Against the overriding burden of state failure in SA, disease looms large. The greatest pandemic of all time, the influenza pandemic of 1918, was responsible for the deaths of more people in one year — about 50-million — than the Black Death more than a century earlier, and two to three times as many as Aids has in the past 30 years.

Yet the World Bank stated after the 2007-2009 financial crisis that the world would, sooner or later, find itself on the brink of another pandemic, that all counties would be affected, that medical supplies would be inadequate, that a large number of deaths would occur, and that economic and social disruption would be big...

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