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448 pages, Paperback
First published October 4, 2022


"We dodged a bullet on SARS," Don Burke told me. ... If the virus had been just a little more transmissible generally, among all patients and situations, he said, "It could have been a huge problem." But that SARS-CoV virus had one feature, or the absence of a feature, standing between it and a global nightmare in 2003. "Which was, for the most part, asymptomatic people didn't transmit until they were sick. So you had time." You could identify cases, trace contacts and quarantine. It could be stopped, for those reasons, and it was. If the virus had been a little different, "highly transmissible, with more variable disease manifestation, harder to figure out who were silent carriers, then we may never have been able to contain SARS." (p. 47)If COVID-19 had occurred in 2003 the resulting toll would have been worse. Scientists were able to track genomes in 2003, but not as quickly and easily as they do now. Also, I don't think the mRNA vaccine technology was sufficiently advanced in 2003 to create a vaccine as quickly as was done in 2021.
A virus will always continually mutate, and of the more individuals it infects, the more mutations it will produce. The more mutations, the more chances to improve its Darwinian success. Natural selection will act on it, eliminating waste, eliminating ineptitude, carving variation, like a block of Carrara marble at the hands of Michelangelo, finding the beautiful shapes, preserving the fittest. Evolution will happen. That’s not a variable, it’s a constant. -page 188
Notwithstanding the horrors, miseries, and sorrows inflicted on humans by SARS-CoV-2, it behooves us to recognize and remember that viruses, like fire, are a phenomenon that’s neither in all cases bad nor in all cases good; they can deliver advantage or destruction. They are the dark angels of evolution, terrific and terrible. That’s what makes them worth understanding, rather than just fearing and deploring. -page 109