On the last day of 2019, China alerted the World Health Organization to a cluster of mysterious pneumonia cases. A new coronavirus (Covid-19) was discovered. Within three months after the alert, Europe had become the epicenter of a global pandemic. Even though the virus spread easily and quickly within communities, it took its time to travel from China to northern Europe. Nevertheless, many governments were slow to respond to the emerging threat. This chapter analyzes the initial phase of the Covid-19 crisis in Sweden and the Netherlands, focusing on the relationship between experts and decision-makers. The chapter discusses four factors that may help explain why the Swedish and Dutch governments were slow in their response. The governments assumed an epidemic like the one in China would not happen in their country, the experts followed international scientific guidelines, citizens were expected to defy limitations on their freedoms, and both experts and decision-makers were confident with regard to the level of preparedness. Lessons are formulated for further analysis and future preparations.
Antimicrobial resistance (AMR) displays many of the characteristics of a creeping crisis. It lacks clearly definable temporal and spatial boundaries. It develops in the natural world when and where conditions are conducive. It traverses sectors and borders in the natural, human, and built environments. It causes individual and societal harm when it escalates toward outbreaks in a random fashion. Outbreaks can be minor or major, burn fast or slow, be simple or hard to contain. Experts insist we are heading toward a “post-antibiotic age” and even deadlier “superbugs” if we do not act. Yet warnings and crisis framings do not appear sufficient to prompt a response. Public attention and governmental action have lagged. Occasional outbreaks invite attention and concern, only for the issue to fade again from the public view. International organizations shine more sustained light on the problem, but national governments are slow to respond. This chapter argues that our dependency on antimicrobial drugs is a blessing and a curse: curing us in the short term but building the conditions for a massive, incurable outbreak in the future.
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