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Uncontrolled Spread PDF

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Uncontrolled Spread PDF-“Uncontrolled Spread is everything you’d hope: a smart and insightful account of what happened and, currently, the best guide to what needs to be done to avoid a future pandemic.” —Wall Street Journal

“Informative and well paced.”—The Guardian

“An intense ride through the pandemic with chilling details of what really happened. It is also sprinkled with notes of true wisdom that may help all of us better prepare for the future.”—Sanjay Gupta, MD, chief medical correspondent, CNNP

hysician and former FDA commissioner Scott Gottlieb asks: Has America’s COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, he shows how the coronavirus and its variants were able to trounce America’s pandemic preparations, and he outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We’d prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn’t fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak political leadership aggravated these woes. We didn’t view a public health disaster as a threat to our national security.

Many of the woes sprung from the CDC, which has very little real-time reporting capability to inform us of Covid’s twists and turns or assess our defenses. The agency lacked an operational capacity and mindset to mobilize the kind of national response that was needed. To guard against future pandemic risks, we must remake the CDC and properly equip it to better confront crises. We must also get our intelligence services more engaged in the global public health mission, to gather information and uncover emerging risks before they hit our shores so we can head them off. For this role, our clandestine agencies have tools and capabilities that the CDC lacks.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature — or those wishing us harm — may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.

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Description of Uncontrolled Spread PDF

Uncontrolled Spread PDF is one of the best-known books on the subject of basic medical sciences. This book covers all the cases and phenomenons a student and professional doctor might be up against in their whole life. Master this book and you will be of prime help in solving cases of diseases that are difficult to treat. Make a difference. Download Now.

The Authors

Uncontrolled Spread PDF

Dr. Scott Gottlieb served as the twenty-third commissioner of the US Food and Drug Administration and is a resident fellow at the American Enterprise Institute. He is a regular contributor to the business news channel CNBC and a partner at the venture capital firm New Enterprise Associates. Dr. Gottlieb serves on the board of directors of the pharmaceutical company Pfizer Inc. and the genomic sequencing company Illumina, Inc. Fortune magazine has recognized him as one of the “World’s 50 Greatest Leaders,” and Time magazine has named him one of its “50 People Transforming Healthcare.” A graduate of Wesleyan University and the Mount Sinai School of Medicine, Dr. Gottlieb is an elected member of the National Academy of Medicine. He lives with his family in Westport, Connecticut.

Dimensions and Characteristics of Uncontrolled Spread PDF

  • Identification Number ‏ : ‎ B08L3P9J34
  • Publisher ‏ : ‎ Harper (September 21, 2021)
  • Publication date ‏ : ‎ September 21, 2021
  • Language ‏ : ‎ English
  • File size ‏ : ‎ 2159 KB
  • Text-to-Speech ‏ : ‎ Enabled
  • Screen Reader ‏ : ‎ Supported
  • Enhanced typesetting ‏ : ‎ Enabled
  • X-Ray ‏ : ‎ Enabled
  • Word Wise ‏ : ‎ Enabled
  • Print length ‏ : ‎ 509 pages
  • Lending ‏ : ‎ Not Enabled
  • Book Name :Uncontrolled Spread PDF

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Top reviews

C “This book, written by former FDA commissioner Dr. Scott Gottlieb, identifies mistakes that were made by the U.S. Government in handling Covid-19, and outlines steps to make changes to policies and organizational structures in order to be better prepared for the next pandemic. The book has 18 chapters, and about 395 pages in the digital version, not including the Notes sections.

One important point, is that Gottleib mentions early on in the book that he does not want to discuss politics at all; and that his attempts to provide insights into how to address future public health threats does not have anything to do with political affiliations. He does Praise the Trump administration for some actions, while chastising it for others; and most of his recommendations have more to do with the CDC and other health organizations than any political party.

In the Introduction, Gottleib describes the difficult situations facing doctors in New York City hospitals as the pandemic hit New York in March 2020. He notes that a huge issue was the failure to identify how much virus was being carried by those people that didn’t show any outward signs of infection. He describes other SARS viruses, and how analysis of the potential for these kinds of viruses to spread should have encouraged a more robust immediate response to Covid-19.

In the first few chapters, Gottleib recalls the events of early 2020, and his conversations with government officials about the risks associated with the newly identified virus. He describes the information shared in communications between the CDC, WHO, Health and Human Services department, and the National Security Council. Gottleib identifies key mistakes in the early stages, the biggest of which was insufficient diagnostic tests to identify cases early. He explains the process of “metagenomic sequencing”, and how this relatively new diagnostic tool was able to help identify the virus. He describes the response of the Chinese government, and how a refusal to share samples early on contributed to the magnitude of the global crisis. Gottleib is very critical of the early decisions made by China, and sees the withholding of information as a key reason for the slow global response.

The next few chapters identify specific mistakes made by the CDC and other organizations. Gottleib goes into extensive detail about the CDC’s initial test kits, how they were created, and what mistakes were made. He stresses that the CDC was never meant to, or equipped to supply the entire market with testing; and that the U.S. Should have relied on other sources to create accurate tests quickly. Gottleib describes how laboratory supply shortages compounded problems for healthcare workers, and gives a few suggestions for how domestic production of these supplies should be handled in the future.

Gottleib covers several more topics throughout the book; from the stay-at-home orders of different states, to the politicizing of masks and lockdowns, to the lack of accurate information available to both the government and the public, to the different types of responses in other countries. He describes the unprecedented rapid development of a vaccine, and the need to classify pandemics as a national security threat in order to utilize the resources of the intelligence community.

Overall, I enjoyed reading this book. There is quite a bit of medical information, which might make for slow reading for those without a background in medicine; but Gottleib does a good job of explaining all of it so that the reader can understand the validity of his suggestions. You can tell that these points are made by a doctor that is more concerned with saving lives than he is concerned with politics; and his knowledge and experience should be sufficient for everyone to consider his proposals.”

M. JEFFREY MCMAHON “In Uncontrolled Spread: Why COVID-19 Crushed Us and How We Can Defeat the Next Pandemic, author Scott Gottlieb, who was the FDA commissioner between 2017 and 2019, is in a unique position to write the definitive historical account of the Covid pandemic and the government system failures that have accompanied it. Even though I have a few criticisms that I will get to later, Gottlieb has for the most part succeeded at his objective and has written an urgent, necessary account that can give us vital lessons on fighting future pandemics.

Gottlieb begins by criticizing us for not being prepared for Covid. We had ample warnings: SARS-1 in 2002; MERS in 2012; and, to my surprise, a Covid prototype from horseshoe bats in southwestern China in 2012 in which three Chinese coal miners died.

Scientists used the above data to make repeated warnings about how necessary it was for us to be prepared for a more severe pandemic, but those cries were ignored.

Just as egregious, China has repeatedly “ignored commitments” to share vital information and refused to cooperate when it was in the world’s health interests. For example, China wouldn’t allow the CDC in Wuhan during the early stages of Covid.

In the context of the above challenges, Gottlieb presents us with his objectives: for us to learn from our mistakes, for us to create future pandemic strategies, for us to “fashion interventions that target . . . where the advance of a novel disease is most likely to occur,” and for us to make public health preparedness part of our national security.

Gottlieb gives us a first-hand account of the government’s and CDC’s inconsistent and unreliable messaging, our nation’s piecemeal response when we needed a “coordinated national response,” and our lack of domestic-made pandemic protective products.

Gottlieb makes it clear that he doesn’t want to cover his criticisms in a political context. He doesn’t want to make it a book about Trump or the alleged failures of governors. Rather, he wants to analyze “systemic breakdowns” and identify “fundamental weakness–root causes of our vulnerability” in our pandemic response.

It’s true that a critique of the president and the governors would have been a different book; on the other hand, it’s impossible to address our systemic breakdowns without emphasizing how toxic and politicized our response was and how misinformation accelerated our polarized country. Gottlieb should not have given such short shrift to this vital force in the breakdown of our response. To defend Gottlieb, though, he does acknowledge “the sickness of our political culture,” but he only scratches the surface of this topic.

One area that Gottlieb appropriately criticizes with great detail is the CDC. Their colossal failure was to produce a simple, reliable Covid test. The CDC also failed in messaging, providing consistent, reliable information, and earning the trust of the public.

Near the end of the book, Gottlieb does observe, with undue diplomacy perhaps, Trump’s misguided pandemic response. Gottlieb observes in Trump and his loyal White House a “lenience about the dangers” of Covid. There is a scene, for example, when Pence shakes Gottlieb’s hand and Gottlieb hurriedly disinfects his hands with Purell. There seems to be a fish-out-of-water story here, but in the name of diplomacy Gottlieb only suggests he was not on the same page with the White House.

We get further information that some White House staff was alarmed at Trump’s Covid-response failures and they wanted Gottlieb to persuade Trump to adopt urgently needed protocols.

Gottlieb also points out with some politeness that Trump indulged his political base’s anti-mask sentiment. Trump’s followers saw not wearing a mask as a “faux protest” against the “nanny state,” and Trump exploited this sentiment. How many people died because Trump catered to his base rather than do the right thing? Gottlieb doesn’t explore this devastating scenario to the degree it deserves.

Gottlieb also correctly observes that Trump was wrong to make our nation’s Covid response piecemeal, leaving it to the governors to do as they saw fit, rather than have a coordinated national response. Again, it seems as though Gottlieb doesn’t take his gloves off when he may be morally compelled to do so.

The author also gives an account of how Trump championed crackpot remedies in contradiction to Gottlieb’s recommendation.

Gottlieb concludes his book by arguing that our pandemic response should be part of national security, more embedded in our intelligence agencies, and not put on the shoulders of the international community who have proven to be untrustworthy. He also correctly points out that we should bring “back to the US more of the manufacturing of critical healthcare components and finished goods.”

So while the evidence points to the fact that Trump and the White House created a toxic political culture of misinformation that accounted for uncounted Covid-related deaths deserving of a moral excoriation that is lacking here, Gottlieb has written a truthful, insightful, and mostly definitive account of the pandemic that has changed the world forever.”

 

 

Source : Amazon

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