Epilogue: What The Future Holds
This concluding chapter explores what the future holds for emerging viruses. Clearly, emerging viruses are on the rise, so we urgently need to find out why they are emerging so frequently and how to stop them. We know that they are generally zoonotic, having jumped to us from an animal source. Broadly speaking, the reason for the rise in these spillover events and subsequent spread is twofold: human population growth and increased international travel. The World Health Organization (WHO) regularly publishes a list of potential emerging diseases investigation into which requires urgent research and development. Presently this includes COVID-19, Ebola and related Marburg virus diseases, Lassa fever, MERS, SARS, Nipah and related henipaviral diseases, Rift Valley fever, Crimean–Congo haemorrhagic fever, Zika, and Disease X (the latter meaning a hitherto unknown disease). But while most would agree that it is sensible to encourage research into these potential epidemic viruses, the most likely candidate to cause the next epidemic or pandemic is Virus X—a ‘new’ virus causing Disease X. The chapter then briefly mentions the founding of the Global Alliance Vaccine Initiative (GAVI) and the Coalition for Epidemic Preparedness Innovations (CEPI), both of which aim to prepare vaccines against emerging infections and to enable equitable access to them.