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Based on my experience, I want to emphasize that the next administration will definitely face challenges related to infectious diseases. This includes managing existing chronic infectious diseases, which already pose a significant burden. However, more importantly, be prepared for a surprise outbreak. It's not a matter of if, but when, so pandemic preparedness is crucial.

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We must remain vigilant about current diseases, but an even greater danger lies in fixating on the last pandemic when preparing for future threats. Emerging infections can arise from various sources, and we are still susceptible to the intentional spread of diseases by those who seek to cause harm. Our global community faces numerous potential health threats.

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Based on my experience, I want to emphasize that the upcoming administration will face challenges in the field of infectious diseases. These challenges include both chronic diseases that are already prevalent and new outbreaks. It is certain that there will be a surprise outbreak in the future.

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Based on my experience, I can confidently say that the upcoming administration will face challenges in the field of infectious diseases. These challenges include both chronic infectious diseases, which are already prevalent, and the possibility of a surprise outbreak.

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"There's the transformative, if I might use that word, experience that we've all had now in year five of COVID." The speaker says, "The thought that we won't have another pandemic, I think is naive at best and just not completely unrealistic at worst." They add, "I'm convinced that there will be another pandemic and that's the reason why we have to be perpetually prepared to prevent the terrible impact of a pandemic."

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Could the next pandemic surpass the severity of COVID-19? Experts warn that a new threat, referred to as Disease X, is likely to emerge. Dr. Peter Hotez, dean of the National School of Tropical Medicine, emphasizes the need for the U.S. to commit to better pandemic preparedness. He notes that while the next pandemic may not be as severe as COVID-19, it could still pose significant risks. The rise in pandemics is attributed to various factors, including climate change, which affects animal migration and the transmission of viral pathogens. Although the timing of Disease X remains uncertain, scientists agree that it is inevitable. More funding is needed for diagnostics, vaccines, and supporting researchers studying these threats.

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There will be another pandemic; it's just a matter of time. The annual risk is around 2% to 3%, and we must prepare for future outbreaks, including unexpected ones, often referred to as "black swans." The work we do now is crucial for readiness, as we will inevitably face new challenges and different types of viruses. It's essential to acknowledge that surprises will arise, and we need to be equipped to handle them.

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We must remain vigilant about current diseases, but an even greater danger is focusing too much on the last pandemic when preparing for future threats. Emerging infections can arise from various sources, and we are still vulnerable to intentional spread by those seeking to cause harm. Our global community's health faces numerous potential threats. It's crucial to consider a wide range of possibilities to effectively safeguard public health.

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Experts are predicting that the next pandemic, known as disease X, could be even worse than COVID-19. Dr. Peter Hotez, an internationally recognized expert, believes that new pandemic threats will continue to rise regularly. He compares COVID-19 to a warm-up act for the next pandemic, which may not be as severe but could be more challenging. Previous pandemics like SARS, H1N1, Ebola, and Zika have already occurred. Dr. Hotez emphasizes the importance of pandemic preparedness, including funding for diagnostics, vaccines, and support for scientists studying these pathogens. Climate change is identified as a significant factor in the increase of pandemics. While the timing of disease X is uncertain, scientists agree that it is inevitable.

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A highly infectious virus is most likely to kill over ten million people in the next few decades. If we get an airborne pandemic without preparation, millions could be adversely impacted. The next administration will face challenges like their predecessors, making pandemic prevention a top priority. When Trump faces his first major epidemic, he will likely project impulsivity, xenophobia, and a cavalier attitude towards facts to over 52,000,000 followers. It is almost inevitable that we will have another pandemic. Event two zero one simulates a severe pandemic involving a new coronavirus. A proposal is made to distribute a new vaccine to everyone in the world. It is plausible that a novel avian virus outbreak could occur in China, and vaccines could be printed on a patch for self-administration using the RNA sequence.

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A highly infectious virus could kill over 10 million people in the coming decades, especially if we face an airborne pandemic without proper preparedness. Future administrations will inevitably confront pandemic challenges, making prevention and preparedness a top priority. With Trump as president, his impulsive and fact-averse approach could exacerbate the situation during a major epidemic. The likelihood of another pandemic is high, as seen with the emergence of a new coronavirus. There is potential for outbreaks from novel viruses, such as an avian virus in China, which could lead to the rapid development and self-administration of vaccines using RNA sequencing technology.

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I have served in 5 administrations and want to share my perspective on pandemic preparedness. Based on my experience, I want to emphasize that the coming administration will face challenges in dealing with infectious diseases. This includes both chronic diseases and unexpected outbreaks. The history of the last 32 years as the director of NIAID shows that there is no doubt the next administration will have to confront these challenges.

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There is a consensus that appears in the World Health Organization’s ten-year plan, which has been in place for a long time. The plan states that people should prepare for the coming ten years because a major infectious crisis is anticipated. In other words, the plan foretells that over the next decade there will be a significant infectious-health emergency. The speaker notes that “this was year 1,” indicating that the current year is the first year of that ten-year horizon outlined by the plan.

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In this exchange, the speakers reference the World Health Organization’s ten-year plan. The first speaker states that the plan has long warned: “for the coming 10 years, there will be a large infectious disease crisis,” and notes that “this was year 1.” The second speaker adds that the aim is to prepare and help, should a second pandemic occur, and asserts that, based on years of the speakers’ discussions, “the chance that a second pandemic comes is very large.” The first speaker reiterates that there is consensus and that the plan has anticipated a major infectious disease crisis over the decade, emphasizing that the warning has been a longstanding part of the plan.

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It doesn't matter who comes before us as long as they support this administration and ignore your beliefs. If your views are fundamental, how do you reconcile that? President Trump tasked me with ending the chronic disease epidemic and making America healthy again. This is my primary focus at HHS. If we don't tackle this issue, all other discussions about healthcare funding are irrelevant. The U.S. has the highest chronic disease burden globally, and during COVID, we accounted for 16% of deaths despite having only 4.2% of the world’s population. The average American who died from COVID had multiple chronic diseases. This situation poses an existential threat to our economy, military, and overall well-being, making it a top priority for President Trump. If confirmed, I will address this challenge directly.

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The speaker, who has served in 5 administrations, discusses the issue of pandemic preparedness. They emphasize that the coming administration will face challenges in dealing with infectious diseases, including both chronic diseases and surprise outbreaks. The speaker highlights the importance of learning from past experiences, such as HIV, and stresses the need for substantial resources, involvement of communities, cross-sector collaboration, and engagement of leaders and policymakers. They assert that infectious diseases are a perpetual challenge that will not go away, and confidently state that such challenges will be seen in the next few years.

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If a highly infectious virus kills over 10 million people in the coming decades, it will likely be due to an airborne pandemic. Without prior preparation, millions could be affected. Future administrations will inevitably face pandemic challenges, making prevention and preparedness a top priority. As Trump becomes president, his response to the first major epidemic may reflect his impulsive and fact-averse tendencies. Another pandemic is almost certain. Welcome to Event 201, which addresses a potential severe pandemic involving a new coronavirus. The idea of a novel avian virus outbreak in China is plausible, and we could potentially develop vaccines quickly using RNA sequencing and self-administration methods.

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Speaker 0: Nobody knew there'd be a pandemic or an epidemic of this proportion. Speaker 1: There may and likely will come a time in which we have both an airborne disease that is deadly. And in order for us to deal with that effectively, we have to put in place an infrastructure, not just here at home but globally, that allows us to see it quickly, isolate it quickly, respond to it quickly. So that if and when a new strain of flu like the Spanish flu crops up five years from now or a decade from now, we've made the investment, and we're further along to be able to catch it. It is a smart investment for us to make. It's not just insurance. It is knowing that down the road, we're gonna continue to have problems like this, particularly in a globalized world. Speaker 2: The CIA, they really love it when a new president is elected, and he has no background in intelligence or foreign policy. Barack Obama, no experience in foreign policy, no experience in intelligence. The day after an election, the director of the CIA authorizes a president-elect to begin receiving a PDB, a president's daily brief. And so the day after the election, they go with this this 16 page document and they say, Mr. President-elect, wait till you see the cool things we're doing all around the world. And they've sucked him in. They made him one of the guys. And then we get the feedback at the CIA. Oh, the president loved this. The president had a follow-up question on that. Oh, the president said, oh my God, when he read this. Speaker 3: It almost sounds like you're psychologically profiling the president. Speaker 2: Oh, I think that's exactly what they do. Speaker 3: And so they use the tools that they have employed for decades to subvert foreign governments, to subvert their own government. Speaker 4: 02/2008, something unbelievable happened for us in the FBI. We were getting lots of rumors about this high level asset that worked for several intelligence agencies at the same time. He worked for the Saudi Intelligence Service. He worked for the CIA, and he was being developed as a political asset in Chicago, Illinois. He was not even a United States citizen, but it was said that he was a student visa and that he was a a national from another country. In 02/2008, everyone in the intelligence structure found out who he was. It was this individual whose name I don't like to say, who became president in 2008 of The United States. Speaker 1: And I will faithfully execute. Speaker 3: The office of Speaker 2: president of the United States. Speaker 1: The office of president of the United Speaker 4: One of his code names was Renegade. His real name was Barry Sartaro, but he adopted a different name for his political career. When they ran him for president, the cabal, basically, this was the culmination of so many of their plans for so many years. His mission was to destroy The United States from within, one institution at a time. One of the things he did, of course, was he he defunded our military. He brought down he brought down the resources that they got. But then he ordered our military in many, many instances and in various theaters to attack our allies and to defend and supply and help our enemies. That's exactly how he created ICEs. He would say publicly that the military were gonna bomb our our enemies, but then he would have the military actually bomb enemies of ISIS, our allies. He gave ISIS funding and equipment by basically ordering our military to take equipment into a certain theater and then abandon it. And the commanders would say, that's ridiculous. We'd just be handing that stuff over to ISIS. And the president's office would say, don't question orders. Just follow your Speaker 0: order. Forty four and one before that, '43, Bush and Obama. Well, there are pictures of Bush with his arm around eight year old Barack Obama because his stepdaddy, adopted daddy, Lolo Sotoro, had done a lifetime where the business with the Bushes. Wow. Uncle George Herbert Walker, after whom George Herbert Walker Bush, Bush won president, was named, founded Halliburton in 1946 in Oklahoma. And Lolo Sotoro had been international executive vice president for Standard Oil. There there was talk of him being a CIA asshole. Well, yeah. See, he ran the death squads for the Indonesian army. On his own call, anyone could be assassinated. So when George Herbert Walker Bush became head of the CIA under the Ford administration, he just got with his old buddy in the oil business, Lolo Sotoro, and pulled off the hits. See, Barack's grandmother has been acknowledged as being the woman that operated the channels through which CIA money went to the Southwest Pacific. So she introduced her daughter who had just had Barry Barack to Lolo Sotoro, and they got married and Lolo Sotoro adopted Barack Obama. The name was changed to Barry Sotoro. Mhmm. Speaker 0: Now when he went to high school in Hawaii, I know about that high school. I almost sent my oldest son to it. I could afford it, but I didn't think he observed deserved it. Twenty years ago, the tuition was $95,000 a year, not including room and board. When Obama went there, I've talked to two of his classmates. They independently state that the tuition, not including room and board, was 45,000. Now Business Insider reports his income for 2017 at over 200,000,000 net. That's after taxes, deductions, write offs. For this last year, 2018, they've reported it as 570 plus million dollars, and that's after all deductions tax. Right? Speaker 2: Trump doesn't make that net. Speaker 2: All these other ones who thought they were untouchable, now they're gonna have to answer for their actions. In the Obama administration, John Brennan had the Tuesday morning kill list meetings because the tech got sophisticated enough that you could just write up a list of people that you wanna kill that week, and you dish out the assignments. The teams go out. They kill everybody that's on the list, and then they meet next Tuesday and get that kill list. And you just do it week after week. Well, if you're not having to devote armies of targeting analysts, to to finding these guys, if if your computers can find them just based on their, you know, email messaging, text messaging, whatever, metadata. There. Your job's easy. You just fire a missile from the drone or you drop a guy in that does a close in shot, and then you get back Speaker 4: on the helicopter and fly home. Speaker 2: I hate to sound cynical like that, but that's just the way it is. Speaker 5: I think that's, just calling it how it is. What, what year or years was that was Brennan doing that Tuesday morning kill list? Speaker 2: He started in o nine and kept it going. I have no idea if Donald Trump kept it or Joe Biden kept it or revived it, But it was something that they were very proud of in the Obama administration. They were just going out whacking everybody. Speaker 5: Yeah. Well, no nobody dropped more missiles from drones than Obama did. Speaker 2: No. Nobody.

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In the future, there may be a deadly airborne disease. To effectively deal with it, we need to establish a global infrastructure that enables us to quickly detect, isolate, and respond to such outbreaks. By investing in this infrastructure now, we can be better prepared for future strains of flu, like the Spanish flu, that may emerge in the next five to ten years. It is a wise investment to make.

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If a highly infectious virus is to cause over 10 million deaths in the coming decades, it is likely due to a pandemic. Without proper preparedness, a new airborne outbreak could significantly impact millions. Future administrations will inevitably face challenges similar to those of their predecessors, making pandemic prevention a top priority. The current administration will confront its first major epidemic, potentially influenced by impulsive and fact-averse attitudes. The likelihood of another severe pandemic is high, as seen with the emergence of a new coronavirus. There is a possibility of a novel avian virus outbreak, which could lead to rapid vaccine development and self-administration.

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In the future, there might be a deadly airborne disease. To effectively handle it, we need a global infrastructure that enables us to detect, isolate, and respond to it swiftly. This infrastructure should be in place not only in our country but worldwide. By investing in this infrastructure, we can be better prepared to tackle future outbreaks, such as a new strain of flu similar to the Spanish flu, that may emerge in the next five or ten years.

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I will discuss pandemic preparedness today. Based on my experience, I can say that the next administration will face challenges with chronic infectious diseases and unexpected outbreaks. In my 32 years as NIAID director, history shows that these challenges are inevitable for the new administration.

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We need to pay attention to several emerging health threats starting January 21st. H5N1 is spreading among wild birds and poultry, with sporadic human cases reported, though no human-to-human transmission has occurred yet. Additionally, a new coronavirus may be developing in Asia, following previous outbreaks like SARS and COVID-19. Mosquito-borne viruses, such as dengue and potentially Zika, are expected to resurface along the Gulf Coast. Vaccine-preventable diseases are also on the rise, with a fivefold increase in whooping cough cases and multiple measles outbreaks this year, alongside polio detected in New York's wastewater. These challenges will require a strong response team to manage effectively.

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As a kid, nuclear war was the big fear. Now, a highly infectious virus is the greatest global catastrophe risk. An epidemic, whether natural or intentional, is the most likely cause of over ten million deaths in the coming decades. We are not ready for the next epidemic, and it's surprising how little preparedness there is. To prepare, we need to run simulations, like germ games instead of war games, to identify our weaknesses. If we start now, we can be ready.

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We must take action to prevent future pandemics as they are inevitable in the lifetimes of our grandchildren and great-grandchildren. The exact timing of the next outbreak is uncertain, but we need to be prepared.
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