The Preamble

The Preamble

We’re Not Ready for the Next Pandemic

The US dismantled public health infrastructure at the exact wrong time

Jessica Malaty Rivera, MS's avatar
Jessica Malaty Rivera, MS
May 28, 2026
∙ Paid

When it comes to infectious disease outbreaks, it’s often a question of when, not if they’ll occur. That was certainly the case before the COVID-19 pandemic. Many of us in public health had been sounding the alarms about the dangers and vulnerabilities of defunding disease surveillance and control systems. It’s been six years since the last pandemic dec…

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Jessica Malaty Rivera, MS's avatar
A guest post by
Jessica Malaty Rivera, MS
I'm so glad you're here. My name is Jessica Malaty Rivera. I'm an infectious disease epidemiologist, infodemiologist, science communicator, and mama of 3 young kiddos. I started this Substack to help make science and public health make sense.
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