In March 2020 POLITICO reported that after the Ebola outbreak in 2014, the Obama Administration's National Security Council had prepared a detailed, thorough "pandemic playbook" that was available to Trump administration officials, who treated it dismissively and did not draw on it during the response to the coronavirus. The leaked 69-page PowerPoint is reproduced in full color in durable hardcover landscape format, a crucial resource for understanding the Trump administration's response to COVID-19. The Playbook describes itself as follows: "a decision-making tool that identifies: (1) questions to ask; (2) agency counterparts to consult for answers to each; and (3) key decisions which may require deliberation through the Presidential Policy Directive (PPD)-1 process or its successor National Security Council process." This is a document with an optimistic view of its role in the world. It is not clear that policy leaders in any Administration are actually interested in outsourcing their decision-making to a tool developed by a previous admninistration. To the contrary, policy-makers typically place a great deal of emphasis on getting their own people in place to ask the right questions. The main body of the Playbook is comprised of two major sections, one for international events that have not yet reached the US and one for events with a US locus. For each, a "Rubric" is provided that "is not intended to serve as a comprehensive concept of operations or replace national or pre-existing U.S. Government response structures, but rather to serve as a proposed guide based on existing authorities, guidance, and response frameworks for staff monitoring emerging infectious disease threats and interagency planning and response, should the need arise in the future." The key words are "for staff monitoring emerging infectious disease threats..." -- in other words, this document was intended for use by staff who are monitoring things, rather than for policy makers who are deciding them. The Rubrics explicitly spell out key assumptions--for example, on the domestic side that "the U.S. Government will use all powers at its disposal to prevent, slow, or mitigate the spread of an emerging infectious disease threat..." The drafters did not include any language such as "unless it might hurt the stock market." Both Rubrics contain exhaustive lists of important questions and decisions that correspond well with what we know now to have been important in the response to COVID-19. An Appendix contains several useful resources, including a laundrty list of "declarations and mitigation options" -- things that the US government or other agencies can declare and do, specifically including pharmaceutical, medical, travel-related and community interventions. Some of the latter will seem remarkably familiar: a. Voluntary home isolation of the ill and home quarantine of the exposed b. Dismissal of students from schools c. Social distancing measures, such as telework d. Cancellation of large public gatherings; and e. Widespread use of personal protective devices A section on Communications envisages the Secretary of HHS as the primary spokesperson. No mention is made of daily 5 pm press conferences with the President. Readers who enjoy works like THE GREAT INFLUENZA, CONTAGION, and THE ANDROMEDA STRAIN will find this a fascinating look behind the curtain. Also an ideal gift for that "no masks" relative who just will not read the peer-reviewed science that you patiently email to them!

From the Pulitzer Prize–winning author of The Looming Tower, and the pandemic novel The End of October: an unprecedented, momentous account of Covid-19—its origins, its wide-ranging repercussions, and the ongoing global fight to contain it "A book of panoramic breadth ... managing to surprise us about even those episodes we … thought we knew well … [With] lively exchanges about spike proteins and nonpharmaceutical interventions and disease waves, Wright’s storytelling dexterity makes all this come alive.” —The New York Times Book Review From the fateful first moments of the outbreak in China to the storming of the U.S. Capitol to the extraordinary vaccine rollout, Lawrence Wright’s The Plague Year tells the story of Covid-19 in authoritative, galvanizing detail and with the full drama of events on both a global and intimate scale, illuminating the medical, economic, political, and social ramifications of the pandemic. Wright takes us inside the CDC, where a first round of faulty test kits lost America precious time . . . inside the halls of the White House, where Deputy National Security Adviser Matthew Pottinger’s early alarm about the virus was met with confounding and drastically costly skepticism . . . into a Covid ward in a Charlottesville hospital, with an idealistic young woman doctor from the town of Little Africa, South Carolina . . . into the precincts of prediction specialists at Goldman Sachs . . . into Broadway’s darkened theaters and Austin’s struggling music venues . . . inside the human body, diving deep into the science of how the virus and vaccines function—with an eye-opening detour into the history of vaccination and of the modern anti-vaccination movement. And in this full accounting, Wright makes clear that the medical professionals around the country who’ve risked their lives to fight the virus reveal and embody an America in all its vulnerability, courage, and potential. In turns steely-eyed, sympathetic, infuriated, unexpectedly comical, and always precise, Lawrence Wright is a formidable guide, slicing through the dense fog of misinformation to give us a 360-degree portrait of the catastrophe we thought we knew.

In the third volume of his Proof series, New York Times bestselling author Seth Abramson takes readers on a deep dive into the Ukraine scandal, revealing it to be more sinister, complex, and transnational than previously thought. Abramson’s research on Trump administration corruption positions the Ukraine scandal as the foreseeable culmination of years of clandestine machinations involving scores of players, from Beijing to Budapest, Ankara to Caracas, Warsaw to Jerusalem, Kyiv to Riyadh, and Moscow to D.C. While many know about the July 2019 telephone call that ignited the Ukraine scandal, most don’t know about the concurrent attempts by members of Trump’s inner circle to take over Ukraine’s national gas company and bolster dangerous pro-Kremlin Ukrainian oligarchs—moves that would have benefited Putin and destabilized Ukraine’s government and economy. In Beijing, Trump’s dealings with the Chinese government not only enriched him and his family, but also culminated in him successfully seeking 2020 election interference from Xi Jinping in the form of closely held information about Joe Biden. In Venezuela, many of the actors involved in the Ukraine scandal engaged in similarly secretive, Kremlin-friendly negotiations that undermined U.S. policy. In Syria and Iraq, Trump’s personal indebtedness to autocrats in Turkey, Israel, Saudi Arabia, and the UAE cost untold lives. And Abramson brings the story back to an increasingly fractured and depleted United States, where the COVID-19 pandemic exposes the staggering domestic consequences of the Trump administration’s foreign machinations. In Proof of Corruption, Seth Abramson lays bare Trump’s decades-long pattern of corruption. This globe-spanning narrative is an urgent warning about the unprecedented threat posed by a corrupt president and his administration.

Our ability to treat common bacterial infections with antibiotics goes back only 65 years. However, the authors of this report make it clear that sustaining a supply of effective and affordable antibiotics cannot be without changes to the incentives facing patients, physicians, hospitals, insurers, and pharmaceutical manufacturers. In fact, increasing resistance to these drugs is already exacting a terrible price. Every day in the United States, approximately 172 men, women, and children die from infections caused by antibiotic-resistant bacteria in hospitals alone. Beyond those deaths, antibiotic resistance is costing billions of dollars through prolonged hospital stays and the need for doctors to resort to ever more costly drugs to use as substitute treatments. Extending the Cure presents the problem of antibiotic resistance as a conflict between individual decision makers and their short-term interest and the interest of society as a whole, in both present and future: The effort that doctors make to please each patient by prescribing a drug when it might not be properly indicated, poor monitoring of discharged patients to ensure that they do not transmit drug-resistant pathogens to other persons, excesses in the marketing of new antibiotics, and the broad overuse of antibiotics all contribute to the development and spread of antibiotic-resistant bacteria. The book explores a range of policy options that would encourage patients, health care providers, and managed care organizations to serve as more responsible stewards of existing antibiotics as well as proposals that would give pharmaceutical firms greater incentives to develop new antibiotics and avoid overselling. If the problem continues unaddressed, antibiotic resistance has the potential to derail the health care system and return us to a world where people of all ages routinely die from simple infections. As a basis for future research and a spur to a critically important dialogue, Extending the Cure is a fundamental first step in addressing this public health crisis. The Extending the Cure project is funded in part by the Robert Wood Johnson Foundation through its Pioneer Portfolio.

This two-in one resource includes the Tactical Commanders and Staff Toolkit plus the Liaison Officer Toolkit. Defense Support of Civil Authorities (DSCA)) enables tactical level Commanders and their Staffs to properly plan and execute assigned DSCA missions for all hazard operations, excluding Chemical, Biological, Radiological, Nuclear, high yield Explosives (CBRNE) or acts of terrorism. Applies to all United States military forces, including Department of Defense (DOD) components (Active and Reserve forces and National Guard when in Federal Status). This hand-on resource also may be useful information for local and state first responders. Chapter 1 contains background information relative to Defense Support of Civil Authorities (DSCA) including legal, doctinal, and policy issues. Chapter 2 provides an overview of the incident management processes including National Response Framework (NRF), National Incident Management Systems (NIMS), and Incident Command System (ICS) as well as Department of Homeland Security (DHS). Chapter 3 discuses the civilian and military responses to natural disaster. Chapter 4 provides a brief overview of Joint Operation Planning Process and mission analyis. Chapter 5 covers Defense Support of Civilian Authorities (DSCA) planning factors for response to all hazard events. Chapter 6 is review of safety and operational composite risk management processes Chapters 7-11 contain Concepts of Operation (CONOPS) and details five natrual hazards/disasters and the pertinent planning factors for each within the scope of DSCA.

The Policy Actions for COVID-19 Economic Recovery (PACER) Dialogues were held from June to September 2020 as the coronavirus disease (COVID-19) pandemic accelerated around the world. They shared cutting-edge knowledge and best practices to help countries in Southeast Asia and the People's Republic of China strengthen cooperation to mitigate the devastating effects of COVID-19 and accelerate their economic recovery. This compendium of 13 policy briefs summarizes the discussions, recommendations, and actionable insights from the PACER Dialogues.

Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.