Uncontrolled Spread: Why COVID-19 Crushed Us and How We Can Defeat the Next Pandemic
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โUncontrolled Spreadย is everything youโd hope: a smart and insightful account of what happened and, currently, the best guide to what needs to be done to avoid a future pandemic." โWall Street Journal
โInformative and well paced.โโThe Guardian
โAn intense ride through the pandemic with chilling details of what really happened. It is also sprinkled with notes of true wisdom that may help all of us better prepare for the future.โโSanjay Gupta, MD, chief medical correspondent, CNN
Physician and former FDA commissioner Scott Gottlieb asks: Has Americaโs COVID-19 catastrophe taught us anything?
In Uncontrolled Spread, he shows how the coronavirus and its variants were able to trounce Americaโs pandemic preparations, and he outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.
A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. Weโd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldnโt fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak political leadership aggravated these woes. We didnโt view a public health disaster as a threat to our national security.
Many of the woes sprung from the CDC, which has very little real-time reporting capability to inform us of Covidโs twists and turns or assess our defenses. The agency lacked an operational capacity and mindset to mobilize the kind of national response that was needed. To guard against future pandemic risks, we must remake the CDC and properly equip it to better confront crises. We must also get our intelligence services more engaged in the global public health mission, to gather information and uncover emerging risks before they hit our shores so we can head them off. For this role, our clandestine agencies have tools and capabilities that the CDC lacks.
Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature -- or those wishing us harm -- may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.
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Dr. Scott Gottlieb served as the twenty-third commissioner of the US Food and Drug Administration and is a resident fellow at the American Enterprise Institute. He is a regular contributor to the business news channel CNBC and a partner at the venture capital firm New Enterprise Associates. Dr. Gottlieb serves on the board of directors of the pharmaceutical company Pfizer Inc. and the genomic sequencing company Illumina, Inc. Fortune magazine has recognized him as one of the โWorldโs 50 Greatest Leaders,โ and Time magazine has named him one of its โ50 People Transforming Healthcare.โ A graduate of Wesleyan University and the Mount Sinai School of Medicine, Dr. Gottlieb is an elected member of the National Academy of Medicine. He lives with his family in Westport, Connecticut.
