Preparing For The Next Global Outbreak

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Preparing for the Next Global Outbreak

Author : David C. Pate
Publisher : JHU Press
ISBN 13 : 142144576X
Total Pages : 393 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Preparing for the Next Global Outbreak by : David C. Pate

Download or read book Preparing for the Next Global Outbreak written by David C. Pate and published by JHU Press. This book was released on 2023-04-18 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical experts on the frontlines of the COVID-19 pandemic provide recommendations for governments, health agencies, and schools to prepare for the next outbreak. Another pandemic is coming. The type, severity, and spread are unknown, but governments, public health agencies, schools, and all other organizations must be prepared in order to minimize damage and save lives. We need to identify the lessons learned from our successes and failures during the COVID-19 pandemic to plan better for our future response. In Preparing for the Next Global Outbreak, David C. Pate, MD, JD, and Ted Epperly, MD, combine their decades of experience as doctors and health care leaders who have led their organizations through numerous public health challenges to create an extensive list of practical recommendations for a variety of organizations and agencies to better prepare for the next pandemic. They worked together in the fight against COVID-19 and the misinformation that devastated so many communities across the country. From the exam room to the public health board meeting room to the state capitol, Pate and Epperly use their expertise to craft 117 specific recommendations that organizations and governments can implement now in order to better prepare for the future. They divide these recommendations into checklists specific to different contexts: schools, hospitals, public health agencies, state governments, and the federal government. Public health officials, medical practitioners, state and local officials, school board members, disaster management leaders, and anyone with a stake in preparing their communities against future outbreaks will benefit from the recommendations Pate and Epperly outline. This is the first book to apply lessons learned in real time during a pandemic while chronicling which responses did and did not work and why. The authors examine the global, national, and local responses to COVID-19 and illustrate how we can learn from the mistakes of this pandemic so as not to repeat them during the next.

The Psychology of Pandemics

Author : Steven Taylor
Publisher : Cambridge Scholars Publishing
ISBN 13 : 9781527539594
Total Pages : 175 pages
Book Rating : 4.5/5 (395 download)

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Book Synopsis The Psychology of Pandemics by : Steven Taylor

Download or read book The Psychology of Pandemics written by Steven Taylor and published by Cambridge Scholars Publishing. This book was released on 2019-12 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pandemics are large-scale epidemics that spread throughout the world. Virologists predict that the next pandemic could occur in the coming years, probably from some form of influenza, with potentially devastating consequences. Vaccinations, if available, and behavioral methods are vital for stemming the spread of infection. However, remarkably little attention has been devoted to the psychological factors that influence the spread of pandemic infection and the associated emotional distress and social disruption. Psychological factors are important for many reasons. They play a role in nonadherence to vaccination and hygiene programs, and play an important role in how people cope with the threat of infection and associated losses. Psychological factors are important for understanding and managing societal problems associated with pandemics, such as the spreading of excessive fear, stigmatization, and xenophobia that occur when people are threatened with infection. This book offers the first comprehensive analysis of the psychology of pandemics. It describes the psychological reactions to pandemics, including maladaptive behaviors, emotions, and defensive reactions, and reviews the psychological vulnerability factors that contribute to the spreading of disease and distress. It also considers empirically supported methods for addressing these problems, and outlines the implications for public health planning.

How to Prevent the Next Pandemic

Author : Bill Gates
Publisher : Vintage
ISBN 13 : 0593534492
Total Pages : 235 pages
Book Rating : 4.5/5 (935 download)

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Book Synopsis How to Prevent the Next Pandemic by : Bill Gates

Download or read book How to Prevent the Next Pandemic written by Bill Gates and published by Vintage. This book was released on 2022-05-03 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Governments, businesses, and individuals around the world are thinking about what happens after the COVID-19 pandemic. Can we hope to not only ward off another COVID-like disaster but also eliminate all respiratory diseases, including the flu? Bill Gates, one of our greatest and most effective thinkers and activists, believes the answer is yes. The author of the #1 New York Times best seller How to Avoid a Climate Disaster lays out clearly and convincingly what the world should have learned from COVID-19 and what all of us can do to ward off another catastrophe like it. Relying on the shared knowledge of the world’s foremost experts and on his own experience of combating fatal diseases through the Gates Foundation, Gates first helps us understand the science of infectious diseases. Then he shows us how the nations of the world, working in conjunction with one another and with the private sector, how we can prevent a new pandemic from killing millions of people and devastating the global economy. Here is a clarion call—strong, comprehensive, and of the gravest importance.

Learning from SARS

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309182158
Total Pages : 376 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Learning from SARS by : Institute of Medicine

Download or read book Learning from SARS written by Institute of Medicine and published by National Academies Press. This book was released on 2004-04-26 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: The emergence of severe acute respiratory syndrome (SARS) in late 2002 and 2003 challenged the global public health community to confront a novel epidemic that spread rapidly from its origins in southern China until it had reached more than 25 other countries within a matter of months. In addition to the number of patients infected with the SARS virus, the disease had profound economic and political repercussions in many of the affected regions. Recent reports of isolated new SARS cases and a fear that the disease could reemerge and spread have put public health officials on high alert for any indications of possible new outbreaks. This report examines the response to SARS by public health systems in individual countries, the biology of the SARS coronavirus and related coronaviruses in animals, the economic and political fallout of the SARS epidemic, quarantine law and other public health measures that apply to combating infectious diseases, and the role of international organizations and scientific cooperation in halting the spread of SARS. The report provides an illuminating survey of findings from the epidemic, along with an assessment of what might be needed in order to contain any future outbreaks of SARS or other emerging infections.

How To Prepare For The Next Pandemic: Behavioural Sciences Insights For Practitioners And Policymakers

Author : Majeed Khader
Publisher : World Scientific
ISBN 13 : 9811230064
Total Pages : 274 pages
Book Rating : 4.8/5 (112 download)

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Book Synopsis How To Prepare For The Next Pandemic: Behavioural Sciences Insights For Practitioners And Policymakers by : Majeed Khader

Download or read book How To Prepare For The Next Pandemic: Behavioural Sciences Insights For Practitioners And Policymakers written by Majeed Khader and published by World Scientific. This book was released on 2020-12-02 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Coronavirus disease 2019 (COVID-19) is one of the challenges the world is facing right now. It has seen an unparalleled spread within a short span of time, and claimed victims in many parts of the world. As the number of confirmed cases skyrockets exponentially, a recent surge of 'bad' behaviours such as xenophobia attacks, propagation of misinformation, and panic-buying of essential items have become increasingly commonplace. Panic and chaos reigned as the world witnessed unprecedented moves by countries to close their borders and implement strict quarantine orders in a desperate attempt to mitigate the spread of the coronavirus.COVID-19 has impacted many different aspects of society, from politics and economics to the psychological well-being of citizens, and the list will continue to grow as the spread of the coronavirus persist. While it is impossible to fathom the way COVID-19 will change our usual way of life, there are prevailing concerns that the community currently faces. What are the psychological impacts of a pandemic? How do we enhance the collective resilience of the community during a pandemic? How do we cope with mental health issues during a pandemic? How do we deal with bereavement during a pandemic? How can we support healthcare workers and emergency responders during a pandemic?These are just some of many important concerns that influence the way we cope with the COVID-19 outbreak. There is therefore an urgent need to enhance our understanding and level of preparedness against Covid-19 and pandemic in general. To that end, this edited book, How to Prepare for the Next Pandemic: Behavioural Sciences Insights for Practitioners and Policymakers aims to examine the impacts pandemic have on our society from a behavioural sciences perspective, and to identify solutions that practitioners and policymakers can adopt to combat the spread of COVID-19 in this new operating environment.

Preparing for Pandemics in the Modern World

Author : Christine Crudo Blackburn
Publisher : Texas A&M University Press
ISBN 13 : 162349947X
Total Pages : 312 pages
Book Rating : 4.6/5 (234 download)

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Book Synopsis Preparing for Pandemics in the Modern World by : Christine Crudo Blackburn

Download or read book Preparing for Pandemics in the Modern World written by Christine Crudo Blackburn and published by Texas A&M University Press. This book was released on 2020-12-11 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Black Death. Cholera. Spanish flu. Swine flu. HIV/AIDS. COVID-19/SARS-CoV-2. Each of these pandemics has made (or, is making) a lasting impact on humanity. From the immediate mental image of the beaked masks worn in the Middle Ages (bubonic plague) and the birth of epidemiology (cholera) to recognizing the benefits of social distancing (1918 flu) and the harm of prejudice and misinformation (HIV/AIDS), pandemics have shown us how to survive infectious disease, as long as we heed their lessons. Preparing for Pandemics in the Modern World, edited by Christine Crudo Blackburn, brings together experts on pandemic preparedness and biosecurity to explore areas of weakness in pandemic prevention, preparedness, detection, and response. Even as COVID-19 makes its way around the world, leaders and policymakers are tasked with thinking ahead and preparing to effectively respond to the next such event—which experience shows us to be a matter of “when,” not “if.” Inside, chapters are divided into sections on the lessons learned from the 1918 influenza pandemic, the application of the One Health concept, and the role of the private sector in responding to potentially devastating disease outbreaks. A chapter on the impacts of supply chain disruption—in light of COVID-19—and an epilogue that discusses the current outbreak make Preparing for Pandemics in the Modern World a timely and accessibly written compilation on pandemic prevention, preparedness, detection, and response.

Exploring Lessons Learned from a Century of Outbreaks

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309490359
Total Pages : 231 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Exploring Lessons Learned from a Century of Outbreaks by : National Academies of Sciences, Engineering, and Medicine

Download or read book Exploring Lessons Learned from a Century of Outbreaks written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-05 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: In November 2018, an ad hoc planning committee at the National Academies of Sciences, Engineering, and Medicine planned two sister workshops held in Washington, DC, to examine the lessons from influenza pandemics and other major outbreaks, understand the extent to which the lessons have been learned, and discuss how they could be applied further to ensure that countries are sufficiently ready for future pandemics. This publication summarizes the presentations and discussions from both workshops.

Pandemic Influenza Preparedness and Response

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241547685
Total Pages : 62 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Pandemic Influenza Preparedness and Response by : World Health Organization

Download or read book Pandemic Influenza Preparedness and Response written by World Health Organization and published by World Health Organization. This book was released on 2009 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guidance is an update of WHO global influenza preparedness plan: the role of WHO and recommendations for national measures before and during pandemics, published March 2005 (WHO/CDS/CSR/GIP/2005.5).

Stopping the Next Pandemic

Author : Debora MacKenzie
Publisher : Hachette Books
ISBN 13 : 0306924234
Total Pages : 300 pages
Book Rating : 4.3/5 (69 download)

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Book Synopsis Stopping the Next Pandemic by : Debora MacKenzie

Download or read book Stopping the Next Pandemic written by Debora MacKenzie and published by Hachette Books. This book was released on 2020-06-01 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: "MacKenzie's fascinating book gives us the scope and scale to be able to put this pandemic in perspective and, it begs the question, will we learn from this in time to prevent to next one?" —Molly Caldwell Crosby, Bestselling author of The American Plague In a gripping, accessible narrative, a veteran science journalist lays out the shocking story of how the COVID-19 coronavirus pandemic happened and how to make sure this never happens again Over the last 30 years of epidemics and pandemics, we learned nearly every lesson needed to stop this coronavirus outbreak in its tracks. We heeded almost none of them. The result is a pandemic on a scale never before seen in our lifetimes. In this captivating, authoritative, and eye-opening book, science journalist Debora MacKenzie lays out the full story of how and why it happened: the previous viruses that should have prepared us, the shocking public health failures that paved the way, the failure to contain the outbreak, and most importantly, what we must do to prevent future pandemics. Debora MacKenzie has been reporting on emerging diseases for more than three decades, and she draws on that experience to explain how COVID-19 went from a potentially manageable outbreak to a global pandemic. Offering a compelling history of the most significant recent outbreaks, including SARS, MERS, H1N1, Zika, and Ebola, she gives a crash course in Epidemiology 101--how viruses spread and how pandemics end—and outlines the lessons we failed to learn from each past crisis. In vivid detail, she takes us through the arrival and spread of COVID-19, making clear the steps that governments knew they could have taken to prevent or at least prepare for this. Looking forward, MacKenzie makes a bold, optimistic argument: this pandemic might finally galvanize the world to take viruses seriously. Fighting this pandemic and preventing the next one will take political action of all kinds, globally, from governments, the scientific community, and individuals—but it is possible. No one has yet brought together our knowledge of COVID-19 in a comprehensive, informative, and accessible way. But that story can already be told, and Debora MacKenzie's urgent telling is required reading for these times and beyond. It is too early to say where the COVID-19 pandemic will go, but it is past time to talk about what went wrong and how we can do better.

Prepping for a Pandemic

Author : Cat Ellis
Publisher : Simon and Schuster
ISBN 13 : 1612435041
Total Pages : 107 pages
Book Rating : 4.6/5 (124 download)

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Book Synopsis Prepping for a Pandemic by : Cat Ellis

Download or read book Prepping for a Pandemic written by Cat Ellis and published by Simon and Schuster. This book was released on 2015-12-01 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt: An in-depth guide to prepare your family for the widespread outbreak of any deadly disease like COVID-19 or H1N1. New viruses hop around the globe every year. In 2009–2010, it was H1N1 that infected over sixty million people around the globe. In 2014, Ebola virus had a terrifying 40% mortality rate. In 2020, COVID-19 exploded into a world-wide pandemic despite the best efforts of governments and health organizations.So, what will happen when a pathogen as easily transmitted as coronavirus and as deadly as Ebola emerges? Prepping for a Pandemic provides all the information you need for medical self-reliance. It’s step-by-step guidance covers every important issue, including stocking food, storing water, developing contingency plans, learning first aid and nursing skills, and establishing quarantines and sick rooms. With checklists, tips, and plans, this book outlines the necessary supplies and skills one will need to stay healthy when doctors, hospitals, and the world’s medical infrastructure become overwhelmed or unavailable during a pandemic outbreak.

Pandemic Outbreaks in the 21st Century

Author : Buddolla Viswanath
Publisher : Elsevier
ISBN 13 : 0323900011
Total Pages : 326 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis Pandemic Outbreaks in the 21st Century by : Buddolla Viswanath

Download or read book Pandemic Outbreaks in the 21st Century written by Buddolla Viswanath and published by Elsevier. This book was released on 2021-08-24 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past two decades, several pandemics have ravaged the globe, giving us several lessons on infectious disease epidemiology, the importance of initial detection and characterization of outbreak viruses, the importance of viral epidemic prevention steps, and the importance of modern vaccines. Pandemic Outbreaks in the Twenty-First Century: Epidemiology, Pathogenesis, Prevention, and Treatment summarizes the improvements in the 21st century to overcome / prevent / treat global pandemic with future prospective. Divided into 9 chapters, the book begins with an in-depth introduction to the lessons learned from the first pandemic of the 21st century. It describes the history, present and future in terms of detection, prevention and treatment. Followed by chapters on the outbreak, treatment strategies and clinical management of several infectious diseases like MERS, SARD and COVID 19, Pandemic Outbreaks in the Twenty-First Century: Epidemiology, Pathogenesis, Prevention, and Treatment, presents chapters on immunotherapies and vaccine technologies to combat pandemic outbreak and challenges. The book finishes with a chapter on the current knowledge and technology to control pandemic outbreaks. All are presented in a practical short format, making this volume a valuable resource for very broad academic audience. Provides insight to the lessons learned from past pandemics Gives recommendations, future direction in terms of detection, prevention and treatment of pandemics Guides readers through the status and recent developments of vaccines to overcome or prevent pandemics Shows how to enhance the host innate immunity in infectious diseases Includes a chapter on immunotherapies to combat pandemic outbreaks

The Next Pandemic

Author : Ali Khan
Publisher : Public Affairs
ISBN 13 : 1610395913
Total Pages : 290 pages
Book Rating : 4.6/5 (13 download)

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Book Synopsis The Next Pandemic by : Ali Khan

Download or read book The Next Pandemic written by Ali Khan and published by Public Affairs. This book was released on 2016-05-24 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: An inside account of the fight to contain the world’s deadliest diseases--and the panic and corruption that make them worse Throughout history, humankind’s biggest killers have been infectious diseases: the Black Death, the Spanish Flu, and AIDS alone account for over one hundred million deaths. We ignore this reality most of the time, but when a new threat--Ebola, SARS, Zika--seems imminent, we send our best and bravest doctors to contain it. People like Dr. Ali S. Khan. In his long career as a public health first responder--protected by a thin mask from infected patients, napping under nets to keep out scorpions, making life-and-death decisions on limited, suspect information--Khan has found that rogue microbes will always be a problem, but outbreaks are often caused by people. We make mistakes, politicize emergencies, and, too often, fail to imagine the consequences of our actions. The Next Pandemic is a firsthand account of disasters like anthrax, bird flu, and others--and how we could do more to prevent their return. It is both a gripping story of our brushes with fate and an urgent lesson on how we can keep ourselves safe from the inevitable next pandemic.

The Psychology of Pandemics

Author : Steven Taylor
Publisher : Cambridge Scholars Publishing
ISBN 13 : 1527541185
Total Pages : 178 pages
Book Rating : 4.5/5 (275 download)

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Book Synopsis The Psychology of Pandemics by : Steven Taylor

Download or read book The Psychology of Pandemics written by Steven Taylor and published by Cambridge Scholars Publishing. This book was released on 2019-10-07 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pandemics are large-scale epidemics that spread throughout the world. Virologists predict that the next pandemic could occur in the coming years, probably from some form of influenza, with potentially devastating consequences. Vaccinations, if available, and behavioral methods are vital for stemming the spread of infection. However, remarkably little attention has been devoted to the psychological factors that influence the spread of pandemic infection and the associated emotional distress and social disruption. Psychological factors are important for many reasons. They play a role in nonadherence to vaccination and hygiene programs, and play an important role in how people cope with the threat of infection and associated losses. Psychological factors are important for understanding and managing societal problems associated with pandemics, such as the spreading of excessive fear, stigmatization, and xenophobia that occur when people are threatened with infection. This book offers the first comprehensive analysis of the psychology of pandemics. It describes the psychological reactions to pandemics, including maladaptive behaviors, emotions, and defensive reactions, and reviews the psychological vulnerability factors that contribute to the spreading of disease and distress. It also considers empirically supported methods for addressing these problems, and outlines the implications for public health planning.

Disease Control Priorities, Third Edition (Volume 9)

Author : Dean T. Jamison
Publisher : World Bank Publications
ISBN 13 : 1464805288
Total Pages : 426 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Disease Control Priorities, Third Edition (Volume 9) by : Dean T. Jamison

Download or read book Disease Control Priorities, Third Edition (Volume 9) written by Dean T. Jamison and published by World Bank Publications. This book was released on 2017-12-06 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.

Improving Pandemic Preparedness

Author : Thomas Bollyky
Publisher : Council on Foreign Relations Press
ISBN 13 : 9780876092644
Total Pages : 154 pages
Book Rating : 4.0/5 (926 download)

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Book Synopsis Improving Pandemic Preparedness by : Thomas Bollyky

Download or read book Improving Pandemic Preparedness written by Thomas Bollyky and published by Council on Foreign Relations Press. This book was released on 2020-10-08 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States and the world were unprepared for the COVID-19 pandemic, despite decades of warnings highlighting the inevitability of global pandemics and the need for international coordination. The failure to prioritize and adequately fund preparedness and effectively implement response plans has exacted a heavy human and economic price, and the crisis is not yet over. Emerging and reemerging infectious diseases are a threat to global and national security that neither the United States nor the world can afford to ignore. This Task Force proposes a comprehensive strategy that includes institutional reforms and policy innovations to help the United States and the multilateral system perform better in this crisis and when the next one emerges. Without increased U.S. leadership on and adequate investment in pandemic preparedness and response, the United States and the world will remain unnecessarily vulnerable to epidemic threats. The Council on Foreign Relations sponsors Independent Task Forces to assess issues of current and critical importance to U.S. foreign policy and provide policymakers with concrete judgments and recommendations. Diverse in backgrounds and perspectives, Task Force members aim to reach a meaningful consensus on policy through private deliberations. Once launched, Task Forces are independent of CFR and are solely responsible for the content of their reports. Task Force members are asked to join a consensus signifying that they endorse the general policy thrust and judgments reached by the group, though not necessarily every finding and recommendation. Each Task Force member also has the option of putting forward an additional or a dissenting view.

Epidemic

Author : Reid Wilson
Publisher :
ISBN 13 : 9780815738671
Total Pages : 0 pages
Book Rating : 4.7/5 (386 download)

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Book Synopsis Epidemic by : Reid Wilson

Download or read book Epidemic written by Reid Wilson and published by . This book was released on 2020-05-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In December 2013, a young boy in a tiny West African village contracted the deadly Ebola virus. The virus spread to his relatives, then to neighboring communities, then across international borders. The world's first urban Ebola outbreak quickly overwhelmed the global health system and threatened to kill millions. In an increasingly interconnected world in which everyone is one or two flights away from New York or London or Beijing, even a localized epidemic can become a pandemic. Ebola's spread through West Africa to Nigeria, the United Kingdom and the United States sounded global alarms that the next killer outbreak is right around the corner and that the world is woefully unprepared to combat a new deadly disease. From the poorest villages of rural West Africa to the Oval Office itself, this book tells the story of a deadly virus that spun wildly out of control and reveals the truth about how close the world came to a catastrophic global pandemic.

The Contagion Next Time

Author : Sandro Galea
Publisher : Oxford University Press
ISBN 13 : 0197576427
Total Pages : 297 pages
Book Rating : 4.1/5 (975 download)

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Book Synopsis The Contagion Next Time by : Sandro Galea

Download or read book The Contagion Next Time written by Sandro Galea and published by Oxford University Press. This book was released on 2022 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: A better and healthier time to be alive than ever -- An unhealthy country -- An unhealthy world -- Who we are, the foundational forces -- Where we live, work, and play -- Politics, power, and money -- Compassion -- Social, racial, and economic justice -- Health as a public good -- Understanding what matters most -- Working in complexity and doubt -- Humility and informing the public conversation.