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Run an ongoing census of circulating respiratory viruses in as many patients as possible, looking at not only people with respiratory symptoms but also hospital admissions and increases in deaths. [This will allow officials to know Commented [FA([3]: You might want to make mention of the fact that the health care infrastructure in the United states with the lack of uniformity and intechangeability of which respiratory diseases are circulating at any given moment] __ Make diagnostics more a part of the health system. Today, testing for disease is PE Susi spices NR Ge 'and this should be a high priority of improvement looking an expensive proposition, whether you're picking up a flu test at the drugstore ed Ee Fauci, Anthony (NIH/NIAID) [E] 2022-01-08 12:54:00 or your doctor is ordering a more advanced diagnostic. In the U.S., that's because the system doesn't give anyone an incentive to drive the price down, or to make testing widely available throughout a community. But that's exactly what we'll need to detect and stop an outbreak, because testing allows you to keep the disease from spreading out of control. And the results need to feed into the public health system, along the lines of what the scientists behind the Seattle Flu Study were piloting. 3. Strengthen health systems. When I first got involved with global health, I was focused like a laser on developing the kinds of new tools I've been describing. Make a new rotavirus vaccine, I thought, and no kids will die of rotavirus. Over time, though, I've seen how limitations in the health care delivery system--particularly the basic level, which is called the primary health care system--prevent vaccines and other new tools from reaching all the patients who need them. The Gates Foundation and our partners are helping improve these systems and ensuring that they can reach all kids with new vaccines.