COVID-19

There are several takeaways in this sharp survey of the current (as of this writing) pandemic. The first is that, decidedly, not enough was done—not by China, which failed to alert the world to the arrival of the novel virus until well after it had spread outside the country; and certainly not by the U.S., whose government seemed to want to wish the virus away. “Once public health fails and contagion appears anywhere, it goes everywhere,” writes the author. Even though COVID-19 (whose formal name is SARS-CoV–2) has shown some signs of abating, the pandemic has exposed gaping holes in the public health regimes of countries around the world, with a few exceptions—Hong Kong, for example, locked down early on and endured the plague with only 715 cases and four deaths as of the end of March 2020. Charting the etiology and course of the virus, MacKenzie observes that nearly everything about its origins and spread offers lessons on how not to act when the next pandemic comes. She goes on to warn that another pandemic is sure to come, perhaps soon, probably some variant of bird flu and, in any case, “worse than the one we are fighting now.” The measures she suggests include better monitoring and reporting of emergent diseases, stockpiling supplies such as face masks and antibiotics to combat diseases that are already known to us, developing “surge capacity in manufacturing,” and holding governments accountable for things said and promises made. For the conspiracy theorists in the crowd, MacKenzie also notes that “one thing we can say for sure: Covid-19 was not created in a lab.”

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