How to Prevent the Next Pandemic
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As I learned that night, the numbers were not in humanity's favor. Especially because COVID-19 spread through the air - making it more transmissible than, say, a virus that is spread through contact, like HIV or Ebola- there was little chance of containing it to a few countries.
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the working dinner
I turned to a favourite tactic that I've been relying on for years: the working dinner. You don't bother with an agenda; you simply invite a dozen or so smart people, provide the food and drinks, tee up a few questions, and let them start thinking out loud. I've had some of the best conversations of my working life with a fork in my hand and a napkin in my lap.
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The more I learned, the more I realized just how unprepared the world was for a serious respiratory virus epidemic. I read a report on the WHO's response to the 2009 swine flu pandemic that concluded, prophetically:
"the world is ill-prepared to respond to a severe influenza pandemic or to any similarly global, sustained and threatening public-health emergency."
The report laid out a step-by-step plan for getting prepared. Few of the steps were taken.
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The foundation has committed more than $2 billion to various aspects of fighting COVID, including slowing its spread, developing vaccines and treatments, and helping make sure that these lifesaving tools reach people in poor countries.
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And yes, I am a technophile. Innovation is my hammer, and I try to use it on every nail I see. As a founder of successful technology company, I am a great believer in the power of the private sector to drive innovation.
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One side effect of speaking out, though, is that it has provoked more of the criticisms of the Gates Foundation's work that I've been hearing for years. The most thoughtful version goes like this: Bill Gates is an unelected billionaire - who is he to set the agenda on health or anything else? Three corolllaries of this criticism are that the Gates Fountain has too much influence, that I have too much faith in the private sector as an engine of change, and that I am a technophile who thinks new inventions will solve all our problems.
Its certainly true that I've never been elected to any public position, and I don't plan to seek one. And I agree that it's not good for society when rich people have undue influence.
But the Gates Foundation does not use its resources or its influence in secret.
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