Date: October 25, 2001 To: The Center for Disease Control, Atlanta From: Jeffrey M. Setterholm Systems Engineer 8095 E. 230th St. Lakeville, MN 55044-8287 (952) 461-3445 jeff@setterholm.com Subject: Epidemic De-quarantine Strategy (EDS) The "fitness" of tiny life forms is measured by their relative ability to multiply in a given cultural media. In 24-hour cyclic tests, (statistically) fitness improves when a cluster of survivors are moved to the next media; likewise, fitness degrades when just a single copy of the life form is moved to the next media. The prevailing explanation of the phenomena is that DNA replication is not exact - molecular bonding errors are said to occur at the rate of 1-in-10,000 bonds, whereas there are 13,000 bonds in a simple life form. Thus, the chances are better than 50/50 that a tiny life form will be genetically defective in some way. Hence, people are not infected by exactly the same virus in an epidemic, which helps to explain why less than half the people who contract the disease of a typical lethal epidemic die from the disease. The Epidemic De-quarantine Strategy (EDS) is to try to systematically spread versions of the virus or bacteria which were unsuccessful at killing people who contracted the disease. When a town has the epidemic, send a few of the people who survived radially out to neighboring towns, but only one survivor goes to each town. Expose people, but only a little bit, to the survivor. From the surrounding town that fares the best in terms of reduced deaths, send survivors out to the next circle of towns. etc. Army training manuals say: "A bad plan is better than no plan." EDS is, relatively speaking, a no-brainer to implement as a last ditch defense against an epidemic. Panic makes learning difficult; it would help if people understood the strategy in advance of a pressing need to employ it.