The big one How we must prepare for future deadly pandemics

Michael T. Osterholm

Book - 2025

"The COVID-19 pandemic was the most devastating natural event of the last century, killing more than 7 million people around the globe, straining the fabric of societies internationally, and shaking the foundations of the global economy. And yet, as horrifying as the experience was, Covid-19 was not actually "the Big One" - the dreaded potential pandemic that haunts the nightmares of epidemiologists and public health officials everywhere, and which will alter life across the world on every meaningful level unless we are ready to deal with it. Indeed, even as we learn to live with Covid-19 and continue to recover from its worst effects, the next pandemic is already lurking around the corner-and it may very well be worse. In Th...e Big One, founding director of the Center for Infectious Disease Research and Policy Michael T. Osterholm and Mark Olshaker examine past pandemics, highlighting the ways societies both succeeded and failed to address them; trace the Covid-19 pandemic and evaluate how it was handled; and look to the future, projecting what the next pandemics might look like and what must be done to mitigate them."--

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Subjects
Genres
Informational works
SCI099000
MED028000
MED022090
Published
New York : Little, Brown Spark 2025.
Language
English
Main Author
Michael T. Osterholm (author)
Other Authors
Mark Olshaker, 1951- (author)
Edition
First edition
Physical Description
363 pages ; 25 cm
Bibliography
Includes bibliographical references and index.
ISBN
9780316258340
  • Prologue
  • Chapter 1. Virus versus Humans
  • Chapter 2. The Air We Breathe
  • Chapter 3. Mandates
  • Chapter 4. Medical Countermeasures
  • Chapter 5. Effective Communication
  • Chapter 6. Surveillance
  • Chapter 7. Politics and Policy
  • Chapter 8. Where Do We Go from Here?
  • Acknowledgments
  • Appendix: Thought Experiment Cast of Characters
  • Notes
  • Index
Review by Publisher's Weekly Review

Osterholm, founding director of the Center for Infectious Disease Research and Policy, and documentarian Olshaker team up again (after Deadliest Enemy) for this standout look at what's needed to combat future pandemics. First, the authors look back at the Covid-19 pandemic, pointing out numerous mistakes that were made, including experts being slow to accept that the disease was spread by airborne particles rather than droplets, the overoptimistic government messaging that Covid would pass quickly, and the implementation of efforts best described as "hygiene theater" rather than meaningful prophylactic policies. To help prevent a redo, they convincingly argue that pandemic preparation should be taken as seriously as the country's national defense efforts, and present a fascinating hypothetical scenario in which a coronavirus more infectious and deadlier than Covid-19 explodes out of East Africa and is carried across the globe in days. They urge support for studies into the psychology of vaccine uptake, call for government-funded research rather than relying on pharmaceutical companies, and movingly implore political leaders and medical professionals to embrace humility and honesty when the next pandemic comes. The result is a powerful and persuasive rallying cry. Agent: Frank Weimann, Folio Literary. (Sept.)

(c) Copyright PWxyz, LLC. All rights reserved
Review by Kirkus Book Review

How to survive a plague. One of the great mysteries of Covid-19 is how the virus sickened and killed millions of humans around the world, but some who were exposed and likely infected experienced no symptoms at all. With the danger of this stealth spread in mind, the authors guide readers through a thought experiment: The emergence of and global response to a new, as-yet-unseen pandemic of catastrophic proportions. The killer is first identified in a refugee camp in Kenya, with a baby becoming the earliest recorded death. Invisible, or asymptomatic, spread makes this deadly bug particularly dangerous. Osterholm, an internationally recognized epidemiologist, and journalist Olshaker weave a tale that at times borders on horror, interspersing the gripping story of the fictional virus with historical accounts of global pandemics and the experience of preparation and mitigation. But the story never veers too far into darkness without returning practical advice gleaned from real lessons, our current predicament, and clarity about how the world must plan for what lies ahead. When we truly experience "The Big One"--and the Covid-19 pandemic was not it--solid response according to evidence will be critical to human survival. Misinformation, politics, and human nature all stand in the way, as we've seen with Covid-19. The authors write, "Nature will have the upper hand, and the success of our response will be directly tied to the extent of our preparation." A clear-eyed examination of pandemic fault lines and what must be done to fix them. Copyright (c) Kirkus Reviews, used with permission.

Copyright (c) Kirkus Reviews, used with permission.