Articles, Blog

Laurie Garrett: What can we learn from the 1918 flu?

November 16, 2019

So the first question is, why do we need to even worry about a pandemic threat? What is it that we’re concerned about? When I say “we,” I’m at the Council on Foreign Relations. We’re concerned in the national security community, and of course in the biology community and the public health community. While globalization has increased travel, it’s made it necessary that everybody be everywhere, all the time, all over the world. And that means that your microbial hitchhikers are moving with you. So a plague outbreak in Surat, India becomes not an obscure event, but a globalized event — a globalized concern that has changed the risk equation. Katrina showed us that we cannot completely depend on government to have readiness in hand, to be capable of handling things. Indeed, an outbreak would be multiple Katrinas at once. Our big concern at the moment is a virus called H5N1 flu — some of you call it bird flu — which first emerged in southern China, in the mid-1990s, but we didn’t know about it until 1997. At the end of last Christmas only 13 countries had seen H5N1. But we’re now up to 55 countries in the world, have had this virus emerge, in either birds, or people or both. In the bird outbreaks we now can see that pretty much the whole world has seen this virus except the Americas. And I’ll get into why we’ve so far been spared in a moment. In domestic birds, especially chickens, it’s 100 percent lethal. It’s one of the most lethal things we’ve seen in circulation in the world in any recent centuries. And we’ve dealt with it by killing off lots and lots and lots of chickens, and unfortunately often not reimbursing the peasant farmers with the result that there’s cover-up. It’s also carried on migration patterns of wild migratory aquatic birds. There has been this centralized event in a place called Lake Chenghai, China. Two years ago the migrating birds had a multiple event where thousands died because of a mutation occurring in the virus, which made the species range broaden dramatically. So that birds going to Siberia, to Europe, and to Africa carried the virus, which had not previously been possible. We’re now seeing outbreaks in human populations — so far, fortunately, small events, tiny outbreaks, occasional clusters. The virus has mutated dramatically in the last two years to form two distinct families, if you will, of the H5N1 viral tree with branches in them, and with different attributes that are worrying. So what’s concerning us? Well, first of all, at no time in history have we succeeded in making in a timely fashion, a specific vaccine for more than 260 million people. It’s not going to do us very much good in a global pandemic. You’ve heard about the vaccine we’re stockpiling. But nobody believes it will actually be particularly effective if we have a real outbreak. So one thought is: after 9/11, when the airports closed, our flu season was delayed by two weeks. So the thought is, hey, maybe what we should do is just immediately — we hear there is H5N1 spreading from human to human, the virus has mutated to be a human-to-human transmitter — let’s shut down the airports. However, huge supercomputer analyses, done of the likely effectiveness of this, show that it won’t buy us much time at all. And of course it will be hugely disruptive in preparation plans. For example, all masks are made in China. How do you get them mobilized around the world if you’ve shut all the airports down? How do you get the vaccines moved around the world and the drugs moved, and whatever may or not be available that would work. So it turns out that shutting down the airports is counterproductive. We’re worried because this virus, unlike any other flu we’ve ever studied, can be transmitted by eating raw meat of the infected animals. We’ve seen transmission to wild cats and domestic cats, and now also domestic pet dogs. And in experimental feedings to rodents and ferrets, we found that the animals exhibit symptoms never seen with flu: seizures, central nervous system disorders, partial paralysis. This is not your normal garden-variety flu. It mimics what we now understand about reconstructing the 1918 flu virus, the last great pandemic, in that it also jumped directly from birds to people. We had evolution over time, and this unbelievable mortality rate in human beings: 55 percent of people who have become infected with H5N1 have, in fact, succumbed. And we don’t have a huge number of people who got infected and never developed disease. In experimental feeding in monkeys you can see that it actually downregulates a specific immune system modulator. The result is that what kills you is not the virus directly, but your own immune system overreacting, saying, “Whatever this is so foreign I’m going berserk.” The result: most of the deaths have been in people under 30 years of age, robustly healthy young adults. We have seen human-to-human transmission in at least three clusters — fortunately involving very intimate contact, still not putting the world at large at any kind of risk. Alright, so I’ve got you nervous. Now you probably assume, well the governments are going to do something. And we have spent a lot of money. Most of the spending in the Bush administration has actually been more related to the anthrax results and bio-terrorism threat. But a lot of money has been thrown out at the local level and at the federal level to look at infectious diseases. End result: only 15 states have been certified to be able to do mass distribution of vaccine and drugs in a pandemic. Half the states would run out of hospital beds in the first week, maybe two weeks. And 40 states already have an acute nursing shortage. Add on pandemic threat, you’re in big trouble. So what have people been doing with this money? Exercises, drills, all over the world. Let’s pretend there’s a pandemic. Let’s everybody run around and play your role. Main result is that there is tremendous confusion. Most of these people don’t actually know what their job will be. And the bottom line, major thing that has come through in every single drill: nobody knows who’s in charge. Nobody knows the chain of command. If it were Los Angeles, is it the mayor, the governor, the President of the United States, the head of Homeland Security? In fact, the federal government says it’s a guy called the Principle Federal Officer, who happens to be with TSA. The government says the federal responsibility will basically be about trying to keep the virus out, which we all know is impossible, and then to mitigate the impact primarily on our economy. The rest is up to your local community. Everything is about your town, where you live. Well how good a city council you have, how good a mayor you have — that’s who’s going to be in charge. Most local facilities would all be competing to try and get their hands on their piece of the federal stockpile of a drug called Tamiflu, which may or may not be helpful — I’ll get into that — of available vaccines, and any other treatments, and masks, and anything that’s been stockpiled. And you’ll have massive competition. Now we did purchase a vaccine, you’ve probably all heard about it, made by Sanofi-Aventis. Unfortunately it’s made against the current form of H5N1. We know the virus will mutate. It will be a different virus. The vaccine will probably be useless. So here’s where the decisions come in. You’re the mayor of your local town. Let’s see, should we order that all pets be kept indoors? Germany did that when H5N1 appeared in Germany last year, in order to minimize the spread between households by household cats, dogs and so on. What do we do when we don’t have any containment rooms with reverse air that will allow the healthcare workers to take care of patients? These are in Hong Kong; we have nothing like that here. What about quarantine? During the SARS epidemic in Beijing quarantine did seem to help. We have no uniform policies regarding quarantine across the United States. And some states have differential policies, county by county. But what about the no-brainer things? Should we close all the schools? Well then what about all the workers? They won’t go to work if their kids aren’t in school. Encouraging telecommuting? What works? Well the British government did a model of telecommuting. Six weeks they had all people in the banking industry pretend a pandemic was underway. What they found was, the core functions — you know you still sort of had banks, but you couldn’t get people to put money in the ATM machines. Nobody was processing the credit cards. Your insurance payments didn’t go through. And basically the economy would be in a disaster state of affairs. And that’s just office workers, bankers. We don’t know how important hand washing is for flu — shocking. One assumes it’s a good idea to wash your hands a lot. But actually in scientific community there is great debate about what percentage of flu transmission between people is from sneezing and coughing and what percentage is on your hands. The Institute of Medicine tried to look at the masking question. Can we figure out a way, since we know we won’t have enough masks because we don’t make them in America anymore, they’re all made in China — do we need N95? A state-of-the-art, top-of-the-line, must-be-fitted-to-your-face mask? Or can we get away with some different kinds of masks? In the SARS epidemic, we learned in Hong Kong that most of transmission was because people were removing their masks improperly. And their hand got contaminated with the outside of the mask, and then they rubbed their nose. Bingo! They got SARS. It wasn’t flying microbes. If you go online right now, you’ll get so much phony-baloney information. You’ll end up buying — this is called an N95 mask. Ridiculous. We don’t actually have a standard for what should be the protective gear for the first responders, the people who will actually be there on the front lines. And Tamiflu. You’ve probably heard of this drug, made by Hoffmann-La Roche, patented drug. There is some indication that it may buy you some time in the midst of an outbreak. Should you take Tamiflu for a long period of time, well, one of the side effects is suicidal ideations. A public health survey analyzed the effect that large-scale Tamiflu use would have, actually shows it counteractive to public health measures, making matters worse. And here is the other interesting thing: when a human being ingests Tamiflu, only 20 percent is metabolized appropriately to be an active compound in the human being. The rest turns into a stable compound, which survives filtration into the water systems, thereby exposing the very aquatic birds that would carry flu and providing them a chance to breed resistant strains. And we now have seen Tamiflu-resistant strains in both Vietnam in person-to-person transmission, and in Egypt in person-to-person transmission. So I personally think that our life expectancy for Tamiflu as an effective drug is very limited — very limited indeed. Nevertheless most of the governments have based their whole flu policies on building stockpiles of Tamiflu. Russia has actually stockpiled enough for 95 percent of all Russians. We’ve stockpiled enough for 30 percent. When I say enough, that’s two weeks worth. And then you’re on your own because the pandemic is going to last for 18 to 24 months. Some of the poorer countries that have had the most experience with H5N1 have built up stockpiles; they’re already expired. They are already out of date. What do we know from 1918, the last great pandemic? The federal government abdicated most responsibility. And so we ended up with this wild patchwork of regulations all over America. Every city, county, state did their own thing. And the rules and the belief systems were wildly disparate. In some cases all schools, all churches, all public venues were closed. The pandemic circulated three times in 18 months in the absence of commercial air travel. The second wave was the mutated, super-killer wave. And in the first wave we had enough healthcare workers. But by the time the second wave hit it took such a toll among the healthcare workers that we lost most of our doctors and nurses that were on the front lines. Overall we lost 700,000 people. The virus was 100 percent lethal to pregnant women and we don’t actually know why. Most of the death toll was 15 to 40 year-olds — robustly healthy young adults. It was likened to the plague. We don’t actually know how many people died. The low-ball estimate is 35 million. This was based on European and North American data. A new study by Chris Murray at Harvard shows that if you look at the databases that were kept by the Brits in India, there was a 31-fold greater death rate among the Indians. So there is a strong belief that in places of poverty the death toll was far higher. And that a more likely toll is somewhere in the neighborhood of 80 to 100 million people before we had commercial air travel. So are we ready? As a nation, no we’re not. And I think even those in the leadership would say that is the case, that we still have a long ways to go. So what does that mean for you? Well the first thing is, I wouldn’t start building up personal stockpiles of anything — for yourself, your family, or your employees — unless you’ve really done your homework. What mask works, what mask doesn’t work. How many masks do you need? The Institute of Medicine study felt that you could not recycle masks. Well if you think it’s going to last 18 months, are you going to buy 18 months worth of masks for every single person in your family? We don’t know — again with Tamiflu, the number one side effect of Tamiflu is flu-like symptoms. So then how can you tell who in your family has the flu if everybody is taking Tamiflu? If you expand that out to think of a whole community, or all your employees in your company, you begin to realize how limited the Tamiflu option might be. Everybody has come up to me and said, well I’ll stockpile water or, I’ll stockpile food, or what have you. But really? Do you really have a place to stockpile 18 months worth of food? Twenty-four months worth of food? Do you want to view the pandemic threat the way back in the 1950s people viewed the civil defense issue, and build your own little bomb shelter for pandemic flu? I don’t think that’s rational. I think it’s about having to be prepared as communities, not as individuals — being prepared as nation, being prepared as state, being prepared as town. And right now most of the preparedness is deeply flawed. And I hope I’ve convinced you of that, which means that the real job is go out and say to your local leaders, and your national leaders, “Why haven’t you solved these problems? Why are you still thinking that the lessons of Katrina do not apply to flu?” And put the pressure where the pressure needs to be put. But I guess the other thing to add is, if you do have employees, and you do have a company, I think you have certain responsibilities to demonstrate that you are thinking ahead for them, and you are trying to plan. At a minimum the British banking plan showed that telecommuting can be helpful. It probably does reduce exposure because people are not coming into the office and coughing on each other, or touching common objects and sharing things via their hands. But can you sustain your company that way? Well if you have a dot-com, maybe you can. Otherwise you’re in trouble. Happy to take your questions. (Applause) Audience member: What factors determine the duration of a pandemic? Laurie Garret: What factors determine the duration of a pandemic, we don’t really know. I could give you a bunch of flip, this, that, and the other. But I would say that honestly we don’t know. Clearly the bottom line is the virus eventually attenuates, and ceases to be a lethal virus to humanity, and finds other hosts. But we don’t really know how and why that happens. It’s a very complicated ecology. Audience member: What kind of triggers are you looking for? You know way more than any of us. To say ahh, if this happens then we are going to have a pandemic? LG: The moment that you see any evidence of serious human-to-human to transmission. Not just intimately between family members who took care of an ailing sister or brother, but a community infected — spread within a school, spread within a dormitory, something of that nature. Then I think that there is universal agreement now, at WHO all the way down: Send out the alert. Audience member: Some research has indicated that statins can be helpful. Can you talk about that? LG: Yeah. There is some evidence that taking Lipitor and other common statins for cholesterol control may decrease your vulnerability to influenza. But we do not completely understand why. The mechanism isn’t clear. And I don’t know that there is any way responsibly for someone to start medicating their children with their personal supply of Lipitor or something of that nature. We have absolutely no idea what that would do. You might be causing some very dangerous outcomes in your children, doing such a thing. Audience member: How far along are we in being able to determine whether someone is actually carrying, whether somebody has this before the symptoms are full-blown? LG: Right. So I have for a long time said that what we really needed was a rapid diagnostic. And our Centers for Disease Control has labeled a test they developed a rapid diagnostic. It takes 24 hours in a very highly developed laboratory, in highly skilled hands. I’m thinking dipstick. You could do it to your own kid. It changes color. It tells you if you have H5N1. In terms of where we are in science with DNA identification capacities and so on, it’s not that far off. But we’re not there. And there hasn’t been the kind of investment to get us there. Audience member: In the 1918 flu I understand that they theorized that there was some attenuation of the virus when it made the leap into humans. Is that likely, do you think, here? I mean 100 percent death rate is pretty severe. LG: Um yeah. So we don’t actually know what the lethality was of the 1918 strain to wild birds before it jumped from birds to humans. It’s curious that there is no evidence of mass die-offs of chickens or household birds across America before the human pandemic happened. That may be because those events were occurring on the other side of the world where nobody was paying attention. But the virus clearly went through one round around the world in a mild enough form that the British army in World War I actually certified that it was not a threat and would not affect the outcome of the war. And after circulating around the world came back in a form that was tremendously lethal. What percentage of infected people were killed by it? Again we don’t really know for sure. It’s clear that if you were malnourished to begin with, you had a weakened immune system, you lived in poverty in India or Africa, your likelihood of dying was far greater. But we don’t really know. Audience member: One of the things I’ve heard is that the real death cause when you get a flu is the associated pneumonia, and that a pneumonia vaccine may offer you 50 percent better chance of survival. LG: For a long time, researchers in emerging diseases were kind of dismissive of the pandemic flu threat on the grounds that back in 1918 they didn’t have antibiotics. And that most people who die of regular flu — which in regular flu years is about 360,000 people worldwide, most of them senior citizens — and they die not of the flu but because the flu gives an assault to their immune system. And along comes pneumococcus or another bacteria, streptococcus and boom, they get a bacterial pneumonia. But it turns out that in 1918 that was not the case at all. And so far in the H5N1 cases in people, similarly bacterial infection has not been an issue at all. It’s this absolutely phenomenal disruption of the immune system that is the key to why people die of this virus. And I would just add we saw the same thing with SARS. So what’s going on here is your body says, your immune system sends out all its sentinels and says, “I don’t know what the heck this is. We’ve never seen anything even remotely like this before.” It won’t do any good to bring in the sharpshooters because those antibodies aren’t here. And it won’t do any good to bring in the tanks and the artillery because those T-cells don’t recognize it either. So we’re going to have to go all-out thermonuclear response, stimulate the total cytokine cascade. The whole immune system swarms into the lungs. And yes they die, drowning in their own fluids, of pneumonia. But it’s not bacterial pneumonia. And it’s not a pneumonia that would respond to a vaccine. And I think my time is up. I thank you all for your attention. (Applause)


  • Reply Leif Rasmussen April 30, 2009 at 3:41 pm

    yeah! number 1 !!! woot!!! hehe

    cool vid

  • Reply BallinTrollin April 30, 2009 at 4:03 pm

    wow philippines had no case…why? its 3rd world but why? im curious.

  • Reply EN Reefs April 30, 2009 at 4:05 pm

    many deaths under 30 healthy young adults… wtf is going on?

  • Reply John-Ein April 30, 2009 at 4:15 pm

    why did it spare america?

  • Reply John-Ein April 30, 2009 at 4:18 pm

    so wouldn't we be spared if we can drain the white blood cells out of the lungs so that the white blood cells can kill the bacteria without hurting our resp system?

  • Reply magua73 April 30, 2009 at 4:19 pm

    Damm! Sometimes, just sometimes ignorance is bliss! In this case I wasn't even worrying that much, but now….! I want to think my self into my happy corner.

  • Reply thunderpants10 April 30, 2009 at 4:36 pm

    So basically we're screwed?
    ok, thanks

  • Reply decentradical April 30, 2009 at 4:49 pm

    Yes you are.

  • Reply Wiz April 30, 2009 at 4:51 pm

    That can be how certain viruses work, they evoke an allergenic response, but I don't think it's how this one does.

  • Reply Sepero1 April 30, 2009 at 5:00 pm

    Adapt or die.

  • Reply yared94 April 30, 2009 at 5:04 pm

    I don't understand. Is it the Swine flu or the avian flu?

  • Reply decentradical April 30, 2009 at 5:10 pm

    Read the description 🙂

    The seminar is about the avian flu and was held in 2007. TEDtalksdirector found it relevant enough to upload it to youtube.

  • Reply IndignantSkeptic April 30, 2009 at 5:13 pm

    was that Aubrey de Grey i heard asking the first question?

  • Reply sudiin April 30, 2009 at 6:36 pm

    This is shocking, even if it's 2007…

  • Reply Andrewticus04 April 30, 2009 at 7:40 pm

    It's evolution, man. We're the future.

  • Reply Erik C April 30, 2009 at 7:46 pm

    Certainly the mortality rate of the Avian Flu is significantly more intimidating than that of the Swine Flu, but I wouldn't necessarily say that it is/was worse. The Avian Flu wasn't hugely transmissible among humans, with only a handful of human-human cases. So the Avian Flu wouldn't have caused a major pandemic. However the Swine Flue seems to be highly contagious and, thus, can infect much more people. Even though it has only a ~7.5% mortality rate, in the end it could kill a lot of people.

  • Reply Gregory Brilowski April 30, 2009 at 8:23 pm

    Regardless of Everything,
    I trust no gov. or w/e to take care
    of things. I will and do take care
    of my Family and prepare,

    Do the same, it sure can't hurt.

  • Reply strandwolf April 30, 2009 at 8:43 pm

    Listen again Annie. Lipitor increases the likelihood of influenza.

  • Reply strandwolf April 30, 2009 at 8:45 pm

    Immune system may react too strongly in that it creates too much liquid in the lungs to rinse out the virus, thus causing pneumonia and death by drowning or something similar.

  • Reply strandwolf April 30, 2009 at 8:47 pm

    Huh. 700,000 killed in the US. But we were better nourished than most other countries, and had generally better basic health care in place so that people could pull through their sickness.

  • Reply TubeHax April 30, 2009 at 8:50 pm


  • Reply UltraPaleo Power April 30, 2009 at 9:19 pm

    the elite bankers want their population reduction. their worst problem are that the planet is overcrowded. They have the power so they will do it.

  • Reply XxmattitudexX April 30, 2009 at 9:52 pm

    LOl it can be verified by listening to the first 1 min of her presentation wwhere she states she is a cfr member

  • Reply phil Rimmer April 30, 2009 at 9:53 pm

    this isn't just swine flu though, it's a splice
    2 forms of human flu, 1 swine flu and avian flu. so as she said the second wave was deadley, the second wave of this could pretty shitty.

  • Reply phil Rimmer April 30, 2009 at 10:06 pm

    thats just the way it is not conspirocy. these things mutate!
    where did it come from
    genetic modification….. or pig shit??

  • Reply Jopdan April 30, 2009 at 10:45 pm

    man….we're so fucked……

  • Reply EyFmS April 30, 2009 at 10:53 pm

    Put on your flag t-shirt,put on your flag underwear,grab a shotgun,grab a bible get inside a closet and then pray,pray,prayyyy!!!

  • Reply EyFmS April 30, 2009 at 11:25 pm

    So hiding inside the closet is not a good idea….mnnn….

  • Reply Jacky Li May 1, 2009 at 12:26 am

    this talk reminds me of the t-virus…unstopable….(whats with this crappy TED?)lol it looks so small

  • Reply djBEN FONYEDance May 1, 2009 at 1:34 am

    Add me to your mailing list, Elephantintheroom01.

  • Reply jaydesh9 May 1, 2009 at 1:42 am

    This was realllly informative.. Thanks for such a great video.. She seems to be well read.. !!

  • Reply Jopdan May 1, 2009 at 2:57 am

    I don't think you understand….when this hits pandemic mode you'll regret everything. It's only been in the human population for a short time…give it a few months. Once it spreads around the world and mutates we're in some serious, serious trouble. This is going to be terrible. Bodies piled up in the street. 90%+ infection rate. Infrastructure breaking down, society descending into chaos.

  • Reply Lintassimilator May 1, 2009 at 3:25 am

    I laugh at you sir, you're a hallmark example of the type of paranoia that you are being conditioned with through media coverage. You'll be fine, don't worry so much.

  • Reply 11eggs May 1, 2009 at 3:32 am

    A disaster of biblical proportions. What I means is Old Testament, real wrath of God type stuff.
    Fire and brimstone coming down from the skies! Rivers and seas boiling!
    Forty years of darkness! Earthquakes, volcanoes…
    The dead rising from the grave!
    Human sacrifice, dogs and cats living together… mass hysteria!

  • Reply punkposer May 1, 2009 at 3:49 am

    …waith what? See, this wouldn't be such a big deal if ppl would only cover their mouths when they cough or sneeze and then wash their hands… if everyone practices this, then we're good…

  • Reply freesk8 May 1, 2009 at 5:19 am

    After Katrina, we are really supposed to rely upon local, state and federal governrment to protect us instead of ourselves? That's wacky.
    And the conditions are totally different from 1918 to now. People are better-fed in the US than they were back then.
    This speaker is trying to scare us in order to get more funding for her programs, or to get us to sacrifice more of our liberty and money to national and international government.

    Katrina proved that is the wrong way to do it.

  • Reply bmed19 May 1, 2009 at 6:38 am

    someone shoot this bitch

  • Reply bmed19 May 1, 2009 at 6:39 am

    ted is putting up crap talks now

  • Reply 1Nyro May 1, 2009 at 1:18 pm


  • Reply SkyTrop May 1, 2009 at 7:05 pm

    Elderberry (sambucus nigra) is active against all forms of Influenza A. It stifles the replication of the virus, shortening intensity and duration of the infection.

    Jergon Sacha / Cat's Claw combination works very well also.

    This stuff has published studies. Don't forget that pharm companies are always mimicking compounds found in nature. The natural forms can be very effective if used correctly.

  • Reply elliot deherrera May 2, 2009 at 2:27 am

    CFR? fuck that.

  • Reply Tim O'Connell May 2, 2009 at 4:06 am

    The how would be different for every government in every part of the world.

  • Reply BallinTrollin May 2, 2009 at 4:46 am

    lol that is so true, but obviously some people want those other problems to continue to exist for them to make a profit out of it. Like let's say………LUNG PROBLEMS because of cigarettes….which leads me to asking why weed isn't legal.

  • Reply funnyguise May 2, 2009 at 8:42 am

    germs don't cause disease, bad health (diet and habits) causes disease.

  • Reply Kumkvatjezdrav Zelo May 3, 2009 at 8:25 am

    So far this recent mutated flu outbreak has killed something like 100+ people worldwide. According to one other TED talk the number of deaths attributable to smoking is something like 1000+ PER DAY in USA alone.

    Why then do you hear so much about this flu and nothing about smoking?

    The point is that this talk is completely worthless, and that this CFR bitch should crawl back under her rock and die. This growing number of politically biased talks on TED is totally fucked up.

  • Reply Barbary Stoutsmn May 3, 2009 at 9:48 pm

    Swine flu does fly buddy, because humans who contract it fly on the airlines.

  • Reply chilenozo May 4, 2009 at 7:05 pm

    We hear about smoking every day, it has been marketed for more than a decade. People know more about smoke than different flu names. Besides, smoking is cure easily by governments enforcing martial law and saying nobody smokes. But in a flu, if there are no vaccines, governments can do some kind of quarantines, but it is still a game of luck to control it. Viruses and Bacteria do not obey governments decisions.

  • Reply TGGeko May 4, 2009 at 7:39 pm

    we tried "martial law" against a drug. It was called the Prohibition, and with that came organized crime, gangs, mobs, and people still drank.

  • Reply CorvetteTeaser May 5, 2009 at 12:46 am

    idea is, just be sick! if you are young and healthy you die! but if you are sick, then the Flu will have mercy on u

  • Reply princeofexcess May 5, 2009 at 7:03 pm

    people should pay private companies
    to store drugs Gov should stop wasting my money on drugs that dont work
    You want to have drugs during outbreak pay a company instead of having government randomly distribute the drugs and waste money on things people dont want

  • Reply princeofexcess May 6, 2009 at 9:17 am

    great and how much you want to bet that this is going to turn out to be a fucking waste of money
    People Love to panic
    and I end up paying for it with my own money

    You think everyone will die from flu good for you
    go invest your own money in prevention

    While i go and assert the real dangers
    or help people in poorer countries at least they have real problems

  • Reply princeofexcess May 6, 2009 at 9:18 am

    People lost their heads
    they are scared to fly planes which is the safest way to travel because they see plane crashes on tv
    Swine influenza killed 1 person in US
    and everyone acts like its end of the world

    and we might need them
    but when there is real emergency
    and ppl will pay money to fight it when there is real emergency anyways

  • Reply Eric Stevenson May 6, 2009 at 4:14 pm

    Looks like I watched this just in time.

  • Reply dannukesem May 11, 2009 at 7:27 am

    There are 2532 confirmed cases of swine flu in the US. That is double what is was a few weeks ago.

  • Reply Peter Cohen May 11, 2009 at 6:16 pm

    Our government's (all of them) preparation for pandemic is so woefully inadequate as to be a joke. If only it were funny. Personal reliance is really the only way to deal with whatever inevitable pandemic(s) we are likely to encounter. And if we are serious, that 'does' mean a personal, eighteen month supply of masks and surgical gloves, per family member; stringent obeisance to hygiene and protocol for protective measures (like how to put on and take off masks, etc..

  • Reply truthaboutflu August 3, 2009 at 5:48 pm

    some areas are taking more extreme measures than others. an approved mask worn properly is a great way to keep yourself safe from infection.

  • Reply Jai666666666 February 1, 2012 at 5:17 am

    They vaccinated 50 million people and they all died…, next case!!!

  • Reply samala51 May 6, 2013 at 7:37 pm

    Yet the majority of the population still knows nothing about this.

  • Reply Daniel Gontar July 8, 2017 at 12:22 pm

    I didn't like this woman the first the first time I saw her in the 1990s when her book "The Coming Plague" came out. She looks like a psychopath. I bet you a million dollars this woman is involved in the creation of superviruses.

  • Reply Edward Humphries November 23, 2017 at 2:18 am

    Get vaccinated. Don’t listen to psychotic anti-vaxxers, chances are influenza could kill you whereas an allergic reaction has a minuscule chance. Anti vaxxers endanger public health and YouTube should ban them.

  • Reply H. DeLoy Johnson August 19, 2018 at 2:28 am

    All flu victims should have a powder florescent tracer that could be seen under black lights at a distance.

  • Reply Oso Diaz April 2, 2019 at 2:27 pm

    Sub to pewdipie

  • Reply lavonne younan November 3, 2019 at 12:12 am

    Excellent report!

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