Peter Hotez

Public Health Preparedness Must Address Pathogens, Markets, and Organized Distrust

Peter Hotez, dean of Baylor College of Medicine’s National School of Tropical Medicine, argues that public health is being weakened at every stage: climate and urbanization increase the chance of disease emergence, market failures leave vaccines without routes to the populations that need them, and organized political and commercial campaigns erode uptake where outbreaks can spread. His case for preparedness centers on earlier pathogen surveillance, vaccine production models built for low-income markets, and stronger institutional resistance to what he describes as a monetized anti-vaccine ecosystem.