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How does the Center for Disease Control track flu activity?

Anytime someone checks into the doctor’s office or hospital, that individual’s public health records are updated and entered into a national health care database that can be accessed by the CDC. There are certain reportable diseases that are mandatorily reported to the CDC.Diseases reportable to the CDC include:AnthraxArboviral diseases (diseases caused by viruses spread by mosquitoes, sandflies, ticks, etc.) such as West Nile virus, eastern and western equine encephalitisBabesiosisBotulismBrucellosisCampylobacteriosisChancroidChickenpoxChlamydiaCholeraCoccidioidomycosisCryptosporidiosisCyclosporiasisDengue virus infectionsDiphtheriaEhrlichiosisFoodborne disease outbreakGiardiasisGonorrheaHaemophilus influenza, invasive diseaseHantavirus pulmonary syndromeHemolytic uremic syndrome, post-diarrhealHepatitis AHepatitis BHepatitis CHIV infectionInfluenza-related infant deathsInvasive pneumococcal diseaseLead, elevated blood levelLegionnaire disease (legionellosis)LeprosyLeptospirosisListeriosisLyme diseaseMalariaMeaslesMeningitis (meningococcal disease)MumpsNovel influenza A virus infectionsPertussisPesticide-related illnesses and injuriesPlaguePoliomyelitisPoliovirus infection, nonparalyticPsittacosisQ-feverRabies (human and animal cases)Rubella (including congenital syndrome)Salmonella paratyphi and typhi infectionsSalmonellosisSevere acute respiratory syndrome-associated coronavirus diseaseShiga toxin-producing Escherichia coli (STEC)ShigellosisSmallpoxSyphilis, including congenital syphilisTetanusToxic shock syndrome (other than streptococcal)TrichinellosisTuberculosisTularemiaTyphoid feverVancomycin intermediate Staphylococcus aureus(VISA)Vancomycin resistant Staphylococcus aureus(VRSA)VibriosisViral hemorrhagic fever (including Ebola virus, Lassa virus, among others)Waterborne disease outbreakYellow feverZika virus disease and infection (including congenital)

What are some of the costliest mistakes ever made in history?

China in the 15th century had an oceanic fleet. Here’s a drawing showing one of its ships compared to one of Christopher Columbus’s ship.Zheng He - WikipediaIn 1405, China sent out an expedition which consisted of 27,000+ men, and a fleet of 62 ships supported by 190 supply ships. These ships and naval expeditions exceeded what the Europeans could do at the time.The Chinese fleet traveled to South East Asia as well as East Africa.The largest ships in the fleet, the Chinese treasure ships described in Chinese chronicles, would have been several times larger than any other wooden ship ever recorded in history, surpassing l'Orient, 65 metres (213.3 ft) long, which was built in the late 18th century. The first ships to attain 126 m (413.4 ft) long were 19th century steamers with iron hulls. Some scholars argue that it is highly unlikely that Zheng He's ship was 450 feet (137.2 m) in length, some estimating that they were 390–408 feet (118.9–124.4 m) long and 160–166 feet (48.8–50.6 m) wide instead while others put them as small as 200–250 feet (61.0–76.2 m) in length, which would make them smaller than the equine, supply, and troop ships in the fleet.If China had kept a strong maritime policy they would have established valuable trade routes to Europe and dominated the spice trade.Whats more they would probably have colonized Australia, New Zealand and possibly America as well. They could also have set up strong protected colonies all over the region, safe from pirates or the predatory policies of local warlords.Instead, the Emperor’s Confucian advisors and government bureaucrats were concerned that the merchant class would increase in power and wealth due to this maritime expansion and might become a potential threat.They were worried that Chinese people who migrating overseas would no longer be loyal to their Emperor. It was considered unfilial and dishonorable to leave your family and the graves of your ancestors. The reasoning was that if you had the audacity to do that, then you would also be disloyal to the Emperor. Authoritarian regimes are notoriously insecure and paranoid.But this is a controversial topic and needs further study. Why did China shut itself out of the world in the 15th century?So the Emperor ordered the destruction of the maritime fleet and the banning of maritime voyages. Threat eliminated, huzzah!!! (Sarcasm)To make matters worse, the Chinese government destroyed coastal cities and ships.The Qing regent Prince Rui resumed the sea ban in 1647, but it was not effective until a more severe order followed in 1661 upon the ascension of the Kangxi Emperor. In an evacuation known as the "Great Clearance" or "Frontier Shift", coastal residents of Guangdong, Fujian, Zhejiang, Jiangsu, and parts of Shandong were required to destroy their property and move inland 30–50 li (about 16–26 km or 10–16 mi), with Qing soldiers erecting boundary markers and enforcing the death penalty on those beyond it. Ships were destroyed, and foreign trade was again limited to that passing through Macao.Checks and adjustments were made the following year, and the inhabitants of five counties—Panyu, Shunde, Xinhui, Dongguan, and Zhongshan—moved again the year after that. Following numerous high-level memorials, the evacuation was no longer enforced after 1669. In 1684, following the destruction of Tungning, other bans were lifted. … Repressive Qing policies such as the queue caused Chinese traders to emigrate in such large numbers, however, that the Kangxi Emperor began to fear the military implications. The immigrant community in Jakarta was estimated at 100,000 and rumors circulated that a Ming heir was living on Luzon.A ban on trade in the "Southern Ocean" followed in 1717, with tighter port inspections and travel restrictions. Emigrants were ordered to return to China within the next three years upon penalty of death; those emigrating in future were to face the same punishment.Potenial dissenters, real or imagined traitors are harmed! Huzzah!!!! (Sarcasm)t was a monumental stupid decision.Some overseas trade still persisted in a clandestine manner. But without the blessing and support of the government, the nation’s strong bureaucracy deliberately stymied overseas ventures and trade.It was the biggest example of national self mutilation.The chinese government still wasted a lot of effort attempting to track overseas Chinese, assuming that all who ventured out were somehow disloyal to the Dragon Throne; this pathological desire to control all Chinese people ruined Chinese expansion.Other nations like Japan and Korea also followed suit and limited contact with the outside world. Secluded from outside contact, they lived in their own little bubble, failing to modernize or appreciate the development of other global powers. The result was disaster on an epic scale.These nations stagnated (in a global sense) and became prey to “foreign devils” in the 19th - 20th century.When Britain defeated China in the Opium War to force it to accept Opium (old school Heroin) as a mainstream legitimate trade, that was the nadir. Millions of Chinese people became addicted to it.China spent most of the 19th to 20th century embroiled in civil conflict, war, revolution and inept government. Tens of millions of Chinese people perished during this time until China regained stability.…Opium Wars - WikipediaImagine if Britain didn’t venture out and colonize America, Australia, etc.. what would the future have eventuated?Anyhow, thanks to the conservative Chinese Court’s narrow minded views, China failed to expand, and it missed the opportunity to occupy and colonize North America, Australia, NZ before the Europeans showed up. They had a 200 year head start but they let it slide.Another awful mistake was the Byzantine Empire massacre of Roman Catholic Christians in April 1182. Instead of doing their utmost to win the support of Western Christians, the Byzantines allowed petty religious and trade issues to spill into outright hostilities.Massacre of the Latins - WikipediaThis eventually led to the Byzantines having to fight both Western Christian factions as well as the Islamic armies. They were caught “between the devil and the deep blue sea”. The Byzantines couldn’t fight both.This doomed the Empire to terminal decline.Islamic armies eventually conquered the ancient Christian city, the capital of Byzantine, Constantinople. It’s now called Istanbul.Another costly mistake was America’s military involvement in the post-colonial war in Indochina.Ho Chi Minh and the OSSDuring WW2, the Americans supported Ho Chi Minh in the war against the Japanese.After the war was over, the Americans decided Communism now posed a “grave threat” and turned its backs on the Communist factions it had been supporting, including Ho Chi Minh’s Communist group. Ho Chi Minh had actually asked America for support in the post-war period. To underline the point, he quoted verbatim the second paragraph of America's 1776 Declaration of Independence. “All men are created equal” etc... Declaration of Independence of the Democratic Republic of VietnamAmerican foreign policy planners totally underestimated the effort it would take to prevent this region from turning to Communism.Eventually, the United States spent billions of dollars supporting a corrupt and unpopular govt in Saigon and trying to bomb the “Communist” enemy into submission. The Americans used more explosives in this region than the Anglo-French armies did against the Germans in WW1 (which bankrupted the old Empires). It was money that could have been used to develop infrastructure in America; instead the resources went to bomb a tropical jungle in a place most Americans couldn’t find on a map.Millions of lives were lost in this conflict including over 50,000 American lives (not counting casualties).Money that could have gone towards better schools, useful projects, health-care, health education, overseas aid instead went into bombing tropical forests hoping to kill more “commies”.Smarter diplomacy may have avoided this.Some people might see a curious parallel with this and America’s support of Mujahedin “freedom fighters” like Osama Bin Laden in the Soviet war in Afghanistan.SourceHaijin - Wikipedia (sea Ban)The Ming Voyages | Asia for Educators | Columbia University

Why has no one been able to create a fierce and effective bio weapon?

2 April 1979, Sverdlovsk, Russia.Something seemed to be going wrong in this town. Dozens of workers in a ceramic plant were admitted to hospital with strange symptoms. Within a few days, they began to suffer from fever, shortness of breath and dark swellings along their chest and neck. Within a week, they were dead. In the next few weeks, over 100 people died in the town.Sverdlovsk residents were informed that the deaths were caused by a truckload of contaminated meat sold on the black market. Printed fliers advised people to stay away from unofficial food vendors. Stray dogs were rounded up and killed on the grounds that they were a health hazard to the public.Strangely, all hospitals records and other evidence of their cases were destroyed by the KGB.The actual cause of the epidemic was an incident that happened a few days earlier. A factory technician removed a clogged filter over an exhaust pipe while drying machines were temporarily turned off and left a notice before leaving his factory. His supervisor did not write down this notice in the logbook and the next supervisor turned the machines back on.It was no usual plant. The Military Compound 19 was churning out the most powerful strain of anthrax in the Soviet arsenal. Unbeknownst to the town, a fine dust containing anthrax spores swept through the exhaust pipes into the air. The authorities tried everything to cover up the true source of the epidemic. Two decades later, the truth about the leak was gradually coming to light, giving the world a glimpse into the deadly biological weapons program that was underway in the Soviet Union.[1][1][1][1](A woman the grave of her father, Vasily Ivanov, who was one of the first victims of the 1979 anthrax outbreak in the Soviet city of Sverdlovsk.)[2][2][2][2]The assumption in the question is a view largely held by bioweaponeers in the West but it’s most likely wrong. For seventy years, the Soviet Union ran a massive biological weapons program that employed up to 60,000 employees to weaponize and stockpile eleven bio-agents: anthrax, plague, tularemia, glanders, brucellosis, Q-fever, Venezuelan equine encephalitis, botulinum toxin, staphylococcal enterotoxin B, smallpox and the Marburg virus.[3][3][3][3] At its peak, the Soviet program could produce anthrax on a large scale, with an annual production capacity of nearly five thousand tons a year.Even at the height of the US offensive biological weapons (BW) program, Americans restricted themselves to developing agents that could be countered by antibiotics or vaccines, out of a fear of infecting their own troops and civilians. In contrast, the Soviet government decided to develop the most virulent agents for which there was no known cure.It is true that developing effective bioweapons is challenging and by the 1970s, America and its allies largely gave up on this venture. The long incubation period of some viruses such as HIV or smallpox makes them useless for military use. The smallpox virus takes seven to ten days to incubate, providing additional protection. As long as vaccines are administered before the symptoms develop, they can reduce the severity of the disease. The Soviet program reduced this comfort period to one to five days, making it much harder to quickly protect a large population. The strain they developed became so effective that it took fewer than five viral particles of smallpox to infect 50% of the animals exposed to aerosols, making it suitable for a large-scale attack.[4][4][4][4]Another challenge is finding a reliable means of delivery that prevents the pathogens from losing virulence when they are dispersed. The most effective transmittal of disease is through the air, but this is difficult. Changing wind direction can lead to disastrous consequences for one’s own troops. Sunlight can kill bacteria and viruses quickly. Heavy rain or snow can impede their effectiveness. But these obstacles are not insurmountable.Combining post-war biochemistry and genetic research with modern industrial techniques, Soviet scientists succeeded in developing what are called “aerosol” weapons which can be sprayed at dusk to keep particles from being blown away by wind. They packed these deadly agents in bomblets for placement on bombers or ballistic missiles set to explode upwind from a target city. In the 1980s, the Soviet army could launch a biological attack with intercontinental ballistic missiles on targets thousands of miles away.[5][5][5][5]They also invented special additives to keep the concentrated pathogens from decaying and dying in adverse weather conditions. Using genetic engineering, they developed agents that were resistant to multiple antibiotics and vaccine. In the 1980s, they were able to manufacture multiantibiotic-resistant strains of plague with a far larger spectrum of resistance, sufficient to overcome practically all antibiotic treatments. These manipulated agents became much more hardy and lethal and they were tested on live animals to ensure their killing capacity. Some of the agents such as the Marburg virus were so dangerous that they could go on killing long after the initial attack. Yet, this capacity was always kept a secret and never deployed, possibly due to the severe backlash it was likely to trigger.This biological weapons program also researched anti-crop and anti-livestock agents. In the 1980s, the Soviet Ministry of Agriculture successfully developed variants of foot-and-mouth disease and rinderpest against cows, African swine fever for pigs, and psittacosis to kill chicken. These agents were prepared to be sprayed down from tanks attached to airplanes over hundreds of miles.Herbicides were also used by the Americans during the Vietnam war to clear large swaths of the country’s dense forest with devastating long-term consequences.[6][6][6][6] If you go to the Museum of the Remnants of War in Saigon (now Ho Chi Minh city), you’ll see heart-wrenching images of children with severe deformities, the horrific legacy of Agent Orange.The USSR was unlikely to be the only country that was working on making biological weapons. There is evidence of their existence in Cuba, Iraq and North Korea. Details of Iraq’s extensive biological weapons program in the early 1980s surfaced in the wake of the Gulf War. The Iraqi government had weaponized 6,000 liters of anthrax spores and 12,000 liters of botulinum toxin in aerial bombs, rockets, and missile warheads before the outbreak of war in 1991.[7][7][7][7] These bio-weapons were deployed but never used. Other countries and non-state actors might have similar programs but have successfully concealed them. We might never know the full picture but this ugly part of our nature will remain a long time to come.Footnotes[1] https://www.nlm.nih.gov/nichsr/esmallpox/biohazard_alibek.pdf[1] https://www.nlm.nih.gov/nichsr/esmallpox/biohazard_alibek.pdf[1] https://www.nlm.nih.gov/nichsr/esmallpox/biohazard_alibek.pdf[1] https://www.nlm.nih.gov/nichsr/esmallpox/biohazard_alibek.pdf[2] Decades after deadly lab accident, a secret Russian bioweapon decoded[2] Decades after deadly lab accident, a secret Russian bioweapon decoded[2] Decades after deadly lab accident, a secret Russian bioweapon decoded[2] Decades after deadly lab accident, a secret Russian bioweapon decoded[3] Soviet biological weapons program - Wikipedia[3] Soviet biological weapons program - Wikipedia[3] Soviet biological weapons program - Wikipedia[3] Soviet biological weapons program - Wikipedia[4] Page on nih.gov[4] Page on nih.gov[4] Page on nih.gov[4] Page on nih.gov[5] Interviews - Dr. Kanatjan Alibekov[5] Interviews - Dr. Kanatjan Alibekov[5] Interviews - Dr. Kanatjan Alibekov[5] Interviews - Dr. Kanatjan Alibekov[6] Agent Orange - Wikipedia[6] Agent Orange - Wikipedia[6] Agent Orange - Wikipedia[6] Agent Orange - Wikipedia[7] Iraqi biological weapons program - Wikipedia[7] Iraqi biological weapons program - Wikipedia[7] Iraqi biological weapons program - Wikipedia[7] Iraqi biological weapons program - Wikipedia

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