The Osterholm Quotes

"We ran smack into a culture vs. a science issue . . . so we're laying out a course of how to not have that happen with vaccine."
"Lack of immunization due to low socioeconomic status, lack of access to health care—those still all pose real challenges . . . [but when parents who are educated and wealthy opt out of vaccines] that to me is a real growing problem."
"If you have a group of people who are not vaccinated, if that virus gets in there . . . it will find you."
"We are really moving more and more toward a future generation that will live in a post-antibiotic era. Business as usual is not going to work."
"Public Health has to not only reassure the public, it has to tell the truth."
"[The US military has] done an amazing job. No one does logistics quite like the military. Our country was slow to respond, but now I am proud . . . [No other country] has responded quite the way the US has."
"When you have so few [Ebola] cases, it gets very hard to show that vaccines work."
"What we really need is a new [influenza] vaccine. What we’re doing is tinkering—but I don't know how to tinker with this current vaccine and make it any better. It's like we're trying to fix a horse and buggy when what we really need is a modern 2015 vehicle."
"This should be another clarion call for why we need new and better flu vaccines. Twenty percent clearly is better than zero, but it's a long way from what we need and must eventually have."
"Think of this epidemic [Ebola] as a big forest fire . . . you have to suppress all of it or it will come back."
"We need informed, heightened awareness about Ebola. We don't need overreaction, but we don't need apathy, either."
"Extreme measures are needed to ensure a massive coordinated effort among vaccine manufacturers, government regulatory authorities, government public health agencies, non-governmental organizations and global, national and local leaders."
"We had very bad matches [of vaccine to circulating flu viruses] and the vaccine performed as we would expect on an average basis, and we've had years where there's been a really good match and the vaccine provided little to no protection."
"I still say get your flu shot, it's the best tool that we have. But . . . there just is no comprehensive, compelling data that say when you get your flu shot that it even reduces the severity of illness or hospitalization."
"We couldn't find any correlation between the 'good matches' and actual effectiveness."
"I know less about Ebola today than I did 6 months ago."
"When time is of the essence, as it is during the current [Ebola] outbreak, the question is not, 'Can you make the vaccine?' but 'How soon can you make [it]? And how much?'"
"This is potentially revolutionary work. We're a long way from changing our current policies, but this could really help. It also raises questions about how often do we need to be vaccinated if we can use this back-boost?"
"As long as the infectious disease forest fire is going on there [West Africa], we're going to have embers flying around the world."
"I'm afraid we're going to completely lose focus. This is really about West Africa."
"We need a lot more information about the virology, the clinical presentation and the epidemiology of this virus [Ebola]. Nobody underestimates the difficulty of doing that research in these settings, but it is really important to get this information."
"[Because the disease was so sporadic before this outbreak] no one decided to invest the millions it would take to make for a vaccine against Ebola."
"If we start to quarantine people for 21 days, with no contact with the outside world, we will dry up the number of health care workers going to Africa."
"There is no magic boundary at the border. We shouldn't be surprised if we see [Ebola] cases."


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