The World Health Organisations's handling of the Covid-19 pandemic has been disastrous - it has caused over 1,300,000 deaths.
The fundamental failure of the World Health Organisation's pandemic policies, which are founded on the International Health Regulations (2005), is that they fail to recognise that when there is substantial cryptotransmission of a novel infective agent that in-country "Identify, Test, Trace and Isolate" measures won't work.
At least the "Identify, Test, Trace and Isolate" strategy won't work in terminating an epidemic (except where preparations have already been put in place to separate infected, or potentially infected, individuals from the susceptible general population).
Why?
Because when cryptotransmission is substantial, the "Identify" element of the "Identify, Test, Trace and Isolate" tetraptych doesn't work.
You can't identify all those who are infected.
If you can't identify all those who are likely to be infected then you can't test those infected individuals that you have failed to identify.
If you can't test all infected individuals you won't be able to trace all their contacts, to some of whom they may have already spread the novel infective agent.
If you can't trace their contacts you can't isolate those infected individuals that you haven't tested or their contacts.
The whole strategy fails.
Infection continues to be spread in-country by cryptotransmission.
The more cryptotransmission there is the more serious the effect of the failure of the "Identify" element of the "Identify, Test, Trace and Isolate" tetraptych.
Expressed colloquially, if you can't identify all those with the disease the "Identify, Test, Trace and Isolate" strategy won't work.
When the "Identify, Test, Trace and Isolate" strategy doesn't work (because of substantial cryptotransmission) then an infective agent with high transmissibility and moderate mortality will cause hundreds of thousands of deaths around the world.
The deadly spread of Covid-19 around the world demonstrates the truth of that assertion.
The International Health Regulations (2005) are not fit for purpose.
When a novel infective agent has moderate mortality, high transmissibility and substantial cryptotransmission - as the SARS-CoV-2 virus has - the deadly effects around the globe are entirely predictable.
In 2005 the 58th World Health Assembly approved International Health Regulations that are predictably deadly when a novel infective agent has the characteristics of moderate mortality, high transmissibility and substantial cryptotransmission that the SARS-CoV-2 virus has.
The International Health Regulations (2005) need to be binned and replaced with International Health Regulations which are designed properly to protect global Public Health.
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