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416 pages, Hardcover
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.