What We Learned From Previous Epidemics / Pandemics

Statistics

1. 1918: 50M people killed
2. HIV/Aids: 39M people since 1981
3. Poverty to risk
   1. Inadequate sanitation
   2. Poor nutrition
   3. Crowded living conditions
   4. Lack of healthcare services
   5. Poor infection control
   6. Lack of public infrastructure
   7. Poor governance

Epidemics History (very frequent until recent times after 1950s)

1. Cholera —1852-1860
2. Asian Flu – 1957
3. Typhus Fever – 1945
4. Cocolitzli epidemic – 1575
5. Plague of Justinian – 541
6. Antonine Plague – 165-180AD
7. Third Plague Pandemic – 1855
8. Black Death – 1334
9. Great Flu Epidemic – 1918
10. HIV/Aids – 1960’s to present

Pearls

• Management – calm, factual, frequent
• Immediate response!!!
• Early detection and monitoring – data, data, data!
• Factual communications from professionals
• Care isolation – Contact Quarantine
• Antisepsis / hand washing
• Social distancing
• Protective gear (masks, gloves, clothing)
• Pharmaceutical intervention
• Prohibit travel
• Prohibit / downplay racism

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