Lipsitch predicts that some 40%-70% of the worldʼs population will be infected this year.78 Despite political claims, a vaccine is more likely seen within a year or two at best.79 It is no longer realistic to expect the management of these gaps in infectious disease outbreaks, especially those that threaten to be epidemics and pandemics, are to be capably managed in their present state of willful denial and offenses by many countries, especially those that are ruled by authoritarian regimes.80