Perspective: PandemicsThe World Knows an Apocalyptic Pandemic Is Coming

Published 23 September 2019

A new independent report compiled at the request of the United Nations secretary-general warns that there is a “very real threat” of a pandemic sweeping the planet, killing up to 80 million people. A deadly pathogen, spread airborne around the world, the report says, could wipe out almost 5 percent of the global economy. And we’re not ready. Laura Garrett writes that twenty-five years ago, in 1994, she published her book on the subject, The Coming Plague: Newly Emerging Diseases in a World Out of Balance, arguing that human disruption of the global environment, coupled with behaviors that readily spread microbes between people and from animals to humans, guaranteed a global surge in epidemics, even an enormous pandemic. She writes that epidemic outbreaks were aided and abetted by inept health systems, human behavior, and the complete lack of consistent political and financial support for disease-fighting preparedness everywhere in the world. Will the UN report’s warning be heeded now?

A new independent report compiled at the request of the United Nations secretary-general warns that there is a “very real threat” of a pandemic sweeping the planet, killing up to 80 million people. A deadly pathogen, spread airborne around the world, the report says, could wipe out almost 5 percent of the global economy. And we’re not ready.

Laurie Garrett writes in Foreign Policy that the ominous analysis was compiled by an independent panel, the Global Preparedness Monitoring Board (GPMB), which was assembled last year in response to a request from the office of the U.N. secretary-general, and convened jointly by the World Bank and World Health Organization (WHO). Co-chaired by the former WHO head and former Norwegian Prime Minister Gro Harlem Brundtland and the head of the international Red Cross, Elhadj As Sy, the GPMB commissioned expert studies and issued a scathing attack on the political, financial, and logistical state of pandemic preparedness affairs.

“Preparedness is hampered by the lack of continued political will at all levels,” read the report. “Although national leaders respond to health crises when fear and panic grow strong enough, most countries do not devote the consistent energy and resources needed to keep outbreaks from escalating into disasters.”

With no intention of degrading the GPMB’s effort, I must sadly say that this core message has been shouted from the rafters many times before, with little discernable impact on tone-deaf political leaders, financial enterprises, or multinational institutions. There’s no reason to think this time will be any different. It’s hard to know what, shy of a genuinely devastating pandemic of killer influenza or some currently unknown microbe, will motivate global leaders to take microscopic threats seriously.

Garrett writes:

In 1994 I published my book on the subject, The Coming Plague: Newly Emerging Diseases in a World Out of Balance, arguing that human disruption of the global environment, coupled with behaviors that readily spread microbes between people and from animals to humans, guaranteed a global surge in epidemics, even an enormous pandemic. And in 2000, my book Betrayal of Trust: The Collapse of Global Public Health demonstrated that outbreaks were aided and abetted by inept health systems, human behavior, and the complete lack of consistent political and financial support for disease-fighting preparedness everywhere in the world.

So what has changed?