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20 of the Worst Epidemics & Pandemics                                                                                          31






        20 of the Worst Epidemics                        virus may have originated in bats.               economic rout.

        and Pandemics in History                         20. Zika Virus epidemic: 2015-present            But states including  Alaska, Georgia, South
                                                         day                                              Carolina, Tennessee and Texas are beginning to
                                                                                                          allow restaurants and other establishments to
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                                                                                                          serve customers. Ohio Gov. Mike DeWine said
                                                                                                          consumer retail and services can start reopening
                                                                                                          on May 12.
        18. H1N1 Swine Flu pandemic: 2009-
        2010                                                                                              New York Gov. Andrew Cuomo said Sunday the
                                                                                                          state plans to reopen its economy in phases.

                                                                                                          However, the ongoing lack of testing
                                                                                                          capabilities is one of the main factors keeping
                                                                                                          many families, employers and institutions from
                                                                                                          resuming business, even though stay-at-home
                                                         The impact of the recent Zika epidemic in South  orders have officially been lifted in several
                                                         America and Central America won't be known       states.
                                                         for several years. In the meantime, scientists
                                                         face a race against time to bring the virus under  While some states have been more aggressive in
                                                         control.  The Zika virus is usually spread       testing, Konyndyk told CNBC’s “Squawk Box
                                                         through mosquitoes of the  Aedes genus,          Asia” that the country at large is not seeing a
        The 2009 swine flu pandemic was caused by a
                                                         although it can also be sexually transmitted in  decline in coronavirus infections and that there
        new strain of H1N1 that originated in Mexico in
                                                         humans.                                          needs to be more testing.
        the spring of 2009 before spreading to the rest
        of the world. In one year, the virus infected as  While Zika is usually not harmful to adults or  “We need to be able to test widely, we need to
        many as 1.4 billion people across the globe and
                                                         children, it can attack infants who are still in the  be able to trace the contacts of those cases that
        killed between 151,700 and 575,400 people,
                                                         womb and cause birth defects.  The type of       we find, we need to reinforce the hospital
        according to the CDC.
                                                         mosquitoes that carry Zika flourish best in      system and we need to do far more to protect
                                                         warm, humid climates, making South America,      people in high risk facilities like elder care
        The 2009 flu pandemic primarily affected         Central  America and parts of the southern       homes. None of that is in place yet,” said
        children and young adults, and 80% of the
                                                         United States prime areas for the virus to       Konyndyk. “So no, we are not remotely ready.”
        deaths were in people younger than 65, the
                                                         flourish.
        CDC reported.  That was unusual, considering
                                                                                                          Testing 2% of people in each state monthly
        that most strains of flu viruses, including those       The US is not even                        would be a major jump — roughly 1.6% of the
        that cause seasonal flu, cause the highest                                                        U.S. population has been tested in total so far,
        percentage of deaths in people ages 65 and           ‘remotely’ ready to re-                      according to the Covid Tracking Project.
        older. But in the case of the swine flu, older
        people seemed to have already built up enough        open for business, says
                                                                                                          Yet some experts say the country needs to
        immunity to the group of viruses that H1N1           outbreak preparedness                        perform closer to 20 million to 30 million tests
        belongs to, so weren't affected as much.  A                                                       a day to begin getting the economy back to
        vaccine for the H1N1 virus that caused the                         expert                         normal, due to concerns about pre-symptomatic
        swine flu is now included in the annual flu
                                                                                                          and asymptomatic transmission.
        vaccine.
                                                                            CNBC
                                                                                                          “Right now, we’ve got much of the country
        19.  West  African Ebola epidemic:                                                                quarantined, so if someone gets sick, the
        2014-2016                                                                                         chances they can spread to others are smaller,”
                                                         The U.S. is not even “remotely prepared” to re-  said Konyndyk.
                                                         open, an expert said on Tuesday as some states
                                                         are set to lift lockdowns that had been imposed  “If you begin reopening before you have the
                                                         to contain the coronavirus outbreak.             ability know who’s sick, or frankly, before those
                                                                                                          people have the ability to know they have it, you
                                                         “We’re not remotely prepared neither in terms    run into enormous risks,” added Konyndyk.
                                                         of the epidemiology of the outbreak in the
                                                         United States, nor in terms of our preparedness  Citing examples from places like Japan’s
                                                         capacities to begin suppressing this virus in    Hokkaido where strict curbs were lifted too
                                                         ways other than through social distancing,” said  soon, Konyndyk raised concerns about
                                                         Jeremy Konyndyk, senior policy fellow at the     subsequent waves of infections.
                                                         Center for Global Development, a think tank.
        Ebola ravaged West Africa between 2014 and       His expertise includes global outbreak           “We will face second waves and third waves of
        2016, with 28,600 reported cases and 11,325      preparedness.                                    this even under the best of circumstances. But if
        deaths.  The first case to be reported was in
                                                                                                          we reopen too early, we’re going to be be much
        Guinea in December 2013, then the disease        The U.S. has reported more than 988,000          worse because the virus now is seeded so much
        quickly spread to Liberia and Sierra Leone. The  confirmed cases of infection and a death toll of  more widely throughout the country, there are a
        bulk of the cases and deaths occurred in those   over 56,000 so far, according to John Hopkins    lot more people who can potentially spread it.”
        three countries.  A smaller number of cases      University.
        occurred in Nigeria, Mali, Senegal, the United
                                                                                                          Rushing to reopen could “torpedo” both
        States and Europe, the Centers for Disease       The pandemic, which first emerged late last      economies and public health, he said.
        Control and Prevention reported.                 year in the central Chinese city of Wuhan, has

                                                         prompted U.S. states to impose strict social     “It’s not like you can pick one or the other. You
        There is no cure for Ebola, although efforts at  distancing policies in order to contain the      have to get the health back on track in order to
        finding a vaccine are ongoing. The first known   outbreak.  These measures, including closing     get the economy back on track,” said
        cases of Ebola occurred in Sudan and the         nonessential businesses and ordering residents   Konyndyk. []
        Democratic Republic of Congo in 1976, and the    to stay home, have led to a devastating
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