a
long succession of warnings came before and after mine in 2015--the world didn't respond. For
all the effort that humans put into preparing for attacks from fires, storms, and other humans, we
had not prepared seriously for an attack by the smallest possible enemy: a pathogen.