‘Uncontrolled Spread’ Review: Tested and Found Wanting

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‘Uncontrolled Spread’ Review: Tested and Found Wanting
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Review: In his new book, 'Uncontrolled Spread,' a former Food and Drug Administration commissioner who saw the Covid-19 crisis from multiple angles surveys what went wrong with America’s response to the pandemic

In the early months of the pandemic the CDC impeded private firms from developing their own tests and demanded that all testing be run through its labs even as its own test failed miserably and its own labs had no hope of scaling up to deal with the levels of testing needed.

Dr. Gottlieb, to his credit, cannot be accused of hindsight bias. On Jan. 28, 2020, one month before the United States recorded its first Covid death, he and a co-author warned in these pages that we must “Act Now to Prevent an American Epidemic.” Correctly predicting that testing would be a bottleneck, he urged the CDC to bring in private test suppliers as quickly as possible. One wonders how many deaths might have been averted had Dr. Gottlieb’s advice been followed.

Dr. Gottlieb has good suggestions for preparing for the next pandemic. He makes the case for a sentinel surveillance system that would routinely sequence flu samples for viruses and that would equip every sewage plant in the United States and eventually the world with sequencing systems.

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