How to be prepared for the future

ABSTRACT

The chapter "Disease by Decision – human-induced threats to biosafety and biosecurity” starts with the 2001 anthrax attack in the USA, which was the event that led to the Fink Report, and a range of prescient interventions, including the creation of the National Science Advisory Board for Biosecurity, a committee that later considered gain-of-function (GOF) controversies. The risk of a lab accident is discussed, but Gostin concludes that an incident with global catastrophic impact has not yet occurred, thus dismissing the hypothesis that SARS-CoV-2 originated from a laboratory leak. Because of the anthrax attack in 2001, the USA have been the most advanced country in considering biosecurity risks. Gostin provides a very comprehensive plan for health system strengthening, financing, research and development, governance, equitable access to pharmaceuticals, and global cooperation.