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Professor Devi Sridhar has risen to prominence for her vital roles in communicating science to the public and speaking truth to power. In ‘Preventable’ she highlights lessons learned from outbreaks past and present in a narrative that traces the COVID-19 pandemic – including her personal experience as a scientist – and sets out a vision for how we can better protect ourselves from the inevitable health crises to come.
How many people have died because of COVID-19? Which countries have been hit hardest by the virus? What are the benefits and harms of different vaccines? How does COVID-19 compare to the Spanish flu? How have the lockdown measures affected the economy, mental health and crime? This year we have been bombarded by statistics – seven day rolling averages, rates of infection, excess deaths. Never have numbers been more central to our national conversation, and never has it been more important that we think about them clearly. In the media and in their Observer column, Professor Sir David Spiegelhalter and RSS Statistical Ambassador Anthony Masters have interpreted these statistics, offering a vital public service by giving us the tools we need to make sense of the virus for ourselves and holding the government to account.
Disasters are by their very nature hard to predict. Pandemics, like earthquakes, wildfires, financial crises and wars, are not normally distributed; there is no cycle of history to help us anticipate the next catastrophe. But when disaster strikes, we ought to be better prepared than the Romans were when Vesuvius erupted or medieval Italians when the Black Death struck. We have science on our side, after all. Yet the responses of a number of developed countries to a new pathogen from China were badly bungled. Why? The facile answer is to blame poor leadership. While populist rulers have performed poorly in the face of the pandemic, more profund problems have been exposed by COVID-19. Only when we understand the central challenge posed by disaster in history can we see that this was also a failure of an administrative state and of economic elites that had grown myopic over much longer than just a few years.
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