Pandemic Influenza Preparedness and Response

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Author :
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).

How to Prevent the Next Pandemic

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Author :
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.

Improving Pandemic Preparedness

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Author :
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.

The Great Influenza

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Author :
Publisher : Penguin
ISBN 13 : 9780143036494
Total Pages : 580 pages
Book Rating : 4.0/5 (364 download)

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Book Synopsis The Great Influenza by : John M. Barry

Download or read book The Great Influenza written by John M. Barry and published by Penguin. This book was released on 2005-10-04 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: #1 New York Times bestseller “Barry will teach you almost everything you need to know about one of the deadliest outbreaks in human history.”—Bill Gates "Monumental... an authoritative and disturbing morality tale."—Chicago Tribune The strongest weapon against pandemic is the truth. Read why in the definitive account of the 1918 Flu Epidemic. Magisterial in its breadth of perspective and depth of research, The Great Influenza provides us with a precise and sobering model as we confront the epidemics looming on our own horizon. As Barry concludes, "The final lesson of 1918, a simple one yet one most difficult to execute, is that...those in authority must retain the public's trust. The way to do that is to distort nothing, to put the best face on nothing, to try to manipulate no one. Lincoln said that first, and best. A leader must make whatever horror exists concrete. Only then will people be able to break it apart." At the height of World War I, history’s most lethal influenza virus erupted in an army camp in Kansas, moved east with American troops, then exploded, killing as many as 100 million people worldwide. It killed more people in twenty-four months than AIDS killed in twenty-four years, more in a year than the Black Death killed in a century. But this was not the Middle Ages, and 1918 marked the first collision of science and epidemic disease.

Adapt and Plan for the New Abnormal of the COVID-19 Coronavirus Pandemic

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Author :
Publisher : John Hunt Publishing
ISBN 13 : 1789046769
Total Pages : 119 pages
Book Rating : 4.7/5 (89 download)

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Book Synopsis Adapt and Plan for the New Abnormal of the COVID-19 Coronavirus Pandemic by : Gleb Tsipursky

Download or read book Adapt and Plan for the New Abnormal of the COVID-19 Coronavirus Pandemic written by Gleb Tsipursky and published by John Hunt Publishing. This book was released on 2020-05-08 with total page 119 pages. Available in PDF, EPUB and Kindle. Book excerpt: COVID-19 has demonstrated clearly that businesses, nonprofits, individuals, and governments are terrible at dealing effectively with large-scale disasters that take the form of slow-moving train-wrecks. Using cutting-edge research in cognitive neuroscience and behavioral economics on dangerous judgement errors (cognitive biases), this book first explains why we respond so poorly to slow-moving, high-impact, and long-term crises. Next, the book shares research-based strategies for how organizations and individuals can adapt effectively to the new abnormal of the COVID-19 pandemic and similar disasters. Finally, it shows how to develop an effective strategic plan and make the best major decisions in the context of the uncertainty and ambiguity brought about by COVID-19 and other slow-moving large-scale catastrophes. Gleb Tsipursky combines research-based strategies with real-life stories from his business and nonprofit clients as they adapt to the pandemic. The "Resilience Series" is the result of an intensive, collaborative effort of our authors in response to the 2020 coronavirus epidemic. Each volume offers expert advice for developing the practical, emotional and spiritual skills that you can master to become more resilient in a time of crisis.

The Ebola Epidemic in West Africa

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Author :
Publisher : National Academies Press
ISBN 13 : 0309450063
Total Pages : 137 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis The Ebola Epidemic in West Africa by : National Academies of Sciences, Engineering, and Medicine

Download or read book The Ebola Epidemic in West Africa written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-12-30 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most recent Ebola epidemic that began in late 2013 alerted the entire world to the gaps in infectious disease emergency preparedness and response. The regional outbreak that progressed to a significant public health emergency of international concern (PHEIC) in a matter of months killed 11,310 and infected more than 28,616. While this outbreak bears some unique distinctions to past outbreaks, many characteristics remain the same and contributed to tragic loss of human life and unnecessary expenditure of capital: insufficient knowledge of the disease, its reservoirs, and its transmission; delayed prevention efforts and treatment; poor control of the disease in hospital settings; and inadequate community and international responses. Recognizing the opportunity to learn from the countless lessons of this epidemic, the National Academies of Sciences, Engineering, and Medicine convened a workshop in March 2015 to discuss the challenges to successful outbreak responses at the scientific, clinical, and global health levels. Workshop participants explored the epidemic from multiple perspectives, identified important questions about Ebola that remained unanswered, and sought to apply this understanding to the broad challenges posed by Ebola and other emerging pathogens, to prevent the international community from being taken by surprise once again in the face of these threats. This publication summarizes the presentations and discussions from the workshop.

Global Health Risk Framework

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Author :
Publisher : National Academies Press
ISBN 13 : 0309381029
Total Pages : 141 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Global Health Risk Framework by : National Academies of Sciences, Engineering, and Medicine

Download or read book Global Health Risk Framework written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-05-06 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the 2014 Ebola outbreak many public- and private-sector leaders have seen a need for improved management of global public health emergencies. The effects of the Ebola epidemic go well beyond the three hardest-hit countries and beyond the health sector. Education, child protection, commerce, transportation, and human rights have all suffered. The consequences and lethality of Ebola have increased interest in coordinated global response to infectious threats, many of which could disrupt global health and commerce far more than the recent outbreak. In order to explore the potential for improving international management and response to outbreaks the National Academy of Medicine agreed to manage an international, independent, evidence-based, authoritative, multistakeholder expert commission. As part of this effort, the Institute of Medicine convened four workshops in summer of 2015 to inform the commission report. The presentations and discussions from the Workshop on Research and Development of Medical Products are summarized in this report.

The Threat of Pandemic Influenza

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Author :
Publisher : National Academies Press
ISBN 13 : 0309095042
Total Pages : 431 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis The Threat of Pandemic Influenza by : Institute of Medicine

Download or read book The Threat of Pandemic Influenza written by Institute of Medicine and published by National Academies Press. This book was released on 2005-04-09 with total page 431 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public health officials and organizations around the world remain on high alert because of increasing concerns about the prospect of an influenza pandemic, which many experts believe to be inevitable. Moreover, recent problems with the availability and strain-specificity of vaccine for annual flu epidemics in some countries and the rise of pandemic strains of avian flu in disparate geographic regions have alarmed experts about the world's ability to prevent or contain a human pandemic. The workshop summary, The Threat of Pandemic Influenza: Are We Ready? addresses these urgent concerns. The report describes what steps the United States and other countries have taken thus far to prepare for the next outbreak of "killer flu." It also looks at gaps in readiness, including hospitals' inability to absorb a surge of patients and many nations' incapacity to monitor and detect flu outbreaks. The report points to the need for international agreements to share flu vaccine and antiviral stockpiles to ensure that the 88 percent of nations that cannot manufacture or stockpile these products have access to them. It chronicles the toll of the H5N1 strain of avian flu currently circulating among poultry in many parts of Asia, which now accounts for the culling of millions of birds and the death of at least 50 persons. And it compares the costs of preparations with the costs of illness and death that could arise during an outbreak.

Prepping for a Pandemic

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Author :
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.

Global Health and the Future Role of the United States

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Author :
Publisher : National Academies Press
ISBN 13 : 0309457637
Total Pages : 385 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Global Health and the Future Role of the United States by : National Academies of Sciences, Engineering, and Medicine

Download or read book Global Health and the Future Role of the United States written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-10-05 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: While much progress has been made on achieving the Millenium Development Goals over the last decade, the number and complexity of global health challenges has persisted. Growing forces for globalization have increased the interconnectedness of the world and our interdependency on other countries, economies, and cultures. Monumental growth in international travel and trade have brought improved access to goods and services for many, but also carry ongoing and ever-present threats of zoonotic spillover and infectious disease outbreaks that threaten all. Global Health and the Future Role of the United States identifies global health priorities in light of current and emerging world threats. This report assesses the current global health landscape and how challenges, actions, and players have evolved over the last decade across a wide range of issues, and provides recommendations on how to increase responsiveness, coordination, and efficiency â€" both within the U.S. government and across the global health field.

Playbook For Early Response To High-Consequence Emerging Infectious Disease Threats And Biological Incidents

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Author :
Publisher : Nimble Books
ISBN 13 : 9781608881864
Total Pages : 70 pages
Book Rating : 4.8/5 (818 download)

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Book Synopsis Playbook For Early Response To High-Consequence Emerging Infectious Disease Threats And Biological Incidents by : National Security Council

Download or read book Playbook For Early Response To High-Consequence Emerging Infectious Disease Threats And Biological Incidents written by National Security Council and published by Nimble Books. This book was released on 2020-11-10 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: In March 2020 POLITICO reported that after the Ebola outbreak in 2014, the Obama Administration's National Security Council had prepared a detailed, thorough "pandemic playbook" that was available to Trump administration officials, who treated it dismissively and did not draw on it during the response to the coronavirus. The leaked 69-page PowerPoint is reproduced in full color in durable hardcover landscape format, a crucial resource for understanding the Trump administration's response to COVID-19. The Playbook describes itself as follows: "a decision-making tool that identifies: (1) questions to ask; (2) agency counterparts to consult for answers to each; and (3) key decisions which may require deliberation through the Presidential Policy Directive (PPD)-1 process or its successor National Security Council process." This is a document with an optimistic view of its role in the world. It is not clear that policy leaders in any Administration are actually interested in outsourcing their decision-making to a tool developed by a previous admninistration. To the contrary, policy-makers typically place a great deal of emphasis on getting their own people in place to ask the right questions. The main body of the Playbook is comprised of two major sections, one for international events that have not yet reached the US and one for events with a US locus. For each, a "Rubric" is provided that "is not intended to serve as a comprehensive concept of operations or replace national or pre-existing U.S. Government response structures, but rather to serve as a proposed guide based on existing authorities, guidance, and response frameworks for staff monitoring emerging infectious disease threats and interagency planning and response, should the need arise in the future." The key words are "for staff monitoring emerging infectious disease threats..." -- in other words, this document was intended for use by staff who are monitoring things, rather than for policy makers who are deciding them. The Rubrics explicitly spell out key assumptions--for example, on the domestic side that "the U.S. Government will use all powers at its disposal to prevent, slow, or mitigate the spread of an emerging infectious disease threat..." The drafters did not include any language such as "unless it might hurt the stock market." Both Rubrics contain exhaustive lists of important questions and decisions that correspond well with what we know now to have been important in the response to COVID-19. An Appendix contains several useful resources, including a laundrty list of "declarations and mitigation options" -- things that the US government or other agencies can declare and do, specifically including pharmaceutical, medical, travel-related and community interventions. Some of the latter will seem remarkably familiar: a. Voluntary home isolation of the ill and home quarantine of the exposed b. Dismissal of students from schools c. Social distancing measures, such as telework d. Cancellation of large public gatherings; and e. Widespread use of personal protective devices A section on Communications envisages the Secretary of HHS as the primary spokesperson. No mention is made of daily 5 pm press conferences with the President. Readers who enjoy works like THE GREAT INFLUENZA, CONTAGION, and THE ANDROMEDA STRAIN will find this a fascinating look behind the curtain. Also an ideal gift for that "no masks" relative who just will not read the peer-reviewed science that you patiently email to them!

Evidence-Based Practice for Public Health Emergency Preparedness and Response

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Author :
Publisher : National Academies Press
ISBN 13 : 0309670381
Total Pages : 501 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Evidence-Based Practice for Public Health Emergency Preparedness and Response by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evidence-Based Practice for Public Health Emergency Preparedness and Response written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-11-28 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.

Exploring Lessons Learned from a Century of Outbreaks

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Author :
Publisher : National Academies Press
ISBN 13 : 0309490324
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 2019-07-05 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.

America's Forgotten Pandemic

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Author :
Publisher : Cambridge University Press
ISBN 13 : 1107394015
Total Pages : 369 pages
Book Rating : 4.1/5 (73 download)

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Book Synopsis America's Forgotten Pandemic by : Alfred W. Crosby

Download or read book America's Forgotten Pandemic written by Alfred W. Crosby and published by Cambridge University Press. This book was released on 2003-07-21 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: Between August 1918 and March 1919 the Spanish influenza spread worldwide, claiming over 25 million lives - more people than perished in the fighting of the First World War. It proved fatal to at least a half-million Americans. Yet, the Spanish flu pandemic is largely forgotten today. In this vivid narrative, Alfred W. Crosby recounts the course of the pandemic during the panic-stricken months of 1918 and 1919, measures its impact on American society, and probes the curious loss of national memory of this cataclysmic event. This 2003 edition includes a preface discussing the then recent outbreaks of diseases, including the Asian flu and the SARS epidemic.

The Premonition: A Pandemic Story

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Author :
Publisher : W. W. Norton & Company
ISBN 13 : 0393881563
Total Pages : 211 pages
Book Rating : 4.3/5 (938 download)

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Book Synopsis The Premonition: A Pandemic Story by : Michael Lewis

Download or read book The Premonition: A Pandemic Story written by Michael Lewis and published by W. W. Norton & Company. This book was released on 2021-05-04 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: New York Times Bestseller For those who could read between the lines, the censored news out of China was terrifying. But the president insisted there was nothing to worry about. Fortunately, we are still a nation of skeptics. Fortunately, there are those among us who study pandemics and are willing to look unflinchingly at worst-case scenarios. Michael Lewis’s taut and brilliant nonfiction thriller pits a band of medical visionaries against the wall of ignorance that was the official response of the Trump administration to the outbreak of COVID-19. The characters you will meet in these pages are as fascinating as they are unexpected. A thirteen-year-old girl’s science project on transmission of an airborne pathogen develops into a very grown-up model of disease control. A local public-health officer uses her worm’s-eye view to see what the CDC misses, and reveals great truths about American society. A secret team of dissenting doctors, nicknamed the Wolverines, has everything necessary to fight the pandemic: brilliant backgrounds, world-class labs, prior experience with the pandemic scares of bird flu and swine flu…everything, that is, except official permission to implement their work. Michael Lewis is not shy about calling these people heroes for their refusal to follow directives that they know to be based on misinformation and bad science. Even the internet, as crucial as it is to their exchange of ideas, poses a risk to them. They never know for sure who else might be listening in.

Flu

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Author :
Publisher : Farrar, Straus and Giroux
ISBN 13 : 1429979356
Total Pages : 378 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis Flu by : Gina Kolata

Download or read book Flu written by Gina Kolata and published by Farrar, Straus and Giroux. This book was released on 2011-04-01 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: Veteran journalist Gina Kolata's Flu: The Story of the Great Influenza Pandemic of 1918 and the Search for the Virus That Caused It presents a fascinating look at true story of the world's deadliest disease. In 1918, the Great Flu Epidemic felled the young and healthy virtually overnight. An estimated forty million people died as the epidemic raged. Children were left orphaned and families were devastated. As many American soldiers were killed by the 1918 flu as were killed in battle during World War I. And no area of the globe was safe. Eskimos living in remote outposts in the frozen tundra were sickened and killed by the flu in such numbers that entire villages were wiped out. Scientists have recently rediscovered shards of the flu virus frozen in Alaska and preserved in scraps of tissue in a government warehouse. Gina Kolata, an acclaimed reporter for The New York Times, unravels the mystery of this lethal virus with the high drama of a great adventure story. Delving into the history of the flu and previous epidemics, detailing the science and the latest understanding of this mortal disease, Kolata addresses the prospects for a great epidemic recurring, and, most important, what can be done to prevent it.

Disease Control Priorities, Third Edition (Volume 6)

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Author :
Publisher : World Bank Publications
ISBN 13 : 1464805253
Total Pages : 1027 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Disease Control Priorities, Third Edition (Volume 6) by : King K. Holmes

Download or read book Disease Control Priorities, Third Edition (Volume 6) written by King K. Holmes and published by World Bank Publications. This book was released on 2017-11-06 with total page 1027 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.