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Failures of State: The Inside Story of Britain's Battle With Coronavirus

by Jonathan Calvert and George Arbuthnott  · 18 Mar 2021  · 432pp  · 143,491 words

4, Ireland First published by HarperCollinsPublishers 2021 FIRST EDITION © Jonathan Calvert and George Arbuthnott 2021 Cover design Steve Leard © HarperCollinsPublishers 2021 Sunday Times graphics on coronavirus © The Sunday Times/News Licensing While every effort has been made to trace the owners of copyright material reproduced herein and secure permissions, the publishers

-19 world. As investigative reporters for The Sunday Times, we produced a series of articles throughout 2020 examining the UK government’s reaction to the coronavirus crisis and attempting to understand how this country – which prided itself on its pandemic defences – managed to get it so badly wrong. Our first

decision – for thousands of people. A study by Imperial College London’s pandemic modellers and Oxford University’s department of statistics has estimated that coronavirus infections across the UK rocketed from an estimated 200,000 to 1.5 million in the nine days before lockdown as the prime minister agonised

corona) when viewed under a microscope because of the spikes protruding from their surface. Before Covid-19 appeared in 2019 there were six types of coronavirus known to infect humans, but mostly they caused mild respiratory symptoms with the exception of the Middle East Respiratory Syndrome in 2012 and Sars, which

who had spearheaded his country’s efforts to combat the Sars pandemic nine years earlier. Aware the men might be suffering from another Sars-related coronavirus, he advised they be tested for antibodies against Sars, which would have shown whether the men had previously contracted the virus. These tests were

more infectious to humans. Papers released by the Wuhan Institute of Virology between 2015 and 2017 describe how Shi’s team combined snippets of different coronaviruses to see if they could be made more transmissible to humans. They called them ‘virus infectivity experiments’. This type of ‘gain-of-function’ work

virus] emerged that we found that it was close to Sars-2.’ Other scientists find this indifference to a new strain of a potentially deadly coronavirus hard to believe. Nikolai Petrovsky, Professor of Medicine at Flinders University in Adelaide, South Australia, and secretary-general of the International Immunomics Society, has

outcome of the tests inside the market was released later that month, the Chinese state news agency Xinhua reported: ‘The results suggest that the novel coronavirus outbreak is highly relevant to the trading of wild animals.’ However, the picture was far more complicated than it first seemed. An early study

spreading rapidly. But in those early days of January, the Chinese scientists did not seek help from international colleagues because the existence of the new coronavirus remained a strict secret. Using a technique to amplify the virus’s genetic material, her team swiftly managed to confirm that samples from five

patients at the Wuhan Jinyintan Hospital had genetic sequences present in all coronaviruses. These were sent to a team led by Professor Zhang Yongzhen of the Shanghai Public Health Clinical Centre laboratory, which was able to map

has greatly affected the scientists and their research when they should be racing against the clock to find the means to help put the novel coronavirus outbreak under control,’ the source said. The Shanghai Health Commission refused to say what lay behind the decision. Hours after Zhang’s team released

, a small band of scientists, academics and enthusiasts from different countries were messaging each other, questioning whether RaTG13 might actually have been the novel coronavirus that Shi had described in her 2016 paper chronicling the results of her team’s sampling in the mine. Despite repeated requests Shi and the

of the crisis later unravelled, the public would become increasingly concerned about the committee’s lack of transparency. More information was emerging about the new coronavirus on the day of the first Sage meeting. Chinese scientists were warning that the virus had an unusually high infectivity rate – known as the

were allowed to travel across Britain at will. The researchers estimated that up to 1,900 of these passengers would have been infected with the coronavirus – guaranteeing the UK would become a centre of the subsequent pandemic. Sure enough, five days after the Cobra meeting, on Wednesday 29 January, the

health secretary having gone on record saying that whistle-blowers in the National Health Service should be protected. Only after the story broke – as the coronavirus was beginning to spread across the world – did Hancock relent to the growing pressure and order an inquiry in early 2020. It raised questions

a contract agreeing to accept a 14-day quarantine, which would be spent in hospital accommodation on Merseyside. The following day the WHO declared the coronavirus threat to be a global public health emergency because of the spread of the virus outside of China. It was an ‘unprecedented outbreak’, according

the newspaper’s glass London Bridge headquarters and articulated for the first time the shift we were beginning to witness in the media’s attention. ‘Coronavirus is the new Brexit,’ he said. He was correct. The story was only getting bigger and bigger as its catastrophic and devastating ramifications became

complacency at the heart of government. Answering questions from MPs, Hancock repeated his message that the NHS had the capacity to treat 50 to 500 coronavirus patients. He was asked by a friendly Conservative colleague, Dr Caroline Johnson MP, whether there were preparations for a wider package of measures – such

has since decided to pause implementation of the proposed mobile alerting system,’ it states. The last rehearsal for a pandemic before the emergence of the coronavirus hardly inspired confidence. Run by Public Health England in October 2016, the three-day operation codenamed Cygnus tested how more than 950 officials – including

plan had been mothballed around the time the Brexit planning got very intense in 2017.’ It meant that in the years leading up to the coronavirus outbreak, key government committee meetings on pandemic planning were repeatedly ‘bumped’ off the diary to make way for discussions about what were deemed more

national pandemic stockpile had been established in 2009 following the swine flu outbreak, with around £500m being spent on protective equipment. By the time the coronavirus pandemic began, the stockpile was mostly housed in a 370,000-square-foot distribution centre in Merseyside that had been built specifically for the purpose

’. It concluded ministers had plenty of time and ample warning but had done next to nothing. It said: ‘Despite the first reported case of coronavirus being confirmed by the chief medical officer in England on 31 January 2020, the Treasury did not announce plans for significant funding to support businesses

to anticipate looming problems before it was too late’ and expressed his concerns about ‘curtailed cabinet meetings’ where issues such as the economic impact of coronavirus received just five minutes of ‘discussion in January’. It had often been noted by those who worked with Johnson that he had a habit of

Tedros Adhanom Ghebreyesus, the World Health Organization director-general, issued a stark warning. He said the opportunity to contain the wider spread of the deadly coronavirus was slipping away. ‘The window of opportunity is narrowing, so we need to act quickly before it closes completely,’ he declared. 6 Part-Time Prime

was initially prevalent among younger people in the country’s ski resorts, who were either: asymptomatic; mildly affected; or their illness wasn’t recognised as coronavirus. On the day before the Conservatives’ ball, Italy had been forced to bring in the first control measures, with the country’s sports minister

each strain had originated by comparing it to samples taken in other countries. They found that more than 1,000 different people had brought the coronavirus into Britain, which ruled out the idea that one superspreader or ‘patient zero’ sparked the outbreak. Most of the infections in February had indeed

a surge in patients needing ventilation to help them breathe. They warned that weaker patients could therefore be denied life-saving care during a severe coronavirus outbreak, with senior consultants being left in the invidious position of having to decide who would be given access to ventilators and beds. Professor

an interest in the crisis that was gripping his nation. That morning he summoned Hancock and Whitty into Downing Street to specifically discuss concerns about coronavirus. Eight weeks after reports of the new virus had emerged and after missing all five Cobra meetings on the subject, the prime minister had

Monday. In a letter to the European Society of Intensive Care Medicine, they revealed that up to 10 per cent of all those infected with coronavirus in Italy had needed intensive care. This, according to the three authors of the letter – professors Maurizio Cecconi, Antonio Pesenti and Giacomo Grasselli from

would not be overwhelmed, as they were in Italy. That day the London Ambulance Service increased the threshold for the severity of symptoms that a coronavirus patient would have to typically exhibit before they would be taken to hospital. This had dangerous consequences. The sense of impatience with the government’

that week before lockdown, the health service’s burden was increasing by a third. The complacency that had allowed Johnson to sail through February believing coronavirus to be a medically ‘irrational panic’ was rapidly dissipating. His government was panicking and nothing showed this more clearly than the chancellor Rishi Sunak’s

a bad example. And they were also endangering lives. In times of extremis, extraordinary things happen with hardly anyone batting an eyelid. That day the Coronavirus Act – the most authoritarian new law since the Second World War, which set out the legal basis for lockdown – raced through parliament with little

were forced to deploy the tool or a version of it. They had been faced with an impossible situation with far too many severely ill coronavirus patients requiring intensive care when there were insufficient beds or staff available. The government-commissioned age-based ‘triage tool’ was the only guidance they

place in hospital had been displaced to people’s homes and the care homes. This huge increase in deaths outside hospitals was a mixture of coronavirus cases – many of which were never diagnosed – and people who were not given treatment for other conditions that they would normally have received had

were dispatched from hospitals into care homes that were completely open to infection and then cross-infection. A third of all care homes declared a coronavirus outbreak, with more than a thousand dealing with positive cases during the peak of infections in April, according to the National Audit Office. Chris

least in part, because of his stubborn libertarianism.’ And the criticism went on. Greece’s progressive daily newspaper Ethnos described Johnson as ‘more dangerous than coronavirus’, saying one of the crisis’s greatest tragedies was that ‘incompetent leaders’ such as Johnson and Donald Trump were ‘at the helm at a

another outbreak in Westminster and disenfranchising vulnerable MPs. The logistics of observing the two-metre social distancing rule in the Commons while voting created a ‘coronavirus conga’ in which 523 politicians had to form a queue stretching for hundreds of metres. The queue snaked across the courtyards of the Palace

room’, while Labour MP Geraint Davies told the Guardian: ‘This is wholly irresponsible publicity by the Conservative government, which will fuel a resurgence of coronavirus infection and death in England.’1 The Treasury quickly backed down and removed the tweet, admitting it had ‘got it wrong’. The NHS high command

was ‘creating population immunity’. During the interview, he called on the prime minister to subtly change his language to ‘normalise’ the September rise in coronavirus cases, arguing that it was usual for respiratory-type infections to multiply around that time of year. ‘This is a seasonal effect now, and if

Radio 4’s Today programme: ‘The government has consistently throughout this year been ahead of the curve in terms of proactive measures with regards to coronavirus.’ Johnson claimed sarcastically that the criticisms against him amounted to people being wise after the event, when he appeared on BBC One’s Andrew

Reuters, 24 May 2011. 4: Sleepwalk 1. ‘Revealed: NHS denied PPE at height of Covid-19 as supplier prioritised China’, Guardian, 20 July 2020. 2. ‘Coronavirus: Did the government get it wrong?’, Dispatches, Channel 4, 3 June 2020. 3. Ibid. 4. ‘Revealed: Value of UK pandemic stockpile fell by 40% in

s home’, Guardian, 21 June 2019. 9. ‘Charlotte Edwardes on Boris Johnson’s wandering hands’, The Sunday Times, 29 September 2019. 10. ‘Hospitals prepare for coronavirus epidemic to sweep Britain’, The Sunday Times, 16 February 2020. 11. ‘The prime minister’s vanishing briefs’, The Sunday Times, 23 February 2020. 12. ‘Where

February 2020. 7: The Action Plan 1. ‘UK has plans to deal with pandemic causing up to 315,000 deaths’, Guardian, 6 March 2020. 2. ‘Coronavirus: Did the government get it wrong?’, Dispatches, Channel 4, 3 June 2020. 3. Ibid. 8: Herd Immunity 1. ‘Boris Johnson heckled during visit to

Covid-19 doing well’, Guardian, 16 April 2020. 3. ‘From evasion to evisceration: How the Cummings lockdown story unfolded’, Guardian, 29 May 2020. 4. ‘Coronavirus: More than 4,000 hospital patients discharged into care homes without test’, Sky News, 17 July 2020. 5. ‘Three nurses forced to wear bin bags

22 May 2020. 5. ‘New witnesses cast doubt on Dominic Cummings’s lockdown claims’, Guardian, 23 May 2020. 6. ‘Chief nurse dropped from Downing Street coronavirus briefing “after refusing to back Dominic Cummings”’, Independent, 12 June 2020. 7. ‘Serious weaknesses in the UK’s current plans for suppressing covid-19 risk

, 403 Academy of Medical Sciences 237, 336, 338, 353 action plan, UK government (‘contain, delay, research, mitigate’ strategy) 152–66 All-Party Parliamentary Group on Coronavirus 396, 398 ambulance service 95, 190, 224, 237, 243, 247, 264, 265–7, 268, 269, 270, 273, 274–5, 282, 294, 290, 291, 392,

203, 401; lockdown and 296, 302, 319, 322, 329, 339, 340, 359 Conte, Giuseppe 192–3 Corbyn, Jeremy 76, 127, 137, 138, 240 Coronavirus Act (2020) 226–7 Coronavirus Clinical Characterisation Consortium 396 Cosford, Paul 64, 109 Costello, Anthony 181, 369 Covid-19 (Sars-CoV-2): asymptomatic spread of 135, 142, 144

Apollo's Arrow: The Profound and Enduring Impact of Coronavirus on the Way We Live

by Nicholas A. Christakis  · 27 Oct 2020  · 475pp  · 127,389 words

was unfolding. Along with a broad range of scientists, including epidemiologists, virologists, physicians, sociologists, and economists, I turned to Twitter to post tutorial threads on coronavirus-related topics such as the mortality rate in children and the elderly, the reasons we had to “flatten the curve,” the nature of immunity after

information, shut down the lab that had done this important work for “rectification.”60 SARS-2 is in the family of viruses knowns as coronaviruses. Some species of coronaviruses cause the common cold in humans; others afflict some of our domesticated animals, like pigs, cats, and chickens. Genetic sequencing showed that

due to the cessation of manufacturing activity.87 * * * The emergence of pandemics is not restricted to the twentieth century or to respiratory illnesses caused by coronavirus or influenza, of course. Dramatic outbreaks of infectious diseases have afflicted human beings for a long time. Pathogens are just as important to our species

For instance, another survey conducted at the end of April 2020 reported that 67 percent of Americans were “somewhat concerned” or “very concerned” about getting coronavirus themselves. But Americans were even more concerned that their family members would get the virus, with 79 percent expressing this fear.12 Another more clinically

time, in another survey conducted after mitigation efforts to flatten the disease curve were well under way, Americans became slightly less fearful of contracting the coronavirus (57 percent were worried in April compared to 51 percent in May), but they became slightly more concerned about severe financial hardship (48 percent

of Americans rated as “very important” the following conditions for resuming normal everyday activities at that time: (1) mandatory quarantine for anyone testing positive for coronavirus, (2) improved medical therapies to prevent or treat COVID-19, and (3) significant reduction in the number of new cases or deaths.16 * * * In

targeted young and healthy people would be better. But most persuasively, detailed genetic analyses of the pathogen show a pattern of descent from prior bat coronaviruses and of randomly occurring genetic mutations that are not compatible with deliberate genetic engineering.72 However, it is very difficult to totally exclude the possibility

organization in Florida calling itself the Genesis II Church of Health and Healing was ordered by a judge to stop selling its “sacramental dosing for coronavirus,” which consisted of a powerful bleaching agent ordinarily used as an industrial chemical.76 The organization described its purported elixir as a “miracle mineral

of structural power in the network, dominating the conversation and increasingly winning out against true information.101 * * * The circulation of truth and lies during the coronavirus pandemic was also heightened inadvertently by the increasing use by scientists of a new tool for communication, known as preprint servers, that in some ways

carefully vetted (even robust studies are improved significantly by undergoing peer review), and nonexperts usually lack the skills to evaluate its scientific validity. During the coronavirus pandemic, therefore, preprint servers contributed to dissemination of true information but also to what the WHO called an “infodemic” of false information. Online platforms

of this pathogen was bad enough without exaggeration of preliminary information making things worse. Another glaring example was an erroneous preprint that claimed that the coronavirus—impossibly—had insertions of genetic material from HIV. By the time scientists had debunked this study, prompting its wholesale withdrawal, it had entered into

and those considered blameworthy. Simpleminded Manichaean thinking surges—good versus evil, us versus them. Let’s look at some existing divisions in our society that coronavirus highlights—such as age, sex, race, and socioeconomic status—and then at some new ones it will likely foster. * * * One of the unusual features

combinations of gene variants. This variety could result in an immunity advantage compared to the more fixed expression in males.51 * * * Like other infectious diseases, coronavirus strikes differentially along socioeconomic lines. While this pandemic did not cause the structural inequalities in our society, it nevertheless brought them into stark relief. We

in the surrounding communities. The pathogen, having brewed at the factories, spread outward.65 * * * Ethnic and racial disparities in the attack rate and CFR of coronavirus also became clear not long after the pandemic struck the United States. The findings typified the usual patterns of differential burden of infectious diseases seen

virus vaccines are among the most effective methods of vaccination known, usually conferring very good and long-term immunity. Moderately successful veterinary vaccines for various coronavirus species (used in pigs, cows, cats, and so on) have been of the live attenuated variety, which raises hope for similar success in humans

part of their contribution, some scientists attempted to create genetically engineered animals that expressed the human form of the ACE2 protein (the one that the coronavirus latches onto), which would allow still other scientists to more rapidly assess the efficacy of the vaccines they were developing. A whole independent set

the opportunity to use our capacities for teaching and learning in order to enhance our survival. * * * One classic study of immunity and symptoms related to coronavirus (involving the 229E strain, which causes the common cold), published in 1990, involved an odd twist.85 Fifteen volunteers were deliberately infected with the virus

hope for our modern metropolises. Some of the most densely populated places on earth—Asian cities—have, to date, been very successful in containing the coronavirus pandemic. As we saw before, this paradox illustrates another important feature of our evolutionary heritage: the human capacity for cultural innovation and learning. Modern living

).29 Central nervous system symptoms were also more pronounced in that pandemic than is typical of influenza, according to historical accounts, and the OC43 coronavirus is known to be neuro-invasive.30 Another suggestive piece of evidence comes from work that indicates that the Russian flu showed a disproportionate increase

shape mortality function, which is unusual for influenza (remember that influenza usually manifests a more pronounced U-shaped function).31 OC43 and a particular bovine coronavirus species show remarkable similarities in their genetic sequences and in the chemical structures of the proteins that elicit an immune response. And by comparison with

to an Infectious Disease Hospital, Residents near the Huanan Market Found Infected,” Beijing News, January 2, 2020. 13 Anonymous, “China Detects Large Quantity of Novel Coronavirus at Wuhan Seafood Market,” XinhuaNet, January 27, 2020. 14 J.Q. Gong, “The Whistle-Giver,” People Magazine (China), March 10, 2020. 15 J.X.

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Aftershocks: Pandemic Politics and the End of the Old International Order

by Colin Kahl and Thomas Wright  · 23 Aug 2021  · 652pp  · 172,428 words

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,” Financial Times, April 16, 2020, https://www.ft.com/content/3ea8d790-7fd1-11ea-8fdb-7ec06edeef84.   32.  Schmitt-Roschmann, “After Glimpsing ‘Abyss’”; Rinke and Wacket, “Coronavirus Pandemic Is Historical Test”; Sánchez, “Europe’s Future Is at Stake”; Mallet and Khalaf, “FT Interview: Emmanuel Macron.”   33.  Martin Wolf, “German Court Decides to

Lee, “Taiwan’s New ‘Electronic Fence’ for Quarantines Leads Wave of Virus Monitoring,” Reuters, March 20, 2020, https://www.reuters.com/article/us-health-coronavirus-taiwan-surveillanc/taiwans-new-electronic-fence-for-quarantines-leads-wave-of-virus-monitoring-idUSKBN2170SK; interviews with government officials of Taiwan.   40.  “Taiwan Can Help, and

/; Rocky Swift, “Study Links Japan’s Domestic Travel Campaign to Increased COVID-19 Symptoms,” Reuters, December 8, 2020, https://www.reuters.com/article/health-coronavirus-japan-travel/study-links-japans-domestic-travel-campaign-to-increased-covid-19-symptoms-idUSKBN28I17C; Sho Saito, Yusuke Asai, and Nobuaki Matsunaga, “First and Second COVID

-3/fulltext; Bloomberg Quicktake (@Quicktake), “WATCH: Thousands of people in Brazil banged pots from their balconies in protest against President Bolsonaro’s handling of the #coronavirus pandemic,” Twitter, March 19, 2020, 10:00 p.m., https://twitter.com/QuickTake/status/1240820403435700226?s=20.   54.  Antonia Noori Farzan and Miriam Berger,

  77.  Vanessa Molter, “Virality Project (China): Pandemics & Propaganda,” Stanford Cyber Policy Center, March 19, 2020, https://cyber.fsi.stanford.edu/news/chinese-state-media-shapes-coronavirus-convo; Rachel Kleinfeld, “Do Authoritarian or Democratic Countries Handle Pandemics Better?,” Carnegie Endowment for International Peace, March 31, 2020, https://carnegieendowment.org/2020/03/31

Sawyer Crosby, and Samantha Kiernan, “Fighting a Pandemic Requires Trust,” Foreign Affairs, October 23, 2020, https://www.foreignaffairs.com/articles/united-states/2020-10-23/coronavirus-fighting-requires-trust.   80.  Migone, “The Influence of National Policy Characteristics”; “The Politics of Pandemics: Why Some Countries Respond Better Than Others,” Knowledge@Wharton, May

=premium&sref=bxQtWDnd.   19.  Author interview with three European Central Bank officials, February 12, 2021.   20.  Randow and Skolimowski, “Christine Lagarde’s $810 Billion Coronavirus U-Turn.”   21.  “Interview with Christine Lagarde, President of the ECB, Conducted by Matthieu Pelloli and Published on 9 April 2020,” European Central Bank, April

com/content/f8efe708-3c22-493b-88bd-855ec6d98522; Danica Kirka, “UK Economy Suffers Biggest Drop Since 1709,” Associated Press, February 12, 2021, https://apnews.com/article/coronavirus-pandemic-economy-4f0b6285a57c8b2929e2aceb864e7675; Prinesha Naidoo, “S. Africa Virus-Hit Economy Shrank Most in 100 Years in 2020,” Bloomberg, March 9, 2021, https://www.bloomberg.com

Student Enrollment Snapshot,” Institute of International Education, November 2020, https://www.iie.org/Research-and-Insights/Open-Doors/Fall-International-Enrollments-Snapshot-Reports; Peter Hurley, “Coronavirus and International Students,” Mitchell Institute at Victoria University, October 2020, https://www.vu.edu.au/sites/default/files/international-student-update-2020-mitchell-institute.pdf

-bangladeshs-garment-industry/a-53895339.     2.  Quoted in Rebecca Wright and Salman Saeed, “Bangladeshi Garment Workers Face Ruin as Global Brands Ditch Clothing Contracts amid Coronavirus Pandemic,” CNN Business, April 22, 2020, https://www.cnn.com/2020/04/22/business/bangladesh-garment-factories/index.html.     3.  “Dhaka, Bangladesh Population,” Population

Paul, “Bangladesh Shuts Down Villages After Tens of Thousands Attend Cleric’s Funeral,” Reuters, April 20, 2020, https://www.reuters.com/article/us-health-coronavirus-bangladesh/bangladesh-shuts-down-villages-after-tens-of-thousands-attend-clerics-funeral-idUSKBN2220PA.     9.  Kamran Reza Chowdhury, “COVID-19 Cases Soar in Bangladesh; Thousands Defy

2020.   12.  Ruma Paul, “Garment Exporter Bangladesh Faces $6 Billion Hit as Top Retailers Cancel,” Reuters, March 31, 2020, https://www.reuters.com/article/health-coronavirus-bangladesh-exports/garment-exporter-bangladesh-faces-6-billion-hit-as-top-retailers-cancel-idUKKBN21I2R9.   13.  “Helping Bangladesh Recover from COVID-19,” International Monetary Fund, June

11/bangladesh-to-resume-international-flights-on-june-16.   33.  COVID-19 Dashboard, Center for Systems Science and Engineering, Johns Hopkins University & Medicine, Coronavirus Resource Center, https://coronavirus.jhu.edu/map.html, accessed December 26, 2020.   34.  Shaina Ahluwalia and Anurag Maan, “South Asia Reached 10 Million COVID-19 Cases—Reuters

imf.org/en/Publications/WEO/%20Issues/2021/01/26/2021-world-economic-outlook-update.   98.  Claudia Viale, “Peru: Updated Assessment of the Impact of the Coronavirus Pandemic on the Extractive Sector and Resource Governance,” Natural Resource Governance Institute, December 18, 2020, https://resourcegovernance.org/analysis-tools/publications/peru-updated-assessment-impact

Surge Among Refugees in Middle East as Pandemic Pushes Most Vulnerable Deeper into Poverty,” Independent, September 20, 2020, https://www.independent.co.uk/independentpremium/world/coronavirus-cases-surge-among-refugees-middle-east-pandemic-pushes-most-vulnerable-deeper-poverty-b506833.html.   93.  Dempster et al., “Locked Down and Left Behind.”   94

Berger, “Refugee Camps Have Avoided the Worst of the Pandemic.”   96.  Quoted in Raquel Carvalho, “Rohingya Refugees in Bangladesh Struggle with Fear and Stigma amid Coronavirus,” South China Morning Post, September 13, 2020, https://www.scmp.com/week-asia/health-environment/article/3101271/rohingya-refugees-bangladesh-struggle-fear-and-stigma.   

, “Protesters Paralyze Bolivia over Election Delays, Threaten Escalation,” Washington Post, August 12, 2020, https://www.washingtonpost.com/world/the_americas/bolivia-protest-blockade-anez-evo-coronavirus/2020/08/11/7ffceb50-db48-11ea-809e-b8be57ba616e_story.html.   24.  Trigo, Kurmanaev, and McCann, “As Politicians Clashed, Bolivia’s Pandemic Death Rate Soared.”   

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Enforce the Country’s Lockdown After the Mayor Worried Residents Weren’t Taking Containment Measures Seriously,” Business Insider, March 20, 2020, https://www.businessinsider.com/coronavirus-drones-france-covid-19-epidemic-pandemic-outbreak-virus-containment-2020-3; Helene Fouquet and Gaspard Sebag, “French Covid-19 Drones Grounded After Privacy Complaint,” Bloomberg

.wsj.com/articles/beijing-ousts-four-opposition-lawmakers-in-hong-kong-11605080352; Repucci and Slipowitz, Democracy Under Lockdown, 10.   57.  Faiola, Wessel, and Mahtani, “Coronavirus Chills Protests”; Chenoweth et al., “The Global Pandemic Has Spawned New Forms of Activism—and They’re Flourishing.”   58.  Charis McGowan, “How Quarantined Chileans Are

-and-economic-trends-in-urban-suburban-and-rural-communities/; Elise Gould and Valerie Wilson, “Black Workers Face Two of the Most Lethal Preexisting Conditions for Coronavirus—Racism and Economic Inequality,” Economic Policy Institute, 2020, https://www.epi.org/publication/black-workers-covid/; Emily Benfer and Lindsay Wiley, “Health Justice Strategies

; Brenda Goodman, “Where Do COVID Vaccines Stand Against the Variants?,” Medscape, March 29, 2021, https://www.medscape.com/viewarticle/948335.     8.  Corum and Zimmer, “Coronavirus Variants and Mutations.”     9.  “Total Confirmed Cases of COVID-19,” Our World in Data, accessed February 17, 2021, https://ourworldindata.org/grapher/cumulative-covid-cases

Mid-June,” Politico, May 13, 2020, https://www.politico.eu/article/germany-eases-border-checks-but-some-restrictions-will-remain-until-mid-june-coronavirus-covid19/.   14.  European Commission, “Coronavirus: Commission Recommends Partial and Gradual Lifting of Travel Restrictions to the EU After 30 June, Based on Common Coordinated Approach,” press release,

-security-financing/.   61.  Jillian Deutsch and Sarah Wheaton, “How Europe Fell Behind on Vaccines,” Politico, January 27, 2021, https://www.politico.eu/article/europe-coronavirus-vaccine-struggle-pfizer-biontech-astrazeneca/.   62.  Deutsch and Wheaton, “How Europe Fell Behind on Vaccines”; Jacob Funk Kirkegaard, “The European Union’s Troubled COVID-19

to Limit Vaccine Exports.”   72.  Rym Momtaz, “Macron: AstraZeneca Vaccine Seems ‘Quasi-Ineffective’ on Older People,” Politico, January 29, 2021, https://www.politico.eu/article/coronavirus-vaccine-europe-astrazeneca-macron-quasi-ineffective-older-pe/.   73.  European Medicines Agency, “EMA Recommends COVID-19 Vaccine AstraZeneca for Authorisation in the EU,” January 29

, 2020, https://www.washingtonpost.com/world/vaccine-russia-china-influence/2020/11/23/b93daaca-25e5-11eb-9c4a-0dc6242c4814_story.html; Mark Scott, “In Race for Coronavirus Vaccine, Russia Turns to Disinformation,” Politico, November 19, 2020, https://www.politico.eu/article/covid-vaccine-disinformation-russia/; Lili Bayer and Jillian Deutsch, “Hungary

March 27, 2021, https://www.nytimes.com/2021/03/27/world/americas/virus-brazil-bolsonaro.html.   89.  Quoted in Mauricio Savarese, “Brazil’s Bolsonaro Rejects Coronavirus Vaccine from China,” AP News, October 21, 2020, https://apnews.com/article/virus-outbreak-brazil-state-governments-health-sao-paulo-b7b5b620ba54f402dbf803e26fe6b842.   90.  Antonia Noori Farzan

and Heloísa Traiano, “U.S. Officials Pushed Brazil to Reject Russia’s Coronavirus Vaccine, According to HHS report,” Washington Post, March 16, 2021, https://www.washingtonpost.com/world/2021/03/16/hhs-brazil-sputnik-russia/.   91.  Eduardo

Macaya, Melissa Mathani, and Fernando Alfonso III, “October 2: Trump’s Covid Diagnosis,” CNN, October 2, 2020, https://www.cnn.com/politics/live-news/trump-coronavirus-positive/h_cebb891fe9fe8513948709d5f1793e07.   95.  Jeff Mason and Joseph Ax, “Chaotic Clash in Cleveland: Five Takeaways from First U.S. Presidential Debate,” Reuters, September 29,

-international-health-architecture; “U.S., China Positive on Pandemic Treaty Idea: WHO’s Tedros,” Reuters, March 30, 2021, https://www.reuters.com/article/us-health-coronavirus-treaty-members-idUSKBN2BM10T.   35.  Burwell et al., “Improving Pandemic Preparedness: Lessons from COVID-19,” 78–79, 89–92.   36.  World Health Organization, “International Health

Adhanom Ghebreyesus third wave (of autocratization) Tillerson, Rex Tooze, Adam Troye, Olivia Trump, Donald “America First” platform Bolsonaro, Jair, and cancellation of 2020 G7 summit Coronavirus Task Force COVID-19 response COVID-19 vaccine development and on “deep state” downplaying of COVID-19 Helsinki summit Johnson, Boris, and Macron, Emmanuel, and

Uncontrolled Spread: Why COVID-19 Crushed Us and How We Can Defeat the Next Pandemic

by Scott Gottlieb  · 20 Sep 2021

rudimentary surveillance effort. In the absence of surveillance testing, health officials were forced to rely largely on a far less sensitive tool to tell whether coronavirus was starting to spread in local communities: syndromic surveillance. This approach relies on dozens of different streams of information on things such as how

in the Morbidity and Mortality Weekly Report, were often thorough, data driven, well researched, and late. The agency issued recommendations on the risk of coronavirus transmission through touching contaminated surfaces (fomites), measures to improve safety in schools, the role of respiratory aerosols and droplets, and countless other aspects of COVID

these sorts of countermeasures. In 2015, the head of BARDA, Robin Robinson, told the publication BioCentury that his agency didn’t have funding to develop coronavirus countermeasures. “We are funded for pandemic influenza and man-made threats like anthrax, smallpox, nuclear devices and chemical agents. If we had another emergency

drug makers, including Sanofi and Novavax, for their COVID vaccines. By the fall of 2020, nearly seventy different experimental vaccines used segments of the coronavirus spike protein as a way to try to generate immunity. Most used recombinant technology, where the proteins are derived from synthetic genomic material manufactured in

Schniming, “Wuhan nCoV Outbreak Quadruples, Spreads within China,” CIDRAP News, January 19, 2020. 3.Walter Sim, “Japan Confirms First Case of Infection from Wuhan Coronavirus; Vietnam Quarantines Two Tourists,” Straits Times, January 17, 2020. 4.World Health Organization (@WHO), “Preliminary Investigations Conducted by the Chinese Authorities Have Found No Clear

March 3, 2020. 11.Ibid. 12.Amos Zeeberg, “Piecing Together the Next Pandemic,” New York Times, February 16, 2021; and Ellen C. Carbo et al., “Coronavirus Discovery by Metagenomic Sequencing: A Tool for Pandemic Preparedness,” Journal of Clinical Virology 131, (2020): 104594. 13.Michael T. Osterholm and Mark Olshaker, Deadliest Enemy

Muzzled Her for Sharing Report on WeChat,” South China Morning Post, March 11, 2020. 23.Reporters Without Borders, “Whistleblowing Doctor Missing After Criticizing Beijing’s Coronavirus Censorship,” April 14, 2020. 24.Jianxing Tan, “新冠肺炎"吹哨人"李文亮:真相最重要” [“Covid-19 “Whistleblower” Li Wenliang: the Truth is Most Important”], Caixin, January 31, 2020. 25.Lin Zehong,

,” January 30, 2020. 50.Heritage Institute, “Virtual Event: One Year Later: Lessons from the Early COVID-19 Response,” January 14, 2021. 51.Cohen, “Mining Coronavirus Genomes for Clues to the Outbreak’s Origins.” 52.World Health Organization, “Pandemic Influenza Preparedness Framework,” May 24, 2011. 53.Emily Baumgaertner, “China Has Withheld

Mistakes),” New York Times, January 14, 2021. 68.Nicholas A. Christakis, Apollo’s Arrow (New York: Little, Brown Spark, 2020); and Keng Jin Lee, “Coronavirus Kills Chinese Whistleblower Ophthalmologist,” American Academy of Ophthalmology, February 10, 2020. 69.People’s Daily, “Why Wuhan Central Hospital Has the Highest Rate of Medical

Emergency of International Concern,’” April 29, 2009. 72.Xinhua News Agency, “Xi Jinping Made Important Instructions on the Pneumonia Epidemic Caused by the New Coronavirus, Emphasizing That the Safety and Health of the People Should Be Put First, Resolutely Curbing the Spread of the Epidemic, Li Keqiang Issued Instructions,” January

for Disease Control and Prevention, “Interim Guidance on Duration of Isolation and Precautions for Adults with COVID-19,” February 13, 2021, https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html. 23.Shatavia S. Morrison, “COVID-19 Genomic Epidemiology Toolkit: Module 1.2,” US Centers for Disease Control and

between Analytical Sensitivity and Detection Limit,” American Journal of Clinical Pathology 107, no. 5 (1997): 619. 26.Amy Maxmen, “The Race to Unravel the Biggest Coronavirus Outbreak in the United States,” Nature, March 7, 2020. 27.Fink and Baker, “‘It’s Just Everywhere Already.’” 28.Matt Markovich, “Seattle Flu Study

manufactured by Luminex and BioFire. Among the viruses that the BioFire panel can screen for using a single test are Adenovirus, Coronavirus HKU1, Coronavirus NL63, Coronavirus 229E, Coronavirus OC43, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Human Metapneumovirus, Human Rhinovirus/Enterovirus, Influenza A, Influenza A/H1, Influenza A/H3, Influenza A/H1

, Nightmare Scenario: Inside the Trump administration’s Response to the Pandemic That Changed History (New York: HarperCollins, 2021). 17.Brett Murphy and Letitia Stein, “Coronavirus Response Delayed Despite Health Officials’ Private Alarm,” USA Today, January 26, 2021. On February 29, CDC director Robert Redfield said at a White House press

Transmitted Pathogen,” Current Opinion in Infectious Diseases 31, no. 1 (2018): 39–44. 21.David William, “Lessons Unlearned: Four Years before the CDC Fumbled Coronavirus Testing, the Agency Made Some of the Same Mistakes with Zika,” Washington Post, July 4, 2020. 22.US Centers for Disease Control and Prevention, “Trioplex

, “Response to Investigative Team Explanation.” Chapter 7: The CDC Fails 1.US Food and Drug Administration, “Accelerated Emergency Use Authorization (EUA) Summary ORIG3N 2019 Novel Coronavirus (COVID-19) Test (ORIG3N, INC.),” April 4, 2020, https://www.fda.gov/media/136873/download; and Ruth McBride, Marjorie van Zyl, and Burtram Fielding,

reporter, “Integrated DNA Technologies Authorized under CDC EUA to Provide SARS-CoV-2 Test Kits,” Genome Web, March 3, 2020. 18.David Willman, “CDC Coronavirus Test Kits Were Likely Contaminated, Federal Review Confirms,” Washington Post, June 20, 2020. 19.Alexander Borst et al., “False-Positive Results and Contamination in Nucleic

of the Immediate Office of the General Counsel’s Investigation Regarding CDC’s Production of COVID-19 Test Kits.” 27.Ibid; and Willman, “CDC Coronavirus Test Kits Were Likely Contaminated, Federal Review Confirms.” 28.The CDC ultimately made the virus available to test manufacturers through BEI Resources, a quasi-governmental

Human Services press release, January 31, 2020, https://www.hhs.gov/about/news/2020/01/31/secretary-azar-declares-public-health-emergency-us-2019-novel-coronavirus.html; and US Food and Drug Administration, “Determination of a Public Health Emergency and Declaration that Circumstances Exist Justifying Authorizations Pursuant to Section 564(

and Human Services, “Rescission of Guidances and Other Informal Issuances Concerning Premarket Review of Laboratory Developed Tests,” August 19, 2020, https://www.hhs.gov/coronavirus/testing/recission-guidances-informal-issuances-premarket-review-lab-tests/index.html. 34.Kathleen McLaughlin, “HHS Relaxed Oversight of Problematic Covid-19 Tests Despite Being Told

2020, https://www.washingtonpost.com/context/letter-from-aphl-to-fda-commissioner-stephen-hahn/547133a7-6e13-4995-b14d-c3e0748e90b8/; and Boburg et al., “Inside the Coronavirus Testing Failure.” 36.Scott Gottlieb (@ScottGottliebMD), “THREAD ON DIAGNOSTICS: In recent public health emergencies there’s been a stepwise approach to ramp up U.S

With this data, the state would be able to seek authorization to do their own testing using New York State’s laboratory developed test. 48.“Coronavirus (COVID-19) Update: FDA Provides More Regulatory Relief During Outbreak, Continues to Help Expedite Availability of Diagnostics,” US Food and Drug Administration press release,

March 16, 2020, https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-provides-more-regulatory-relief-during-outbreak-continues-help. 49.Caroline Chen, Marshall Allen, and Lexi Churchill, “Internal Emails Show How Chaos

-19 should be evaluated among potentially exposed healthcare personnel.” See US Centers for Disease Control and Prevention, “Updated Guidance on Evaluating and Testing Persons for Coronavirus Disease 2019 (COVID-19),” March 8, 2020. 57.The CDC ultimately made the virus available to test manufacturers through BEI Resources. The University of

of a virus. See US Food and Drug Administration, “EUA Authorized Serology Test Performance,” accessed February 26, 2021, https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/eua-authorized-serology-test-performance. 5.“Abbott’s Fast, $5, 15-Minute, Easy-to-Use COVID

Skilled Nursing News, July 31, 2020. 19.Ritter and Metz, “Nevada Reverses Ban on Rapid Tests after Federal Pushback.” 20.US Food and Drug Administration, “Coronavirus (COVID-19) Update: FDA Takes Steps to Streamline Path for COVID-19 Screening Tools, Provides Information to Help Groups Establishing Testing Programs,” March 16, 2021

, https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-takes-steps-streamline-path-covid-19-screening-tools-provides. 21.“Trump Interrupts Health Officials: ‘Anybody That Wants a Test Can Get

Update: White House Press Briefing by FDA Commissioner Stephen M. Hahn, M.D.,” March 7, 2020, https://www.fda.gov/news-events/speeches-fda-officials/coronavirus-covid-19-update-white-house-press-briefing-fda-commissioner-stephen-m-hahn-md-03072020. 24.COVID-19 Test Capacity (@COVID2019tests), Twitter, https://twitter.com/COVID2019tests

-statewide-shutdown-restaurants-bars-and-limits-size-gatherings-expanded. 31.Weizhen Tan and Riya Bhattacharjee, “California Governor Issues Statewide Order to ‘Stay at Home’ as Coronavirus Cases Soar,” CNBC, March 20, 2020. Chapter 9: Shortage after Shortage 1.WECT Staff, “CDC Recommends Healthcare Providers Assume Those with Mild Symptoms to

/news/governors-of-six-states-announce-major-bipartisan-compact-for-three-million-rapid-antigen-tests/. 39.Erin Cox, “There’s No National Testing Strategy for Coronavirus. These States Banded Together to Make One.,” Washington Post, August 4, 2020. 40.Scott Gottlieb, “The States Are Laboratories for Covid Control,” Wall Street

Social Activity in Virus Fight, Warns of Recession,” Reuters, March 16, 2020. 15.Benjamin Siegel, “How Anesthesia Machines Can Help Hospitals with Ventilator Shortages Fight Coronavirus,” ABC News, March 27, 2020; and Kathleen Moore, “Local Anesthesiologists Converting Machines to Ventilators,” Post Star, March 26, 2020. 16.Jessie Yeung et al.,

on smallpox eradication would never have started—selecting the target helped develop the appropriate tools and strategy.” 21.Amanda Watts, “Health Official’s Advice on Coronavirus Response: ‘Speed Trumps Perfection,’” CNN, March 13, 2020. 22.James Glanz and Campbell Robertson, “Lockdown Delays Cost at Least 36,000 Lives, Data Show,”

/questions-answers/questions-answers-prevention. 41.Alvin Powell, “Is Air Conditioning Helping Spread COVID in the South?,” Harvard Gazette, June 29, 2020; Christopher Flavelle, “Coronavirus Makes Cooling Centers Risky, Just as Scorching Weather Hits,” New York Times, May 6, 2020; and Jianyun Lu et al., “COVID-19 Outbreak Associated with

for Disease Control and Prevention, “Discontinuation of Isolation for Persons with COVID-19 Not in Healthcare Settings,” February 18, 2021, https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home-patients.html. 8.Julia C. Pringle et al., “COVID-19 in a Correctional Facility Employee Following Multiple Brief Exposures

Situational Awareness Network Capabilities,” September 2017; and Yuval Levin, “Biden’s Pandemic-Policy Challenge,” National Review, January 18, 2021. 32.Melissa Healy, “California’s Coronavirus Strain Looks Increasingly Dangerous: ‘The Devil Is Already Here,’” Los Angeles Times, February 23, 2021. 33.Public Health England, “SARS-CoV-2 Variants of Concern

and Epidemiology of Middle East Respiratory Syndrome Corona Virus,” Multidisciplinary Respiratory Medicine 12, no. 20 (2017). 5.World Health Organization, “Middle East Respiratory Syndrome Coronavirus (MERS-CoV)—Saudi Arabia,” December 4, 2015, https://www.who.int/csr/don/4-december-2015-mers-saudi-arabia/en/. 6.Al-Osail and Al

Light on Chaotic COVID Decision-Making during Trump Administration,” Biocentury, May 14, 2021. 29.Tina Nguyen, “How a Chance Twitter Thread Launched Trump’s Favorite Coronavirus Drug,” Politico, April 7, 2020. 30.Kevin Roose and Matthew Rosenberg, “Touting Virus Cure, ‘Simple Country Doctor’ Becomes a Right-Wing Star,” New

Bloomberg, April 20, 2020. 26.Stacy Lawrence, “Regeneron, BARDA Partner to Develop MERS Virus Treatment,” Fierce Biotech, August 22, 2016; and “Antibody Treatment for MERS Coronavirus Safe in People,” US National Institutes of Health press release, March 2, 2021. 27.George D. Yancopoulos, cofounder, president, and chief scientific officer of Regeneron

Gottlieb and Mark McClellan, “The Trump Treatment for Covid Is Coming Soon,” Wall Street Journal, October 8, 2020. 35.CBS News, “Transcript: Scott Gottlieb Discusses Coronavirus on ‘Face the Nation,’ October 11, 2020,” October 11, 2020. 36.Scott Gottlieb, “Antibodies as Covid Insurance,” Wall Street Journal, December 13, 2020. 37

and New Vaccine Variants,” Pfizer press release, February 25, 2021. 39.Kevin O. Saunders et al., “Neutralizing Antibody Vaccine for Pandemic and Pre-emergent Coronaviruses,” Nature (2021). Chapter 18: A New Doctrine for National Security 1.“There is no recent precedent for treating disease as a security threat. So unfamiliar

Cases,” Clinical Infectious Diseases 42, no. 5 (2006): 634–9. 9.Patrick C. Y. Woo et al., “Characterization and Complete Genome Sequence of a Novel Coronavirus, Coronavirus HKU1, from Patients with Pneumonia,” Journal of Virology 79, no. 2 (2004): 884–95. 10.Xinhua, “21 Doctors, Nurses Infected with Pneumonia in E

investigators needed to safely operate this high-containment laboratory.” See Josh Rogin, “Opinion: State Department Cables Warned of Safety Issues at Wuhan Lab Studying Bat Coronaviruses,” Washington Post, April 14, 2020. 46.US Department of State, “Fact Sheet: Activity at the Wuhan Institute of Virology.” 47.Bryan A. Johnson, Xuping

Uncover COVID-19’s Origins.” 60.US National Institutes of Allergy and Infectious Diseases of the National Institutes of Health, “Understanding the Risk of Bat Coronavirus Emergence,” 2014–19, https://reporter.nih.gov/search/xQW6UJmWfUuOV01ntGvLwQ/project-details/9491676; and Peter Daszak and Vincent Racaniello, “This Week in Virology 615: Peter

173 National Academy of Medicine, 386–87 National Academy of Science’s Institute of Medicine, 342–43 National Aeronautics and Space Administration (NASA), 8 “National Coronavirus Response: A Road Map to Reopening” (AEI report), 250–52 National Human Genome Research Institute, 373 National Institute of Allergy and Infectious Diseases (NIAID),

How to Talk to a Science Denier: Conversations With Flat Earthers, Climate Deniers, and Others Who Defy Reason

by Lee McIntyre  · 14 Sep 2021  · 407pp  · 108,030 words

Change 5    Canary in the Coal Mine 6    Genetically Modified Organisms: Is There Such a Thing as Liberal Science Denial? 7    Talking with Trust 8    Coronavirus and the Road Ahead Epilogue Acknowledgments Bibliography Index List of Figures Figure 2.1 Fabricated data used as stimuli in an experiment by Kahan et

—Flat Earth—but set the foundation for recognizing them in the other examples of science denialism that we will encounter later: climate change, GMOs, and coronavirus. As stated, our goal here is to show that all science denial uses a common pattern. Later, we will explore why. Cherry-Picking If

makes us think we will have the political will to do so for climate change? 3.  If special interests can so quickly politicize something like coronavirus—by using the most ridiculous conspiracy theories and partisan nonsense—what hope do we have to unpolarize the “debate” about climate change?25 This is

for global warming too.26 And, in a weird confluence of events, there is some unabashedly good news for the climate that is linked to coronavirus. During the first few weeks of the pandemic, global emissions plunged an unprecedented 17 percent in early April 2020. According to a United Nations report

notice the obvious similarities here. Indeed, since all science denial is basically the same, it is notable that the type of denial we find for coronavirus is eerily similar to that for climate change and other issues. Misinformation, wishful thinking, blame, denial, and making up facts, followed by the claim

Science Has Delayed the Response to COVID-19 (and Climate Change),” Inside Climate News, March 19, 2020, https://insideclimatenews.org/news/19032020/denial-climate-change-coronavirus-donald-trump?gclid=EAIaIQobChMIsan_qduf6gIVDo3ICh1XPAIuEAAYASAAEgID0_D_BwE; Gilad Edelman, “The Analogy between COVID-19 and Climate Change Is Eerily Precise,” Wired, March 25, 2020, https

the Economy? How about Offering Testing and Basic Protections?” Washington Post, April 18, 2020, https://www.washingtonpost.com/sports/2020/04/18/sally-jenkins-trump-coronavirus-testing-economy/. 31. Indeed, a poll taken just after the 2016 presidential election showed that 62 percent of Trump voters supported carbon pollution taxes! If

and squarely in the wheelhouse of any book on science denial. But the politics of anti-vaxx are dauntingly equivocal, especially in the age of coronavirus.29 And, as previously noted, this topic has been covered quite extensively in recent years, and there are several excellent books already available. Seth Mnookin

it’s tempting in these post-truth times—when we see serious discussions about facts, proof, evidence, and lying about the economy, environment, immigration, crime, coronavirus, and a host of other topics on our TV news every day—to conclude that the only explanation for disbelief and denial is one’s

parallels between the rejection of truth in general (about the number of people at Trump’s inauguration, whether Greenland is for sale, or whether the coronavirus will someday “disappear like a miracle”) and the specific issue of science denial. In my book Post-Truth, I argued that one of the most

States and other Western democracies.31 Surely one’s beliefs about any scientific topic can be politicized—as we are seeing right now with the coronavirus. Even if they are not inherently political to begin with—or don’t tread on some preexisting ideological belief about free markets or individual freedom

been spreading science denial propaganda since the AIDS crisis in the 1980s, up through Ebola, until today with numerous conspiracies about the cause of the coronavirus. William J. Broad, “Putin’s Long War Against American Science,” New York Times, April 13, 2020, https://www.nytimes.com/2020/04/13/science/

putin-russia-disinformation-health-coronavirus.html; Julian E. Barnes and David E. Sanger, “Russian Intelligence Agencies Push Disinformation on Pandemic,” New York Times, July 28, 2020, https://www.nytimes.com

kill. Especially when in the hands of a national government, denialist beliefs are unusually deadly. Indeed, this is exactly what we are seeing today with coronavirus in the United States.2 The COVID-19 pandemic is the latest example of science denial. It grew from nothing at the beginning of 2020

every day. The emphasis and character of denialist claims may change from day to day, but the overall effect is obvious. President Trump is a coronavirus denier, and he has infected millions of his followers with denialist beliefs. Cherry-Picking “It’s just like the flu.” “Most people recover.” “This

recently, Trump praised the work of Dr. Stella Immanuel as “very impressive” and “spectacular” for her claim that hydroxychloroquine is a potential treatment for the coronavirus and her belief that masks are unnecessary.8 Further investigation revealed that Dr. Immanuel’s other medical opinions include the idea that “gynecological problems like

discredited anti-vaxx hesitancy concerns seem credible. In spring 2020, an AP poll showed that only 50 percent of Americans said they would take the coronavirus vaccine if it were available.19 The numbers were worse for Republicans, where only 43 percent said they would get the vaccine (whereas 62 percent

that the same is true of COVID-19?28 According to researchers at Carnegie Mellon University, nearly half of the Twitter accounts spreading misinformation about coronavirus are likely bots. Approximately 82 percent of the fifty most influential retweeters on ending the lockdowns and various COVID-19 conspiracies have been bots.29

of course bear some responsibility for the spread of disinformation about COVID-19. Not only are they the preferred platform for foreign propaganda about the coronavirus, they have been responsible for spreading denialist misinformation about other scientific topics for years. According to one February 2020 study out of Brown University, 25

subject of conversation was misleading political ads (which he decided to allow).35 By the time of the pandemic—at least for misinformation about the coronavirus—Zuckerberg changed his tune. Amid charges that most COVID-19 misinformation had originated on Facebook, the company responded by pointing out that it had removed

misinformation,” including content that could “lead to imminent harm including posts about false cures, claims that social distancing measures do not work and 5G causes coronavirus.”36 On August 5, 2020, Facebook even removed a post from the Trump campaign that included a clip of Trump falsely claiming that children were

will inevitably cause harm. Perhaps the pandemic will open the door to more of these efforts, on other denialist topics, in the future. Lessons from Coronavirus: Unify and Conquer One of the most fascinating aspects of the COVID-19 pandemic has been the chance to see what a denialist campaign looks

how to fight science denial in general. Many have noted, for instance, the startling parallels between COVID-19 denial and climate denial.41 In the coronavirus pandemic, we have a microcosm of the threat from global warming: it is an existential threat to the entire planet that portends fairly drastic economic

research shows that even deniers—and, notably, especially conservative ones—can be compelled by scientific consensus.50 The work cited here was done before the coronavirus pandemic, and mostly involved the acceptance of consensus on climate change, but there is no reason to think that this would not also apply to

other COVID-19 deniers to change their beliefs or behaviors, especially in an atmosphere of distrust. This is particularly true on an issue like the coronavirus, where knowledge is evolving rapidly. Warzel starts with an analogy about the Ebola virus crisis. He writes: As the Ebola epidemic raged in 2014,

in turn built trust—and as a result that trust was returned. Contrast this with the situation involving anti-maskers and other deniers around the coronavirus pandemic in the US. The political division and partisan context seems intractable, but is it? As Warzel points out, most people—even Republicans—still

26, 2008, https://www.theguardian.com/world/2008/nov/26/aids-south-africa. 2. Epidemiologists have estimated that approximately 90 percent of American deaths from coronavirus were due to the Trump administration’s delay between March 2 and March 16. Eugene Jarecki, “Trump’s Covid-19 Inaction Killed Americans. Here’s

“Burning Cell Towers, Out of Baseless Fear They Spread the Virus,” New York Times, April 10, 2020, https://www.nytimes.com/2020/04/10/technology/coronavirus-5g-uk.html; Travis M. Andrews, “Why Dangerous Conspiracy Theories about the Virus Spread So Fast—and How They Can Be Stopped,” Washington Post, May

1, 2020, https://www.washingtonpost.com/technology/2020/05/01/5g-conspiracy-theory-coronavirus-misinformation/. 5. Matthew Rozsa, “We Asked Experts to Respond to the Most Common COVID-19 Conspiracy Theories and Misinformation,” Salon, July 18, 2020, https://www

about Light as Remedy, but Also Disinfectant, Which Is Dangerous,” New York Times, April 24, 2020, https://www.nytimes.com/2020/04/24/health/sunlight-coronavirus-trump.html. 7. Mayla Gabriela Silva Borba et al., “Chloroquine Diphosphate in Two Different Dosages As Adjunctive Therapy of Hospitalized Patients with Severe Respiratory Syndrome

in the Context of Coronavirus (SARS-CoV-2) infection: Preliminary Safety Results of a Randomized, Double-Blinded, Phase IIb Clinical Trial (CloroCovid-19 Study),” medRxiv (preprint), April 7, 2020, https

, “Small Chloroquine Study Halted over Risk of Fatal Heart Complications,” New York Times, April 12, 2020, https://www.nytimes.com/2020/04/12/health/chloroquine-coronavirus-trump.html; Elyse Samuels and Meg Kelly, “How False Hope Spread about Hydroxychloroquine to Treat COVID-19—and the Consequences That Followed,” Washington Post, April

-19-drug-they-spent-weeks-promoting/2020/04/22/eeaf90c2-84ac-11ea-ae26-989cfce1c7c7_story.html. 8. Dickens Olewe, “Stella Immanuel—the Doctor behind Unproven Coronavirus Cure Claim,” BBC News, July 29, 2020, https://www.bbc.com/news/world-africa-53579773. 9. Margaret Sullivan, “This Was the Week America Lost

10. Stephen Collinson, “Trump Seeks a ‘Miracle’ as Virus Fears Mount,” CNN, February 28, 2020, https://www.cnn.com/2020/02/28/politics/donald-trump-coronavirus-miracle-stock-markets/index.html. 11. Consider this analogy: if we were catching more fish only because we were putting out twice as many nets

the hosts of popular Fox News shows were doing that. Margaret Sullivan, “The Data Is In: Fox News May Have Kept Millions from Taking the Coronavirus Threat Seriously,” Washington Post, June 28, 2020, https://www.washingtonpost.com/lifestyle/media/the-data-is-in-fox-news-may-have-kept-millions-from-taking

-the-coronavirus-threat-seriously/2020/06/26/60d88aa2-b7c3-11ea-a8da-693df3d7674a_story.html. An even more fine-grained analysis has revealed that there was a correlation

-Burroughs, “Antivaccination Activists Are Growing Force at Virus Protests,” New York Times, May 2, 2020, https://www.nytimes.com/2020/05/02/us/anti-vaxxers-coronavirus-protests.html. 16. Liz Szabo, “The Anti-vaccine and Anti-lockdown Movements Are Converging, Refusing to Be ‘Enslaved,’” Los Angeles Times, April 24, 2020, https

Group’s Links to America’s Far Right,” Guardian, May 8, 2020, https://www.theguardian.com/world/2020/may/08/lockdown-groups-far-right-links-coronavirus-protests-american-revolution. 23. Chuck Todd et al., “The Gender Gap between Trump and Biden Has Turned into a Gender Canyon,” NBC News, June

Enforcing Mask Rules? Often Retail Workers, and They’re Getting Hurt,” New York Times, May 15, 2020, https://www.nytimes.com/2020/05/15/us/coronavirus-masks-violence.html; Bill Hutchinson, “‘Incomprehensible’: Confrontations over Masks Erupt amid COVID-19 Crisis,” ABC News, May 7, 2020, https://abcnews.go.com/US/incomprehensible

Messages That Sowed Virus Panic in U.S., Officials Say,” New York Times, April 22, 2020, https://www.nytimes.com/2020/04/22/us/politics/coronavirus-china-disinformation.html. 32. Oliver Milman, “Revealed: Quarter of All Tweets about Climate Crisis Produced by Bots,” Guardian, February 21, 2020, https://www.theguardian.com

, August 4, 2020, https://www.nbcnews.com/think/opinion/did-trump-kushner-ignore-blue-state-covid-19-testing-deaths-ncna1235707. 48. Bill Barrow et al., “Coronavirus’ Spread in GOP Territory, Explained in Six Charts,” AP News, June 30, 2020, https://apnews.com/7aa2fcf7955333834e01a7f9217c77d2. 49. Lewandowsky and Oberauer, “Motivated Rejection of Science

s Tulsa Rally, Oklahoma Reports Record High COVID-19 Numbers,” Time, July 11, 2020, https://time.com/5865890/oklahoma-covid-19-trump-tulsa-rally/. 52. “Coronavirus: Donald Trump Wears Face Mask for the First Time,” BBC, July 12, 2020, https://www.bbc.com/news/world-us-canada-53378439. 53. John Wagner

‘a Fake Crisis.’ Then He Contracted It and Changed His Mind,” NBC News, May 18, 2020, https://www.nbcnews.com/news/us-news/he-thought-coronavirus-was-fake-crisis-then-he-contracted-it-n1209246. 56. Kim LaCapria, “Richard Rose Dies of COVID-19, After Repeated ‘Covid Denier’ Posts,” Truth or

html. 58. Charlie Warzel, “How to Actually Talk to Anti-Maskers,” New York Times, July 22, 2020, https://www.nytimes.com/2020/07/22/opinion/coronavirus-health-experts.html. 59. Warzel, “How to Actually Talk to Anti-Maskers.” 60. He cites a June 2020, New York Times/Siena College survey that

path of a hurricane, to whether California forest fires could be prevented by more raking, and whether bleach and light were potential treatments for the coronavirus and masks a good preventative measure during a pandemic. But we should also remember that, as we saw in chapter 6, science denial is not

is out of office, the ideological rejection of science is entrenched in other countries, which have their own problems. Anti-vaxx is rampant in Italy. Coronavirus conspiracy theories led to the toppling of 5G cell towers in England. Flat Earthers make up a nonnegligible portion of the national population in Brazil

-0631-5. Warzel, Charlie. “How to Actually Talk to Anti-Maskers.” New York Times, July 22, 2020. https://www.nytimes.com/2020/07/22/opinion/coronavirus-health-experts.html. West, Mick. Escaping the Rabbit Hole: How to Debunk Conspiracy Theories Using Facts, Logic, and Respect. New York: Skyhorse, 2018. Wood,

A Shot to Save the World: The Inside Story of the Life-Or-Death Race for a COVID-19 Vaccine

by Gregory Zuckerman  · 25 Oct 2021  · 368pp  · 106,185 words

revolutionary, helped found Moderna Jason Mclellan—Structural biologist, discovered way to keep spike protein in ideal form Nianshuang Wang—Native of China, worked on breakthrough coronavirus research Government Scientists Anthony Fauci—Top U.S. infectious-disease expert Barney Graham—Deputy director, Vaccine Research Center; chased RSV vaccines, worked with Moderna on

, he’d use his insect system to try to develop other vaccines. Eventually, he’d focus on a very different kind of pathogen: a new coronavirus. 3 1996–2008 Mice lie, monkeys mislead, and ferrets are weasels. —a popular aphorism among scientists The phone rang in John Shiver’s office,

a vaccine technology to defend against malaria, influenza, and many other viruses and diseases. Eventually, they’d even use it to take on a novel coronavirus. * * * • • • Dan Barouch was sure he could avoid Merck’s mistake. Barouch was a thirty-one-year-old scientist in 2004, running a small research

lowest point,” says McLellan. McLellan called Graham for advice. In his soothing tone, Graham suggested that McLellan focus on a different type of pathogen: coronaviruses. These viruses didn’t usually grab the attention of the public, nor did most scientists care too much about them, but they are ancestrally related

responsible for little more than cause the common cold. Specialists in the field didn’t mind that no one cared about the area. To them, coronaviruses were unusual and interesting pathogens that expressed their genes and proteins in unique ways, satisfying the researchers’ intellectual curiosity. For some, the relative obscurity of

memorable for the socializing and delicious food and wine served as for the captivating presentations delivered. By then, a view had emerged that the human coronavirus, called OC43, likely arose in the nineteenth century, perhaps jumping from cows to humans before melting into civilization’s background as one of the causes

pathogens and for saying that colds need to run their course. But I reply with frank chagrin “Why must the blasted thing BEGIN?”8 Eventually, coronavirus vaccines were introduced for some livestock, protecting their vulnerable respiratory and gastrointestinal systems from the virus, but most scoffed at the notion of focusing precious

disease it caused was called SARS, short for severe acute respiratory syndrome. Soon it was killing people, reaching a mortality rate of 10 percent. Coronavirus-obsessives were absolutely stunned. They had no idea that a version of the pathogen they were so passionate about could kill humans. Suddenly, their field

Soon a global health crisis was under way, as the virus causing the disease, MERS-CoV, spread to dozens of countries, sparking renewed interest in coronaviruses that eventually helped McLellan receive the funding he needed for his growing Dartmouth lab. McLellan and Graham began focusing on a vaccine for MERS, helped

competing academic groups to the finish line, his first huge scientific achievement. Wang, who had a full face and spikey dark hair, was convinced coronaviruses would continue to threaten global health, and he was disturbed by how little was known about them. After reading about McLellan’s RSV breakthrough, he

and others in Graham and Ward’s labs, Wang had submitted a paper detailing their MERS research, demonstrating a potentially universal method of stabilizing the coronavirus’s spike protein to enable an effective vaccine, but the paper had been rejected by all five of the leading scientific journals. One reviewer called

group’s paper eventually was accepted for publication by a respected, though second-tier, journal, but most scientists ignored the research, many still uninterested in coronaviruses, a reaction that left Wang further dejected. “People will find it,” McLellan told him, trying to cheer him up. At night, Wang found it

while Moderna would produce the mRNA molecules, wrapping them with Benenato’s new lipids. The two partners immediately produced a vaccine for MERS-CoV, the coronavirus that was causing MERS. Their shots generated impressive levels of antibodies in tests on mice and monkeys, but before testing on humans could proceed, the

epidemic died out. Nevertheless, the two teams were pretty sure their shots would have proven effective, and maybe would have been enough to halt that coronavirus. They vowed to team up, once again, if a similar virus ever emerged. * * * • • • Bancel was convinced his company was making progress. Outsiders were dubious.

Almost simultaneously, they reached the same conclusion. “It’s SARS, it’s SARS!” Zhang said. Shit, it’s back, Holmes thought, referring to another pernicious coronavirus. Zhang and his colleagues in China began cautioning authorities in the country. After sending a warning to the NHC, Zhang boarded a flight to Wuhan

Davos, Switzerland, to join thousands of global leaders at the annual meeting of the World Economic Forum, he was becoming more concerned about the novel coronavirus. At the event, attendees debated economic, political, and environmental topics, and Bancel spent some time trying to understand why investors were so discouraged about

-19 vaccines, called mRNA-1273, to Corbett, the NIH scientist, to begin testing in mice. Within weeks, early results showed it elicited antibodies to the coronavirus, a promising, albeit early, sign. Moderna staffers were accustomed to self-confidence, even boasts, from Bancel. When he met with Fauci and the others,

catch Garbuz if he fell. It was more important to allay the public’s concerns than to face the new reality. * * * • • • As the new coronavirus spread, it seemed similar to most other respiratory illnesses, at least at first. Patients suffered from fever, coughs, and shortness of breath. Soon, though, it

became clear this one was uniquely treacherous. The novel coronavirus could affect the kidneys, heart, and liver, and the circulatory and gastrointestinal systems. Sometimes patients’ lungs filled with so much fluid they weren’t able

Viral particles traveled to the backs of nasal passages and to mucous membranes in the throat. Soon the virus was spreading all over the body. Coronavirus particles, with their trademark spiked proteins protruding from their spherical surfaces, hooked on to the cell membranes, enabling the virus’s genetic material to enter

help people to avoid the virus. Scientists began employing techniques they had developed to fight previous viruses and diseases, including AIDS, to slow the new coronavirus. It had taken years, but by early 2020, researchers at companies like Gilead Sciences, outside San Mateo, California, had introduced cocktails of antiretroviral pills

In early 2020, Eli Lilly and Regeneron Pharmaceuticals began producing these kinds of drugs, called monoclonal antibodies, to help some patients dealing with the new coronavirus. A cheap steroid called dexamethasone also proved capable of decreasing mortality, providing doctors with still another way to fend off Covid-19. It soon became

of those nations’ vaccines might not be reliable. Instead, they pinned their hopes on Western vaccine powers, such as Merck. * * * • • • As news of the new coronavirus emerged, Merck’s executives gathered at the company’s West Point, Pennsylvania, research and manufacturing site and elsewhere, debating whether to participate in what they

email Johan Van Hoof, the head of global vaccines at Johnson & Johnson’s Janssen Pharmaceuticals division, his partner on the HIV and Zika vaccines. “The coronavirus outbreak in China is looking bad,” Barouch wrote. “Human-to-human transmission appears quite efficient, including from asymptomatic individuals without fevers, which may make epidemic

was urging his company to go full speed ahead. “I had the zeal of the converted,” he says. Some of the Pfizer executives were witnessing coronavirus’s impact firsthand. Jansen and some others continued coming into the company’s Midtown Manhattan office, sometimes passing refrigerated trucks that stored victims who had

work. “Treatments save lives,” Schuitemaker liked to tell colleagues in Crucell’s offices in the Dutch city of Leiden. “But vaccines save populations.” When the coronavirus crisis worsened in the early spring, however, some senior J&J executives were having second thoughts about Schuitemaker’s idea of using high-potency shots

&J knew they might not have the first vaccine, but their shots had a chance to be the most protective and convenient. * * * • • • As the coronavirus spread, thousands of scientists around the world raced to build vaccines capable of protecting people from what increasingly seemed like a modern-day new plague

Failure would also likely mean other vaccine efforts were doomed, since so many shared common elements with Pfizer/BioNTech’s approach, such as targeting the coronavirus’s spike protein. Some at Pfizer had intensely personal reasons to explain why they were praying for good news. Philip Dormitzer, who along with Jansen

percent effective at preventing symptomatic disease in adults, more proof that Smith and his colleagues had developed one of the most effective vaccines against the coronavirus. Regulatory clearances were still months away because the company had yet to ensure that its manufacturing processes met regulatory standards. The delays meant it was

could relax a bit after their difficult year and eventual vaccine success. They never had a chance. As new and dangerous variant strains of the coronavirus emerged during 2021, Bancel and his colleagues scrambled to rework their vaccine, develop potential booster shots to handle new variants, and test vaccines for adolescents

the BioNTech scientists were even eyeing challenging diseases like tuberculosis and AIDS. His ambitions raised the tantalizing prospect that the horrors wrought by the deadly coronavirus could, in an indirect way, help vanquish some of the cruelest diseases known to humankind. Still biking to work, Şahin continued to leave colleagues

617.2, or the Delta variant, emerged. The variant, which swept through India before sparking waves of infection elsewhere, served as a reminder that the coronavirus wasn’t nearly finished terrorizing the world. For most people, Covid-19 vaccines provided sufficient protection from the most dangerous effects of the variant. But

virus that leads to seasonal disease, like influenza, as well as more painful, periodic outbreaks. Humankind will likely need to learn to live with the coronavirus, while finding creative ways to encourage unvaccinated populations to roll up their sleeves and receive shots. But if the virus is discovering creative ways to

out. And researchers at Walter Reed are testing a supershot that might confer immunity against a wide variety of pathogens, including new strains of the coronavirus. The researchers believe their shots will trigger such a strong immune response that they will potentially fend off many types of viruses and diseases. “

viruses were also discovered in central African monkeys and apes, thus ending the debate. It may take even longer to discover the origins of the coronavirus in nature. “Virologists need time,” Wain-Hobson says. * * * • • • Crises and catastrophes often result in medical breakthroughs. Ambulances and anesthesia emerged from World War I,

applied to civilian patients. “Society usually makes progress out of necessity,” argues Jeremy Farrar, director of the Wellcome Trust. Good has already resulted from the coronavirus crisis. Many people adopted healthier balances between their professional and personal lives and a new appreciation for family. Hopefully, these shifts will be long-lasting

During the worst of the 2020 crisis, Anthony Fauci received death threats and some politicians suggested that doctors were inflating the death toll from the coronavirus as a means of generating higher hospital fees. The counsel and guidance of public health authorities likely will be needed again, perhaps soon. There’

2020, Rabbi Lord Jonathan Sacks noted that the United States and the United Kingdom, two of the countries that had suffered the most from the coronavirus crisis, are also the nations best known for defending liberty and freedom, while prizing, even venerating, individualism. Working at The Wall Street Journal during

effort were likely motivated, at least in part, by fame and fortune, suggesting that promoting individual goals can bring broader benefits. Better, though, that the coronavirus crisis results in a renewed emphasis on collective relationships and an appreciation for those who make sacrifices on behalf ofothers. “I think future anthropologists will

Chemical & Engineering News, September 29, 2020, https://cen.acs.org/pharmaceuticals/vaccines/tiny-tweak-behind-COVID-19/98/i38. 6. Elisabeth Mahase, “Covid-19: First Coronavirus Was Described in the BMJ in 1965,” British Medical Journal 369, no. 8242 (April 2020): m1547, https://doi.org/10.1136/bmj.m1547. 7. Ivan

Oransky, “David Tyrrell,” Lancet 365, no. 9477 (June 2005): 2084, https://doi.org/10.1016/S0140-6736(05)66722-0; Mahase, “Covid-19: First Coronavirus.” 8. Oransky, “David Tyrrell.” 9. Yanzhong Huang, “The SARS Epidemic and Its Aftermath in China: A Political Perspective,” in Learning from SARS: Preparing for the

the First COVID-19 Genome Speaks Out About the Controversies Surrounding His Work,” Time, August 24, 2020, https://time.com/5882918/zhang-yongzhen-interview-china-coronavirus-genome. 10. Natasha Khan, “New Virus Discovered by Chinese Scientists Investigating Pneumonia Outbreak,” Wall Street Journal, January 8, 2020, https://www.wsj.com/articles/

Report—How a British COVID-19 Vaccine Went from Pole Position to Troubled Start,” Reuters, December 24, 2020, https://www.reuters.com/article/us-health-coronavirus-britain-vaccine-sp-idUKKBN28Y0XU. 5. Baker, “Covid Vaccine Front-Runner.” 6. Sarah Gilbert, “If This Doesn’t Work, I’m Not Sure Anything Will,”

“Trump Seeks Push to Speed Vaccine, Despite Safety Concerns,” New York Times, April 29, 2020, https://www.nytimes.com/2020/04/29/us/politics/trump-coronavirus-vaccine-operation-warp-speed.html. 8. Helen Branswell, “Vaccine Experts Say Moderna Didn’t Produce Data Critical to Assessing Covid-19 Vaccine,” STAT News, May

, “Decades of Work, and Half a Dose of Fortune, Drove Oxford Vaccine Success,” Reuters, November 23, 2020, https://www.reuters.com/article/us-health-coronavirus-astrazeneca-oxford/decades-of-work-and-half-a-dose-of-fortune-drove-oxford-vaccine-success-idUKKBN2832NC?edition-redirect=uk. 7. Clive Cookson et al., “How

Shutdown: How COVID Shook the World's Economy

by Adam Tooze  · 15 Nov 2021  · 561pp  · 138,158 words

LC record available at https://lccn.loc.gov/2021016843 LC ebook record available at https://lccn.loc.gov/2021016844 Cover design: Jason Ramirez Cover image: (coronavirus cell) DigitalVision Vectors / Getty Images Book design and graph illustrations by Daniel Lagin, adapted for ebook by Cora Wigen pid_prh_5.7.1_c0

was stressing the weakest parts of our personalities and our most intimate relationships. * * * — There have been far more lethal pandemics. What was dramatically new about coronavirus in 2020 was the scale of the response. And that begs a question. As the Financial Times’s chief economic commentator Martin Wolf put it

the very unequal consequences of societal risks, whether those be due to structural change in the global division of labor, environmental damage, or disease.43 Coronavirus glaringly exposed our institutional lack of preparation, what Beck called our “organized irresponsibility.” It revealed the weakness of basic apparatuses of state administration, like up

was a long-term world historic shift, to which everyone in the world would eventually have to respond. But Beijing’s success in handling the coronavirus and the assertiveness that unleashed were a red flag to the Trump administration. Furthermore, the superheated atmosphere of the American election generated powerful amplification and

vision of American government crafted by successive Democratic administrations starting with Woodrow Wilson and FDR gave American liberals tools with which to respond to the coronavirus challenge. Even the new generation of American radicals led by Alexandria Ocasio-Cortez could find things to like about the New Deal.73 By

implications for our history—written from the safety of an Upper West Side apartment could seem remote. The Anthropocene remained an abstract intellectual proposition. The coronavirus crisis has stripped even the most sheltered of us of that illusion. Part I DISEASE X Chapter 1 ORGANIZED IRRESPONSIBILITY Skeptics—and there have been

system anywhere in the world that could absorb the caseload of a runaway pandemic. Organized irresponsibility ruled. * * * — As bewildering as its impact was, the 2020 coronavirus crisis was an accident waiting to happen. Not only did our modern way of life supercharge the mutation of potentially dangerous viruses, we carry them

-term perspective, and to strengthen and firm up confidence.” The emphasis now was on selectivity and discipline. About half of China’s counties had no coronavirus cases. There, the priority should be “on forestalling imported cases and comprehensively restoring the order of production and life.” For medium-risk regions, the

adequacy of public health systems but transatlantic divisions between the United States and Europe, over trade, NATO, and climate policy. Those who were warning about coronavirus, including the WHO boss Tedros Adhanom Ghebreyesus and Kristalina Georgieva of the IMF, struggled to make themselves heard. The main stage was given over to

bathrooms, kitchens, or washing facilities—the dilemmas were even more acute. In a labor market hierarchy that, in any case, rewards abstract, disembodied labor, the coronavirus crisis massively compounded existing inequalities. If you had the capacity to extract yourself, you were okay. You could work remotely. You could shop remotely. You

of hyperglobalization, fragile and attenuated welfare states, profound social and economic inequality, and the overweening size and influence of private finance. * * * — The fiscal response to coronavirus was a striking expression of combined and uneven development. On the one hand, since virtually every country in the world joined the collective move to

Central banks go on a bond-buying spree to support government responses to the pandemic. Data compiled by Bloomberg, https://www.bloomberg.com/graphics/2021-coronavirus-global-debt The central banks didn’t, on the whole, buy the newly issued debt directly. They bought bonds held by banks and investment funds

the stock market. It increased financial net worth and boosted demand. The supportive cooperation between central banks and treasuries in the common struggle against the coronavirus was thus, the central bankers adamantly insisted, no more than an incidental side effect of their frantic and clumsy efforts to manage the economy by

value; this was priced to panic.”3 How would the emerging markets weather the storm? Would a financial crisis cripple their ability to respond to coronavirus? Would the advanced economies and the international financial institutions, in which the Americans and Europeans have a controlling voice, offer assistance, or would they

compound the pressure? The coronavirus crisis was a major test of the economic regime not just of the advanced economies, but of the entire world. * * * — The capital flight of

were watching the generous social spending of Bolsonaro’s government with increasing apprehension. How, they asked, would a populist administration respond to another wave of coronavirus?73 More and more investors were willing to buy only short-dated Brazilian debt.74 The new toolkit for managing the risks of financial globalization

of the court, but away from it, not putting European solidarity in question, but tending, instead, to reinforce it. * * * — As a near-universal experience, the coronavirus pandemic concentrated minds across the world on a single issue, inducing identification, comparison, and sympathy across borders—Chen’s convergence, linkage, induction, and amplification effects

sector unions.30 His hobbyhorse was a liability shield, which would enable an early return to work while protecting employers against lawsuits to do with coronavirus infection. As a license for corporate irresponsibility, this would never pass the Democratic majority in the House.31 President Trump added noise to the

vaccine whose efficacy and safety had been legitimately tested and whose production was ramped up to scale were very different things. The drama of the coronavirus vaccine was that for the first time, all three processes—development, testing, ramping up production—were accomplished simultaneously, on a scale intended in due

Home,” Responsible Statecraft, June 4, 2020. 76. J. Iadarola, “What if Bernie Has Already Won This Thing?” The Hill, February 23, 2020. S. Hamid, “The Coronavirus Killed the Revolution,” Atlantic, March 25, 2020. 77. G. Ip, “Businesses Fret Over Potential Bernie Sanders Presidency,” Wall Street Journal, March 1, 2020. B. Schwartz

”; ecpr.eu/Filestore/PaperProposal/0dac228d-63fb-45c6-8384-21d764abaf6a.pdf. 37. A. Folley, “Texas Lt Gov: ‘Grandparents “Don’t Want the Whole Country Sacrificed” Amid Coronavirus Closures,’ ” The Hill, March 23, 2020. 38. C. Landwehr, “Deciding How to Decide: The Case of Health Care Rationing,” Public Administration 87, no. 3 (

Scramble to Avert a Chernobyl Moment,” Washington Post, January 29, 2020. J. Anderlini, “Xi Jinping Faces China’s Chernobyl Moment,” Financial Times, February 10, 2020. “Coronavirus ‘Cover-up’ Is China’s Chernobyl—White House Advisor,” Reuters, May 24, 2020. 5. J. Li, “Chinese People Are Using ‘Chernobyl’ to Channel Their

Shutdown Is Believed to Be Without Precedent,” New York Times, January 22, 2020. 16. R. McGregor, “China’s Deep State: The Communist Party and the Coronavirus,” Lowy Institute, July 23, 2020. 17. T. Heberer, “The Chinese ‘Developmental State 3.0’ and the Resilience of Authoritarianism,” Journal of Chinese Governance 1,

February 24, 2020. 61. “WHO Director-General Opening Remarks at the Media Briefing on COVID-19,” World Health Organization, February 23, 2020. 62. F. Tang, “Coronavirus: Xi Jinping Rings Alarm on China Economy as Country Shifts Priority to Maintaining Growth,” South China Morning Post, February 24, 2020. 63. R. McMorrow, N

M. MacKenzie, “In No Mood for Catching a Falling Knife,” Financial Times, February 25, 2020. 38. R. Wigglesworth, K. Martin, and T. Stubbington, “How the Coronavirus Shattered Market Complacency,” Financial Times, February 28, 2020. 39. MacKenzie, “In No Mood for Catching a Falling Knife.” 40. S. Johnson, “Global Inventories at 7

South Korea’s Rapid Response to the COVID-19 Pandemic,” Transportation Research Interdisciplinary Perspectives 5 (2020): 100111. 46. Herszenhorn and Wheaton, “How Europe Failed the Coronavirus Test.” 47. L. Kudlow and K. Evans, CNBC interview transcript, February 25, 2020; www.cnbc.com/2020/02/25/first-on-cnbc-cnbc-transcript-national

Trump Visits CDC, Calls Jay Inslee a ‘Snake,’ ” Rev, March 6, 2020. 53. D. Agren, “Mexican Governor Prompts Outrage with Claim Poor Are Immune to Coronavirus,” Guardian, March 26, 2020. 54. “Mexico: Mexicans Need Accurate COVID-19 Information,” Human Rights Watch, March 26, 2020. 55. F. Ng’wanakilala, “Tanzanian President

M. Fletcher, “Britain and Covid-19: A Chronicle of Incompetence,” New Statesman, July 1, 2020. 58. J. Horowitz, “The Lost Days That Made Bergamo a Coronavirus Tragedy,” New York Times, November 29, 2020. CHAPTER 4. MARCH: GLOBAL LOCKDOWN 1. P. Smith, “An Overview and Market Size of Tradable Commodities,” The Tradable

, “China Laps U.S. in Latin America with Covid-19 Diplomacy,” Bloomberg, June 24, 2020. 52. L. Paraguassu and J. McGeever, “Brazil Government Ad Rejects Coronavirus Lockdown, Saying #BrazilCannotStop,” Reuters, March 27, 2020. 53. “Federal Judge Bans Bolsonaro’s ‘Brazil Cannot Stop’ Campaign,” teleSUR, March 28, 2020. 54. D. Agren, “

56. Morning Conference with A. M. López Obrador, “Versión estenográfica de la conferencia de prensa matutina,” March 11, 2020. 57. T. Phillips, “Mexican President Ignores Coronavirus Restrictions to Greet El Chapo’s Mother,” Guardian, March 30, 2020. 58. R. Costa and P. Rucker, “Inside Trump’s Risky Push to Reopen the

A. Olson and C. Bussewitz, “Child Care Crisis Pushes US Mothers Out of the Labor Force,” AP News, September 4, 2020. 35. M. Paxton, “The Coronavirus Threat to Wildlife Tourism and Conservation,” United Nations Development Programme, April 21, 2020. “Global Wildlife Tourism Generates Five Times More Revenue Than Illegal Wildlife Trade

Conservation.” 38. J. K. Elliot, “Thailand’s ‘Monkey City’ Overrun by Gangs of Hungry, Horny Macaques,” Global News, June 24, 2020. 39. D. Jones, “The Coronavirus Pandemic Has Halted Tourism, and Animals Are Benefiting from It,” Washington Post, April 3, 2020. 40. M. Toyana, “Jobs Gone, Investments Wasted: Africa’s Deserted

Stracqualursi and A. Kurtz, “Trump Administration Asking States to Delay Release of Unemployment Numbers,” CNN, March 20, 2020. 61. G. Iacurci, “Job Losses Remain ‘Enormous’: Coronavirus Unemployment Claims Are Worst in History,” CNBC, July 9, 2020. 62. “2020: Charts from a Year Like No Other,” Financial Times, December 29, 2020. 63

M. Ashworth, “Germany’s ‘Black Zero’ Rule May Be Gone Forever,” Bloomberg, February 26, 2020. 14. M. Nienaber, “German Parliament Suspends Debt Brake to Fight Coronavirus Outbreak,” Reuters, March 25, 2020. 15. G. Chazan, “Scholz Insists Record German Borrowing Manageable,” Financial Times, June 17, 2020. “Germany Opens the Money Tap,” Economist

—China’s Recovery and International Response,” ODI Economic Pulse series, November 2020. 19. J. Sipalan, “Malaysia Announces $58-Billion Stimulus Package to Cushion Impact of Coronavirus,” Reuters, March 27, 2020. 20. J. Follain, “Italian Leader Takes to Basement to Plot How to Fight Virus,” Bloomberg, March 9, 2020. 21. J.

of Retail Investors Are Trading with Leverage,” Yahoo!, September 9, 2020. CHAPTER 8. THE TOOLKIT 1. J. Wheatley and A. Schipani, “Bolsonaro, Brazil and the Coronavirus Crisis in Emerging Markets,” Financial Times, April 19, 2020. “COVID-19 and Global Capital Flows,” Organisation for Economic Co-operation and Development, July 3, 2020

. 2. http://www.worldgovernmentbonds.com/cds-historical-data/brazil/5-years/. 3. Wheatley and Schipani, “Bolsonaro, Brazil and the Coronavirus Crisis in Emerging Markets.” 4. “Global Financial Stability Report,” International Monetary Fund, October 2019. 5. D. Gabor, “The Wall Street Consensus,” SocArXiv, July 2,

,” Financial Times, April 17, 2020. 51. G. Long, “Ecuador Takes Far-Reaching Measures to Save Economy,” Financial Times, May 20, 2020. 52. M. Stott, “Coronavirus Set to Push 29m Latin Americans into Poverty,” Financial Times, April 27, 2020. 53. “Peru Is Heading Towards a Dangerous New Populism,” Economist, July 25

, June 17, 2020. 64. “Brazil Faces Hard Spending Choices in 2021,” Economist, December 16, 2020. 65. M. Viotti Beck and A. Rosati, “Brazil’s Coronavirus Splurge Is Sparking a Rebellion in Markets,” Bloomberg, October 27, 2020. 66. B. Harris, “Brazil’s Economy Rebounds in Third Quarter,” Financial Times, December 3

been twitter.com/70sBachchan. 54. A. Thompson, “A Running List of Record-Breaking Natural Disasters in 2020,” Scientific American, December 22, 2020. 55. T. Fuller, “Coronavirus Limits California’s Efforts to Fight Fires with Prison Labor,” New York Times, August 22, 2020. 56. J. Poushter and C. Huang, “Despite Pandemic, Many

D. Diamond, “The Crash Landing of ‘Operation Warp Speed,’ ” Politico, January 17, 2021. 29. LaFraniere et al., “Politics, Science and the Remarkable Race for a Coronavirus Vaccine.” 30. B. Pancevski, “Germany Boosts Investment in Covid-19 Vaccine Research,” Wall Street Journal, September 15, 2020. 31. “Germany: Investment Plan for Europe—EIB

for COVID-19 Vaccine Development and Manufacturing,” European Investment Bank, June 11, 2020. 32. LaFraniere et al., “Politics, Science and the Remarkable Race for a Coronavirus Vaccine.” 33. L. Facher, “Amid Broad Mistrust of FDA and Trump Administration, Drug Companies Seek to Reassure Public About Covid-19 Vaccine Safety,” Stat, September

and M. DeBonis, “How Moonshine, Multi-Hour Zooms and a Deadly Pandemic Pushed Congress to Approve New Stimulus,” Washington Post, December 22, 2020. C. Hulse, “Coronavirus Stimulus Bolsters Biden, Shows Potential Path for Agenda,” New York Times, December 21, 2020. 7. www.youtube.com/watch?v=qOOPzkHF6yc. N. Rummell, “Intercession of

), 129 Moody’s rating agency, 166, 257–58, 270 Moore, Stephen, 76 Morawiecki, Mateusz, 280 Moreno, Lenín, 8, 168 Morin, Edgar, 6 mortality rates of coronavirus pandemic, 28, 36–37, 37–41, 169, 171 mortgage-backed securities, 14, 113–15, 117, 122, 129, 144 mRNA technology, 244, 246, 289 Müller,

Rigged: How the Media, Big Tech, and the Democrats Seized Our Elections

by Mollie Hemingway  · 11 Oct 2021  · 595pp  · 143,394 words

more valid in 2020, an election year unlike any other in American history. In the lead-up to the election, thanks in part to the coronavirus pandemic that gripped the world, wide-ranging electoral reforms were implemented. Across the country at the state, local, and federal levels, political actors rammed

and the building of walls.”114 STAT, a health and medicine news site, ran a piece headlined, “Health Experts Warn China Travel Ban Will Hinder Coronavirus Response,” and said the ban was desired by “conservative lawmakers and far-right supporters of the president,” even as “public health experts… warn that the

doing too little, members of the media tried to rewrite recent history. Politico’s Dan Diamond retroactively claimed, “[I]n late January, Trump’s initial coronavirus moves were widely hailed as [a] strong and appropriate response.”117 Early on, though, the conventional wisdom was that there was no need to panic

Moody’s Analytics model that showed him a strong favorite to win.124 By March, the realization among Democrats and their media allies that the coronavirus outbreak was much more serious than they had previously thought coincided with the realization that they could benefit politically from a pandemic. Once Trump opponents

News added, “Frequent hand-washing, not wearing a face mask, is the most important step the public can take to prevent the spread of the coronavirus, the World Health Organization said.”134 Naturally, the bureaucrats’ anti-mask message was contrasted with Trump’s willingness to cast about for a wide variety

spreading false hope for a virus cure—and that’s not the only damage,” the Washington Post opined.143 “Trump is spreading misinformation about the coronavirus—time to take away his microphone. Cable news networks should stop airing the president’s COVID-19 press conferences live,” argued the Boston Globe.144

contribution had gone to a “pro-science super PAC.”148 Finally, the politicized reaction started to impact the medical community’s ability to objectively assess coronavirus treatments. A study that had concluded hydroxychloroquine was dangerous to patients received much media coverage. Then the journal The Lancet pulled it because the authors

media favorite list. In particular, the media were obsessed with the daily press conferences held by Cuomo, leader of the state hit hardest by the coronavirus. Anyone paying attention would have noticed that Cuomo frequently agreed with the president. After harshly criticizing Trump for saying hydroxychloroquine had promise, the media didn

pandemic crisis.” Politico barely stopped itself from putting actual profanity in a headline: “ ‘Dumbest S—’: DeSantis Takes Heat as He Goes His Own Way on Coronavirus.” Unlike Cuomo, DeSantis not only made the correct call not to return COVID-19 patients to nursing homes, but Florida significantly outperformed New York in

both per capita coronavirus cases and deaths in the state. * * * Even though the evidence showed China’s communist government, aided by an incompetent and credulous World Health Organization,

a “China virus” or “Wuhan virus” was xenophobic, it represented yet another shameless about-face. Media outlets had already spent months referring to the “Wuhan coronavirus” and various other names that clearly reflected the virus’s foreign origin. On March 12, the conservative Media Research Center put together a video showing

“we’re starting to see a message shift here because you’re starting to hear the Republicans, especially Trump, call it the ‘Wuhan’ or ‘Chinese coronavirus.’ They’re looking for someone to blame.” Cuomo’s insipid observation was then followed by nearly two minutes of clips from media figures, including several

CNN journalists, referring over the previous two months to the “Wuhan” or “Chinese coronavirus.”160 But the media’s shamelessness persisted. Instead of focusing on public health questions during daily White House press briefings, the press feigned outrage over

to the public, as had been long suspected. One email showed Peter Daszak, president of EcoHealth Alliance, thanking Fauci for publicly dismissing concerns that the coronavirus was created in a lab. EcoHealth Alliance has worked with the Wuhan Institute of Virology. In an email, Fauci also dismissed the idea that the

helped support that message. Whether it was the cause or effect of the messaging focus, polls showed that Democrats were much more terrified of the coronavirus than Republicans were.8 As important as a virtual convention was to Democratic messaging, an in-person convention was for Republicans. Trump repeatedly emphasized that

Hicks, who had traveled with the president at least three times in the previous week and participated in debate prep, had tested positive for the coronavirus.40 After midnight, Trump tweeted that he and Melania had tested positive and would begin their quarantine and recovery process immediately.41 It was a

very strong start to the vice-presidential debate, with a rehearsed but very effective answer criticizing the Trump administration for its failure to bring the coronavirus epidemic to heel. But when pressed for details on what she’d do differently, she struggled and never quite regained a strong footing. She

pay for the parts of Democrats’ mail-in ballot strategy that state and local governments themselves could do, claiming it was necessary because of the coronavirus. Congress allocated hundreds of millions of dollars, but the progressive activists needed much more to accomplish their vision. That’s when “[p]rivate philanthropy

Bay, Madison, Milwaukee, and Kenosha to ensure voting could be “done in accordance with prevailing public health requirements” to “reduce the risk of exposure to coronavirus.”119 Wisconsin law says voting is a right, but that voting absentee is a privilege. “[V]oting by absentee ballot must be carefully regulated to

was downplayed in favor of liberals’ alleging Trump was racist.49 Just as the 2020 general election campaign got going, media-induced hysteria over the coronavirus sent not just the country but the world into a tailspin. Any attempt to hold the communist government of China accountable for unleashing the virus

any election loss, but what Democrats did to the manner in which people vote was further destabilizing to the country. Democrats took advantage of the coronavirus global pandemic to foist upon the country election rules explicitly designed to favor their party. Since before the country was founded, Americans have been fighting

as Emergency Fed Action Fails to Mollify Investors,” Washington Post, March 16, 2020, https://www.washingtonpost.com/business/2020/03/16/stocks-markets-live-updates-coronavirus/. 14. “A Timeline of COVID-19 Developments in 2020,” American Journal of Managed Care, updated January 1, 2021, https://www.ajmc.com/view/a-

Election Puts Poll Workers at Risk of Virus,” New York Times, April 2, 2020, https://www.nytimes.com/2020/04/02/us/politics/wisconsin-election-coronavirus.html. 24. Alex Seitz-Wald and Shaquille Brewster, “GOP Lawmakers Reject Wisconsin Governor’s Call for Delay in Election Results,” NBC News, April 3,

State’s Latest Whipsaw,” Washington Post, April 7, 2020, https://www.washingtonpost.com/politics/wisconsin-governor-suspends-in-person-voting-in-tuesdays-elections-amid-escalating-coronavirus-fears/2020/04/06/9d658e2a-781c-11ea-b6ff-597f170df8f8_story.html. 26. Laurel White, “Postmark Irregularities Could Disqualify Ballots Sent on or before Election Day

Lisa Lerer, “Wisconsin Votes Tomorrow. In Person,” New York Times, April 6, 2020, https://www.nytimes.com/2020/04/06/us/politics/on-politics-wisconsin-coronavirus.html. 28. John McCormack, “CDC Study Shows No COVID-19 Spike from Wisconsin’s April Election,” National Review, July 31, 2020, https://www.nationalreview.com

/2020/07/cdc-study-wisconsin-elections-caused-no-coronavirus-spike/. 29. David Wahlberg, “No COVID-19 Surge in Milwaukee from Wisconsin’s April 7 Election, CDC Says,” Wisconsin State Journal, August 3, 2020,

, 2016,” Ballotpedia, n.d., https://ballotpedia.org/Wisconsin%27s_7th_Congressional_District_election. 43. Donald Judd, “Donald Trump Holds ‘Tele-Rally’ in Campaign First amid Coronavirus Pandemic,” CNN, July 18, 2020, https://www.cnn.com/2020/07/18/politics/donald-trump-telerally-campaign-event/index.html. 44. Bauer, “Trump-Backed Tom

, https://www.cbsnews.com/news/georgia-postpones-presidential-primary-scheduled-for-march-24-2020-03-14/. 66. Ben Nadler, “Georgia Postpones Primaries Again because of Coronavirus,” Associated Press, April 9, 2020, https://apnews.com/article/public-health-primary-elections-us-news-ap-top-news-elections-d0a07a2989f7399c6b14e2276b482526. 67. Richard Fausset and Reid

strong and appropriate response…,” Twitter, March 8, 2020, 9:22 a.m., https://twitter.com/ddiamond/status/1236643371734765568. 118. Gerry Shih et al., “As Deadly Coronavirus Spreads, U.S. to Expand Screening of Passengers from China at 20 Airports,” Washington Post, January 27, 2020, https://www.washingtonpost.com/health/as-deadly

9:31 p.m., https://twitter.com/RepGosar/status/1242625203844325376. 120. Lenny Bernstein, “Get a Grippe, America. The Flu Is a Much Bigger Threat Than Coronavirus, for Now,” Washington Post, February 1, 2020, https://www.washingtonpost.com/health/time-for-a-reality-check-america-the-flu-is-a-much-bigger-threat

-government-health-agency-official-corona-virus-isnt-something-the. 122. KPIX CBS SF Bay Area, “Speaker Pelosi Visits SF’s Chinatown to Show Support amid Coronavirus Fears,” YouTube, February 24, 2020, https://www.youtube.com/watch?time_continue=134&v=eFCzoXhNM6c&feature=emb_title. 123. David Siders, “Dems Sweat Trump’

concerned/. 141. Stephen Collinson, “Trump Peddles Unsubstantiated Hope in Dark Times,” CNN, March 20, 2020, https://www.cnn.com/2020/03/20/politics/donald-trump-coronavirus-false-hope/index.html. 142. Elizabeth Cohen et al., “Trump Says This Drug Has ‘Tremendous Promise,’ but Fauci’s Not Spending Money on It,” CNN

thats-not-the-only-damage/2020/03/25/587b26d8-6ec3-11ea-b148-e4ce3fbd85b5_story.html. 144. Michael A. Cohen, “Trump Is Spreading Misinformation about the Coronavirus—Time to Take Away His Microphone,” Boston Globe, March 20, 2020, https://www.bostonglobe.com/2020/03/20/opinion/take-away-trumps-microphone/. 145. Sonam

Stress This Enough, This Will Kill You’: Fox News Host Neil Cavuto Was Shocked by Trump’s Announcement That He’s Taking Hydroxychloroquine to Prevent Coronavirus,” Business Insider, May 18, 2020, https://www.businessinsider.com/fox-news-neil-cavuto-shocked-trump-hyroxychloroquine-announcement-video-2020-5. 146. Erika Edwards and Vaughn

thedailybeast.com/trump-addresses-kung-flu-remark-says-asian-americans-agree-100-with-him-using-chinese-virus. 163. Kamala Harris (@VP), “Calling it the ‘Chinese coronavirus’ isn’t just racist, it’s dangerous and incites discrimination against Asian Americans and Asian immigrants…,” Twitter, March 10, 2020, 12:52 p.m., https

Masks. China Makes Them, but Has Been Hoarding Them,” New York Times, April 2, 2020, https://www.nytimes.com/2020/03/13/business/masks-china-coronavirus.html. 170. Helen Davidson, “First COVID-19 Case Happened in November, China Government Records Show—Report,” The Guardian, March 13, 2020, https://www.theguardian.

/1261338735355899906?lang=en. 185. “The Upside of Crisis,” Kite and Key Media, March 2021, https://www.kiteandkeymedia.com/videos/covid-19-crisis-management-federal-government-coronavirus-pandemic-emergency-vaccine/?utm_source=social&utm_medium=twitter. 186. NPR (@NPR), “Fact Check: President Trump said of a vaccine: ‘It’s ready. It’s

Owermohle, “Pfizer Trying to Defuse Critics amid Push for Vaccine before Election Day,” Politico, October 9, 2020, https://www.politico.com/news/2020/10/09/coronavirus-vaccine-pfizer-election-day-428371. 189. Matthew Herper, “COVID-19 Vaccine from Pfizer and BioNTech Is Strongly Effective, Early Data from Large Trial Indicate,” STAT

trump-calls-george-floyds-death-a-terrible-thing-2020-05-29/. 15. Scott Neuman, “Medical Examiner’s Autopsy Reveals George Floyd Had Positive Test for Coronavirus,” NPR, June 4, 2020, https://www.npr.org/sections/live-updates-protests-for-racial-justice/2020/06/04/869278494/medical-examiners-autopsy-reveals-george-floyd

-had-positive-test-for-coronavirus. 16. Akshita Jain, “George Floyd’s Killing Not a Hate Crime because It Was Systemic Not ‘Explicit’ Racism, Says Official,” The Independent, April 26,

-convention. 10. Dan Merica, Ryan Nobles, and Jeremy Diamond, “Trump Says GOP Forced to Find New State to Host Convention as North Carolina Stands by Coronavirus Measures,” CNN, June 3, 2020, https://www.cnn.com/2020/06/02/politics/republican-national-convention-location/index.html. 11. Jim Morrill, “The RNC

-superspreader-event-n1242781. 13. Elle Thomas, “Sen. Mike Lee Tests Positive for COVID-19,” FOX 13, October 2, 2020, https://www.fox13now.com/news/coronavirus/local-coronavirus-news/sen-mike-lee-tests-positive-for-covid-19. 14. Jonah Goldberg, “Ruth Bader Ginsburg and a Question of Eugenics,” Chicago Tribune, July 16, 2009

ct-xpm-2009-07-16-0907150564-story.html. 15. Tom Hamburger, “Two Students and a Teacher at School Attended by Barrett Children Test Positive for Coronavirus,” Washington Post, October 9, 2020, https://www.washingtonpost.com/politics/barrett-children-school-covid/2020/10/09/ac130298-0a40-11eb-9be6-cf25fb429f1a_story.html. 16

Will Be Hospitalized ‘for the Next Few Days,’ ” CNN, October 3, 2020, https://www.cnn.com/2020/10/02/politics/president-donald-trump-walter-reed-coronavirus/index.html. 47. Jennifer Rubin (@JRubinBlogger), “Totally unacceptable we have not heard from a doctor. Has the 25th amendment been invoked???,” Twitter, October 2,

of ‘Inflicting’ Failures on Americans,” Daily Caller, October 4, 2020, https://dailycaller.com/2020/10/04/get-well-get-it-together-jake-tapper-trump-failures-coronavirus/. 54. Barbara Sprunt, “Despite Risks to Others, Trump Leaves Hospital Suite to Greet Supporters,” NPR, October 4, 2020, https://www.npr.org/sections/latest-

. 173. Christina A. Cassidy, “Voter Outreach Led to Big Drop in Rejected Mail Ballots,” Associated Press, March 16, 2021, https://apnews.com/article/politics-wisconsin-coronavirus-pandemic-elections-atlanta-25b5218ee92dadf78be274211bef6c6b. 174. Litke, “Fact Check: Wisconsin’s November Absentee Rejection Rate Was in Line.” 175. Nathaniel Rakich, “Why So Few Absentee Ballots

How to Survive a Pandemic

by Michael Greger, M.D., FACLM  · 1,072pp  · 237,186 words

? Where do new infectious diseases come from? All human viral infections are believed to originate in animals.9 The Emergence of MERS Most human coronaviruses appear to have arisen originally in bats,10 which make good viral hosts. Up to two hundred thousand can crowd together in dense roosting colonies

they were confined indoors. The high-intensity contact between camels alongside their workers is thought to be what helped drive the spillover of the MERS coronavirus from camels to humans. By 2011, open grazing was completely banned in Qatar, the Middle Eastern country with the highest camel density. The next

the genetic sequences of the viruses obtained from some of the early human victims were 99.98 percent identical despite the rapid mutation rate of coronaviruses suggests the current pandemic originated within a very short period from a single source.67 Although there have been documented reports of SARS-CoV escaping

mammal in the world.77 Although other potential intermediate hosts were investigated, including snakes78 and turtles,79 most attention has turned to pangolins, after a coronavirus found in diseased pangolins being smuggled from Malaysia into China was found to be about 90 percent identical with the COVID-19 virus.80 Samples

anyone can go online and buy Chinese bat feces (Yè ming shǎ) to “treat … eye disorders.”100 While the drying of excrement would presumably inactivate coronavirus, the handling and trade of live and recently killed bats for use in traditional remedies could infect people directly or introduce opportunities for cross infection

last decade,110 rapidly spreading coast to coast once it reached U.S. shores in 2014.111 This pattern of emergence and outbreaks of new coronaviruses appears to be accelerating, in part because “intensive farm-management practices result in thousands of animals being housed together in a closed environment.”112 Although

can do about it. And just as eliminating the exotic animal trade and live animal markets may go a long way toward preventing the next coronavirus pandemic, reforming the way we raise domesticated animals for food may help forestall the next killer flu. I STORM GATHERING 1918 “Humanity has but

through the mucus layer to attack the respiratory cells underneath,316 before moving aside as the hemagglutinin spikes take over. Like the spike proteins coating coronaviruses, hemagglutinin is the key the flu virus uses to get inside our cells. The cells of our body are sugar-coated. The external membrane

over one another, spewing potential pathogens throughout the market wet with blood and urine.1004 These viral swap meets are blamed for the transformation of coronaviruses, previously known for causing the common cold, into a killer.1005 If hindsight were twenty-twenty and the wet markets had been closed permanently,

performed at the Nebraska Biocontainment Unit and the National Quarantine Unit found the majority of air samples tested positive for traces of the COVID-19 coronavirus—even in the hallways outside of patients’ rooms. However, the researchers were unable to verify if the airborne virus was infectious, given the extremely

misted into the air,2815 special care should certainly be taken during aerosol-generating medical procedures. How long does the virus last on contaminated surfaces? Coronaviruses are “enveloped” viruses, wrapped in a stolen swath of our own cell membranes. As they bud out of infected cells, they cloak themselves in

However, the CDC has since published evidence by a respected team of researchers funded by the European Commission and German government that the COVID-19 coronavirus could be inactivated within thirty seconds by just 30 percent alcohol (either ethyl or isopropyl).2854 In that case, a variety of hard liquors

at the National Academy of Sciences told the White House that “[c]urrently available research supports the possibility that SARS-CoV-2 [the COVID-19 coronavirus] could be spread via bioaerosols generated directly by patients’ exhalation.”2892 This shouldn’t be surprising. After all, respiratory droplets are not just sneezed

peaking every winter,2930 there are other respiratory virus infections that peak in the spring or summer.2931 In fact, MERS-CoV, the last deadly coronavirus to cause an epidemic, peaked in August in the sweltering heat and blistering sun of the Arabian Peninsula.2932 The mechanisms underlying the seasonality of

80 percent alcohol were found more effective than soap in every scientific study available for review, and, as I’ve discussed, enveloped viruses such as coronaviruses and influenza are especially susceptible to topical alcohol sanitizers. Alcohol solutions not only were found to be more effective at eliminating germs, but require less

most highly valued barter items in crisis situations.3047 As I mentioned before, a group of respected researchers posted preliminary evidence that the COVID-19 coronavirus could be inactivated by half that alcohol concentration, but for an all-purpose pandemic sanitizer—one rub to rule them all—I would recommend sticking

Francisco mayor threatened to arrest anyone unmasked.3054 Within thirty-six hours, the SFPD had hauled in 175 “mask-slackers.”3055 The main mode of coronavirus and influenza virus transmission may be coughed and exhaled respiratory droplets of virus-laden mucus and saliva. Conversational speech alone can produce thousands of these

plans.3081 Currently, the WHO recommends masks only for asymptomatic individuals if they are taking care of someone suspected of infection with the COVID-19 coronavirus.3082 In terms of individual strategies, the best recommendation may be what finally shook out of the SARS crisis:3083 in public, surgical masks

tonight.”3226 Just as past experience with SARS may have helped countries like Singapore and Taiwan better deal with COVID-19, hard lessons from the coronavirus pandemic will hopefully translate into global readiness for the next one. Pandemic planning needs to be on the agenda of every institution, including every school

: WHO; [accessed 2020 Mar 23]. https://www.who.int/csr/sars/country/table2004_04_21/en/. 8. World Health Organization. 2019. Middle East respiratory syndrome coronavirus (MERS-CoV). Geneva: WHO; [updated 2019 Nov; accessed 2020 Mar 23]. http://origin.who.int/emergencies/mers-cov/en. 9. Weber J, Alcorn K.

2020 Jan 25. Live animal markets worldwide can spawn diseases, experts say. Voice of America. [accessed 2020 Apr 11]; https://www.voanews.com/science-health/coronavirus-outbreak/live-animal-markets-worldwide-can-spawn-diseases-experts-say. 49. Zhong NS, Zeng GQ. 2008. Pandemic planning in China: applying lessons from severe acute

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The Code Breaker: Jennifer Doudna, Gene Editing, and the Future of the Human Race

by Walter Isaacson  · 9 Mar 2021  · 700pp  · 160,604 words

the Middle Ages, by repeated viral epidemics. Always prepared and methodical, Doudna (pronounced DOWD-nuh) presented slides that suggested ways they might take on the coronavirus. She led by listening. Although she had become a science celebrity, people felt comfortable engaging with her. She had mastered the art of being tightly

acid (RNA) and a similar molecule that lacks one oxygen atom and thus is called deoxyribonucleic acid (DNA). From an evolutionary perspective, both the simplest coronavirus and the most complex human are essentially protein-wrapped packages that contain and seek to replicate the genetic material encoded by their nucleic acids. The

the understanding of how little strands of RNA behaved would become increasingly important, both to the field of gene editing and to the fight against coronaviruses. * * * As a young PhD student, Doudna mastered the special combination of skills that distinguished Szostak and other great scientists: she was good at doing

a field that would become unexpectedly relevant later in her career: viruses. Specifically, she was interested in how the RNA in some viruses, such as coronaviruses, allow them to hijack the protein-making machinery of cells. During her first semester at Berkeley, in the fall of 2002, there was an

. The hope then was that drugs based on RNA interference might someday be a good option for treating severe viral infections, including those from new coronaviruses.7 * * * Doudna’s paper on RNA interference appeared in Science in January 2006. A few months later, a paper published in a little-known

pursued an oddity of nature out of pure curiosity, and that seeded the ground for applied technologies such as gene editing and tools to fight coronaviruses. However, as with the transistor, it was not simply a one-way linear progression. Instead, there was an iterative dance among basic scientists, practical

her proposal to the foundation. It was a prelude to the funding Doudna would receive from Gates in 2020 to use CRISPR systems to detect coronaviruses.7 CHAPTER 16 Emmanuelle Charpentier The wanderer Conferences can have consequences. While attending one in Puerto Rico in the spring of 2011, Doudna had

super-high cholesterol, and male pattern baldness.14 In March of that year, however, most academic research labs were temporarily shut down because of the coronavirus pandemic. An exception was made for labs that were engaged in fighting the virus. Many CRISPR researchers, Doudna foremost among them, would shift their focus

commanding MIT biology professor named David Baltimore, who that year would win the Nobel Prize for his work showing that viruses containing RNA, such as coronaviruses, can insert their genetic material into the DNA of a host cell through a process known as “reverse transcription.” In other words, the RNA

to fix such traits cross the line from health treatment to enhancement? What about genetic modifications that help prevent a person from getting HIV or coronavirus or cancer or Alzheimer’s? Perhaps for these we need a third category called “preventions” in addition to the ill-defined “treatments” and “enhancements.”

is reproductive fitness—what traits might cause an organism to reproduce more—which means it permits, and perhaps even encourages, all sorts of plagues, including coronaviruses and cancers, that afflict an organism once its childbearing use is over. This does not mean that, out of respect for nature, we should quit

searching for ways to fight against coronaviruses and cancer.16 * * * There is, however, a more profound argument against playing God, best articulated by the Harvard philosopher Michael Sandel. If we humans

us would regard Alzheimer’s or Huntington’s to be a result of giftedness. When we create chemotherapies to fight cancer or vaccines to fight coronaviruses or gene-editing tools to fight birth defects, we are, quite properly, exercising mastery over nature rather than accepting the unbidden as a gift.

be used by humans to detect and destroy viruses. More important, she had become a maestro of collaboration. It became clear to her that battling coronavirus would require putting together teams that spanned many specialties. Fortunately, she had a base from which she could build such an effort. She had

DNA. The viral sequence provides the code for making a mere twenty-nine proteins.4 Here is a sample snippet of the letters in the coronavirus’s RNA: CCUCGGCGGGCACGUAGUGUAGCUAGUCAAUCCAUCAUUGCCUACACUAUGUCACUUGGUGCAGAAAAUUC. That sequence is part of a string that codes for making a protein that sits on the outside of the virus shell

have been frozen in a liquid, structural biologists were able to create a precise model, atom by atom and twist by twist, of the coronavirus and its spikes. With the sequencing information and structural data in hand, molecular biologists began racing to find treatments and vaccines that would block the

sending out group emails, arranging Zoom meetings, and coordinating equipment.” Berkeley’s legal team came up with a policy for sharing discoveries freely with other coronavirus researchers while protecting the underlying intellectual property. At one of the first meetings, a university lawyer laid out a template for royalty-free licensing. “We

Hockemeyer watches CHAPTER 49 Testing America’s failure The first official guidance to local health officials in the U.S. about testing for the new coronavirus came in a conference call on January 15, 2020, led by Stephen Lindstrom, a microbiologist at the Centers for Disease Control (CDC). The CDC

Secretary Alex Azar, whose department oversees the FDA, declared a public health emergency. The declaration gave the FDA the right to speed up approvals for coronavirus tests. But it had a weird unintended consequence. In normal circumstances, hospitals and university labs can devise their own tests to use at their facilities

volunteer army When Doudna and her colleagues at Berkeley’s Innovative Genomics Institute decided at their March 13 meeting to focus on building their own coronavirus testing lab, there was a discussion about what technology to use. Should it be the cumbersome but reliable process of amplifying the genetic material

conference, Doudna watched proudly when Hamilton presented her research on using virus-like particles to deliver CRISPR-Cas9 gene-editing tools into humans. When the coronavirus crisis hit in early March, Hamilton told Doudna that she wanted to get involved like people at her University of Washington alma mater were. So

Zhang with Patrick Hsu CHAPTER 51 Mammoth and Sherlock CRISPR as a detection tool At the March 13 meeting that Doudna convened to address the coronavirus, she decided that a top priority was to create a high-speed conventional PCR testing lab. But during the discussion, Fyodor Urnov suggested that

they also consider a more innovative idea: using CRISPR to detect the RNA of the coronavirus, similar to how bacteria use CRISPR to detect attacking viruses. “There’s a paper that just came out on that,” a participant interjected. Urnov

“Check out the resource provided by Mammoth,” he tweeted, including a link to its white paper. “Glad that scientists are working together and sharing openly. #coronavirus.” That tweet reflected a welcome new trend in the CRISPR world. The passionate competition for patents and prizes had led to secrecy about research and

the formation of competing CRISPR companies. But the urgency that Doudna and Zhang and their colleagues felt about defeating the coronavirus pushed them to be more open and willing to share their work. Competition was still an important, and useful, part of the equation. There

genetically reengineered a safe virus—an adenovirus that causes flu in chimpanzees—by editing into it the gene to make the spike protein of the coronavirus. Similar vaccines developed by other companies in 2020 used a human version of the adenovirus. The vaccine created by Johnson & Johnson, for example, used

why this technique is unpopular, especially with those on the receiving end. * * * One of the teams that Doudna organized at the beginning of the coronavirus crisis in March 2020 focused on these delivery challenges facing DNA vaccines. It was led by her former student Ross Wilson, who now runs his

BioNTech launched what they dubbed Project Lightspeed to devise a vaccine based on RNA sequences that would cause human cells to make versions of the coronavirus’s spike protein. Once it looked promising, Şahin called Kathrin Jansen, the head of vaccine research and development at Pfizer. The two companies had

blood in September, streaming it live on the internet for everyone to watch, Zayner found evidence that he had developed neutralizing antibodies to fight the coronavirus. He called it a “mild success,” but noted that biology often produces murky results. It gave him a greater appreciation for careful clinical trials.

Cameron Myhrvold CHAPTER 54 CRISPR Cures The development of vaccines—both the conventional sort and those employing RNA—would eventually help to beat back the coronavirus pandemic. But they are not a perfect solution. They rely on stimulating a person’s immune system, always a risky thing to do. (Most

we could actually deliver on quickly.” In the West Coast orbit of Jennifer Doudna, however, there was a team that was pushing forward with a coronavirus treatment. Similar to the CARVER system that Myhrvold had invented, it would use CRISPR to seek and destroy viruses. Stanley Qi and PAC-MAN

. People use these regularly to prepare the lung to be less allergic if they are exposed to something.” The same could be done during a coronavirus pandemic; people could use a nasal spray so that PAC-MAN or another CRISPR-Cas13 prophylactic treatment will protect them. * * * Once the delivery mechanisms

, we are a social animal, an instinct that cannot fully be satisfied online. Nevertheless, there will be an upside to the fact that the coronavirus has expanded how we work together and share ideas. By hastening the Age of Zoom, the pandemic will broaden the horizons of scientific collaboration, allowing

practical applications. CRISPR and COVID are speeding our entry into a life-science era. Molecules are becoming the new microchips. At the height of the coronavirus crisis, Doudna was asked to write a piece for The Economist on the social transformations being wrought. “Like many other aspects of life these

not have coalesced so quickly if they had to worry about intellectual property arrangements. Likewise, scientists around the world contributed to an open database of coronavirus sequences that, by the end of August 2020, had thirty-six thousand entries.4 The sense of urgency about COVID also brushed back the gatekeeper

process of building on each new finding and allowed the public to follow the advance of science as it happened. On some important papers involving coronavirus, publication on the reprint servers led to crowdsourced vetting and wisdom from experts around the world.5 George Church says he had long wondered

be cross-disciplinary, breaking down academic silos and the walls between labs, which have traditionally been independent fiefdoms that fiercely guard their autonomy. Fighting the coronavirus required collaboration across disciplines. In that way, it resembled the effort to develop CRISPR, which involved microbe-hunters working with geneticists, structural biologists, biochemists,

. 3. Author’s interviews with Dave Savage, Gavin Knott, and Jennifer Doudna. 4. Jonathan Corum and Carl Zimmer, “Bad News Wrapped in Protein: Inside the Coronavirus Genome,” New York Times, Apr. 3, 2020; GenBank, National Institutes of Health, SARS-CoV-2 Sequences, updated Apr. 14, 2020. 5. Alexander Walls… David

30, 2019; Daniel Chertow, “Next-Generation Diagnostics with CRISPR,” Science, Apr. 27, 2018; Ann Gronowski “Who or What Is SHERLOCK?,” EJIFCC, Nov. 2018. Chapter 52: Coronavirus Tests 1. Author’s interviews with Feng Zhang. 2. Feng Zhang, Omar Abudayyeh, and Jonathan Gootenberg, “A Protocol for Detection of COVID-19 Using CRISPR

Diagnostics,” Broad Institute website, posted Feb. 14, 2020; Carl Zimmer, “With Crispr, a Possible Quick Test for the Coronavirus,” New York Times, May 5, 2020. 3. Goldberg, “CRISPR Comes to COVID”; “Sherlock Biosciences and Binx Health Announce Global Partnership to Develop First CRISPR-Based

COVID-19 Outbreak,” Biocentury, Feb. 28, 2020. 5. James Broughton… Charles Chiu, Janice Chen, et al., “A Protocol for Rapid Detection of the 2019 Novel Coronavirus SARS-CoV-2 Using CRISPR Diagnostics: SARS-CoV-2 DETECTR,” Mammoth Biosciences website, posted Feb. 15, 2020. The full Mammoth paper with patient data and

CoV-2,” Nature Biotechnology, Apr. 16, 2020 (received Mar. 5, 2020). See also Eelke Brandsma… and Emile van den Akker, “Rapid, Sensitive and Specific SARS Coronavirus-2 Detection: A Multi-center Comparison between Standard qRT-PCR and CRISPR Based DETECTR,” medRxiv, July 27, 2020. 6. Julia Joung… Jonathan S. Gootenberg, Omar

31, 2020. 14. Sharon LaFraniere, Katie Thomas, Noah Weiland, David Gelles, Sheryl Gay Stolberg and Denise Grady, “Politics, Science and the Remarkable Race for a Coronavirus Vaccine,” New York Times, Nov. 21, 2020; author’s interviews with Noubar Afeyan, Moncef Slaoui, Philip Dormitzer, Christine Heenan. Chapter 54: CRISPR Cures 1. David

s Next Virus Killer?,” Wired, Mar. 10, 2020. 16. Timothy Abbott… and Lei [Stanley] Qi, “Development of CRISPR as a Prophylactic Strategy to Combat Novel Coronavirus and Influenza,” bioRxiv, Mar. 14, 2020. 17. Author’s interview with Stanley Qi. 18. IGI weekly Zoom meeting, Mar. 22, 2020; author’s interviews with

starter cultures and, xviii, 90–92, 133, 143 CRISPR applications, 243–63 affordability of, 247–48 biohacking, 253–57, 263, 285, 288, 443–44 coronavirus testing, 413, 417 cures for viral infections, 449–57 CARVER, 452–53, 455–57 PAC-MAN, 454–57, 460 defense against terrorists, 259–63 diagnostic

, 107–8 fluorescent proteins, 165–67, 382–83 flytrap plants, 171 FokI enzyme, 155 Fonfara, Ines, 137 Food and Drug Administration (FDA), 294, 363, 446 coronavirus tests and, 407–10 Foy, Shaun, 205–7 Frangoul, Haydar, 244 Frankenstein (Shelley), 267, 269, 283, 286, 297 Franklin, Benjamin, 479 Franklin, Rosalind, 21–

Jacket montage by Debra Lill Jacket photograph of Jennifer Doudna by Brad Torchia/August Image (The letters are part of the RNA code of the coronavirus that causes COVID.) Library of Congress Cataloging-in-Publication Data Names: Isaacson, Walter, author.Title: The code breaker : Jennifer Doudna, gene editing, and the

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Stakeholder Capitalism: A Global Economy That Works for Progress, People and Planet

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Four Battlegrounds

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Exponential: How Accelerating Technology Is Leaving Us Behind and What to Do About It

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Editing Humanity: The CRISPR Revolution and the New Era of Genome Editing

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Sandy Hook: An American Tragedy and the Battle for Truth

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Shape: The Hidden Geometry of Information, Biology, Strategy, Democracy, and Everything Else

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This Land: The Struggle for the Left

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Everyday Utopia: What 2,000 Years of Wild Experiments Can Teach Us About the Good Life

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The Atlas of Disease

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AI 2041: Ten Visions for Our Future

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The Wisdom of Crowds

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Human Frontiers: The Future of Big Ideas in an Age of Small Thinking

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Ageless: The New Science of Getting Older Without Getting Old

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Culture Warlords: My Journey Into the Dark Web of White Supremacy

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Practical Doomsday: A User's Guide to the End of the World

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Doppelganger: A Trip Into the Mirror World

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Owning the Sun

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Moon Portugal

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Inventor of the Future: The Visionary Life of Buckminster Fuller

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And Finally

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