Early detection of airborne viruses is vital, and is the first item on Bill Gates’s list of things to accomplish
, most of them since it came to the attention of medical science in 1981. Yet subsequent analysis has shown it had been spreading in Africa for decades. A better early-warning system could have picked it up in the 1950s, rather than the 1980s, allowing it to be tackled much earlier.
But who should those people be? That is the nub of the book. Armed forces and civil-defence teams are national responsibilities. But pathogens know no borders, and governments, in any case, are curiously uninterested in contingency planning for new diseases. While covid-19 remains fresh in people’s minds, Mr Gates sees an opportunity to correct this.
On the technological side, his shopping list includes designing and agreeing on protocols for the rapid mass-testing of drugs that might work against a particular pathogen if an outbreak did happen. Mr Gates also wants to improve both vaccine manufacturing and distribution, and to improve vaccines themselves, particularly by eliminating cold chains.
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