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Covid control: penny-wise, pound-foolish
Less than two years before the Covid-19 hit the world, I was trying to save a critical pandemic detection and control programme in a strategically important geographical location. “It’s an expensive programme, Madam,” someone murmured to a senior officer of an international organisation where the decisions were being made. Both had expertise in finance but none in global health security. I had all the facts and figures with me, and was able to precisely tell them how much an outbreak’s early detection and control could save the local economy and also what fraction of the global economy could suffer with an uncontrolled epidemic in a few countries. But this was pre-Covid-19, and for managers saving pennies was better than thinking long-term and saving pounds. I was not alone and many colleagues in global health desperately tried to save these outposts of early outbreak detection and response. It was like a major military power deciding