Jakarta Pandemic, The (2 page)

“Sorry to hold you up. Thank you for the call, Dr. Wright. I really appreciate the heads up, seriously. The preliminary case fatality rates in Asia look high.”

“Yeah, we’re not taking any chances. This is different than the avian flu, which was bad enough. It makes the swine flu look like a common cold. And thanks for making a trip over here yesterday, especially considering the fact that the state’s anti-viral stockpiles will fall under federal control if the flu spirals out of control. Your samples will really come in handy.”

“Could you use some more? We’ve been instructed to keep our distribution of TerraFlu to a minimum, but I have no problem hooking you guys up. Really.”

“I’ll take whatever you can give me at this point, but I don't want you to get in trouble with Biosphere, Alex.”

“I’m not worried about them. What time works for you tomorrow? My schedule is pretty clear, so I can make a trip over any time.”

“How about 12:45? I plan to be back from the hospital at that point. My first patient is at one. We could take care of it then,” Dr. Wright said.

“Works for me. See you at 12:45. Good luck tonight,” Alex said and waited for a reply, but the line was already dead.

He headed back into the bedroom and looked over at Kate, who was soundly asleep. He walked over to her and kissed her on the forehead. She barely moved.

He left the bedroom and walked to his home office, activated his computer, and checked the
Boston Globe
and
Boston Herald
.
Still nothing.

He checked the International Scientific Pandemic Awareness Collaborative (ISPAC) website and navigated to their pandemic activity map. The map had changed dramatically since he’d last seen it and was now interactively linked to Google Earth.

Color-coded symbols represented reported flu locations, and when you passed the mouse over one of the new icons, basic information appeared in a text box, which could be further expanded for more detailed information. Light blue: cases of interest, yellow: initial outbreak, orange: small-scale outbreak, red: medium-sized outbreak, violet: large-scale outbreak.

He zoomed in on North America.

Cases in Canada, Mexico, Central America…wait, wait, look at this, Los Angeles, San Diego, and San Francisco.
He looked at the East Coast and saw no colored icons. Alex adjusted the map to focus on southern California and placed the cursor over the yellow Los Angeles icon.

“Los Angeles. Population 4,089,245. Isolated outbreaks. 190+ cases reported. Uncontained. Isolated outbreaks among ethnic Asian populations.”

In a separate desktop window, he navigated to the
Los Angeles Times
homepage. He looked for the California/Local section.
Here we go.
He found an article and began to read:

Hong Kong Flu Hits Asian Community
.

“Cedars-Sinai confirms at least a dozen cases of Hong Kong flu. Mainly confined to Asian community. UCLA Medical Center confirms several cases. Mainly Asian community. East LA Doctor’s Hospital sees its first cases late in the evening on October 31. Community leaders decry nearly one-day delay in reporting cases to the public. Employee at Cedars-Sinai contacts Los Angeles Times with information about suspected flu cases. Cases were being kept isolated from other patients and under a tight information seal. Times reporters launched an immediate investigation into all area hospitals, uncovering several dozen more cases.”

Alex put the cursor over the yellow San Francisco icon.

“San Francisco. Population 853,758. Isolated outbreaks. 100+ cases reported. Uncontained. Isolated outbreaks among ethnic Asian populations.”

He moved the map to China and saw that dozens of southern coastal cities were shaded either orange or red; Hong Kong and the surrounding areas were shaded violet. He passed the mouse over one of these areas.

“Greater Guangzhou city. Population 12,100,000. Massive outbreak. 8,000+ reported cases. Uncontained. Containment efforts focused on Guangdong Province.”

8,000 plus cases in one city? I thought there were only 26,000 altogether in China yesterday?

Alex passed the mouse over a few more cities in the area around Hong Kong and saw similar text fields. He quickly added up the other numbers and calculated roughly 77,000 reported cases in southern China.

He zoomed out of China and settled on a worldview. Colored dots appeared to sweep outward in a concentric wave from Southeast Asia. A solid perimeter of blue dots extended from Japan, through South Korea and Vladivostok, then reached across northern China and connected with Pakistan and India. India was covered in blue dots and yellow dots; orange icons appeared centered over several major cities within India. Oddly, Java Island contained no dots. He placed the cursor over Java.

“Java Island. Population 150,000,000. No reports.”

Something’s up over there.

Beyond Asia’s ring, blue-colored dots littered every continent, concentrated on nearly every major city. He almost wished he hadn’t seen the map. He felt his stomach churn as a wave of anxiety blanketed him. Still, he walked back to the bedroom and lay down next to Kate, feeling secure lying there with her. He closed his eyes and started breathing deeply in a futile attempt to induce sleep.

Chapter Two

Friday, November 1, 2013

Alex’s body shuddered. He searched the bright room to confirm that he was still lying in bed with his wife, Kate, in their Scarborough, Maine, home. His heart pounded through his shallow breath. He touched his forehead with the back of his right hand and wiped the sweat on his gray T-shirt, leaving a dark stain near the neck.
He turned his head to look at his wife. Kate’s face was turned away; she had the covers pulled up over her neck, and all he could see was her jet-black hair.

Thank God she didn’t wake up. I don’t need her starting in on the VA counseling again.

He’d successfully dodged a phone call to the Togus Veteran’s Hospital for the better part of nine years.

Sitting up slowly, careful not to wake Kate, he stared out of the window next to the bed at the bright orange eastern horizon. Alex slid out of bed, walked over to Kate’s side, and kissed her on the forehead. Her head stirred slightly, and she settled back into the pillow, her mouth forming a nearly imperceptible smile. She looked peaceful buried under the covers, and he watched her for a few more moments, mesmerized by her tranquility. Kate slept soundly every night, while he woke to nightmares. His heart thumped rapidly as he walked to the master bathroom.

Several minutes later, in his home office, he sat down to check for any updates to the flu situation. He scanned the national and international headline summary section of the homepage and shook his head slowly.

China Acknowledges Deadly Disease Within Border
;
China Imposed Quarantine To Keep Deadly Disease Out
;
Unknown Disease Spreads Through China
;
China Admits WHO (World Health Organization) Teams To Outbreak Areas
;
Deadly Disease Outbreak In China
.

No surprises here. Only took them two days to acknowledge what the rest of the world already knew.

He clicked on one of the articles and shook his head again.

Fucking Chinese.

**

Alex walked out of the kids’ bathroom dressed and freshly showered, having lost his bid for the master bathroom. He quietly descended the hardwood stairs and eased into the kitchen unnoticed. The smell of coffee overtook him as he surveyed the area. A small saucepot simmered on the stainless steel gas range, cooking what he really hoped was something other than Kate’s lumpy oatmeal. A red toaster just to the left of the stove promised to deliver a more suitable breakfast alternative. A glass of orange juice, two open bread loaves and several containers sat in disarray on the black granite kitchen island. Kate moved quickly between the island, refrigerator and stove.

His wife was dressed in a knee-length navy blue skirt and a pressed French blue shirt. Her navy blue suit coat lay folded over the back of one of the black high-back stools at the kitchen island. Her hair, arranged in a tight ponytail, starkly contrasted her deep blue eyes and fair complexion. Compared to Kate, Alex looked like he just returned from a Caribbean vacation, owing to a mix of Sicilian and Irish genes. His black hair was not as pure as Kate’s, but his eyes shared the same deep blue color. The toaster popped.

“Toast’s ready!” Kate said, as she turned around and saw Alex.

“Oh, hey. Good workout?”

“A quick one. I didn’t get up in time for a run. I was up a little late last night. Got a call on my cell from one of the infectious disease doctors that I call on,” he said.

“What time?” she asked, eying him warily.

“Just past midnight. He thinks this mystery flu has already hit Portland,” he told her, putting both hands on the island.

“We haven’t seen anything on the internet, or the news.”

“I think we might be a day behind the West Coast. After I talked to him, I saw some articles published out of LA referencing possible cases. Dr. Wright also said that the cases didn’t resemble anything he’s seen before. I think he tried to run some lab tests and came up empty.”

“Did he say that?” Kate pressed.

“No, but he specifically said the cases didn’t resemble anything he’s seen before. I don’t think he was talking about symptoms.”

Alex heard some mumbling from the great room and glanced toward the sound of the voice. He saw that the family room LCD TV was fully operational, set to the Military Channel. Ryan, their twelve-year-old son, scurried into the kitchen to collect his breakfast. He was already dressed for school, in faded blue jeans and a red long-sleeved rugby shirt. Ryan shared the same hair color as his father, but little else. He was born with emerald green eyes and his mother’s fair skin.

“What’s up, Mr. Man?” said Alex.

“Not much, Dad. Hey, are you picking me up today after cross-country?”

“Yep, 4:45, right?”

“Sure, but around back so I don’t have to walk around to the school pickup circle.”

“I certainly wouldn’t want to add another hundred yards to your workout.”

“None of the parents pick their kids up at the circle, Dad.”

He smiled at Kate and raised his eyebrows. Ryan continued past his dad and pulled a plate out of the cabinet over the coffee maker. He slathered a piece of toast with butter and raspberry jam.

“Did you see what’s going on in the Orient?” Alex asked.

“Nice. Could you find a few more politically incorrect terms to slip into your conversations? Don’t listen to your dad, Ryan,” she said, turning back to the range.

Ryan looked up at his mother, then shifted his glance to his dad. Alex raised his shoulder and mouthed the words, “I don’t know.”

Ryan returned to the family room and the volume from the great room TV increased.

“Mom, can you get my juice for me?” Ryan yelled over the noise.

“Can you grab that for his royal highness?” Kate said to Alex.

“Surely, my royal queen,” he replied and delivered the glass to his son.

“Hey, should I teach Ryan the Chinese national anthem? Me Chinese…me play joke?” Alex asked.

“You could probably skip it, and we’d all be fine. So what’s happening in China?”

“They finally admitted to a full-scale outbreak of some mystery virus in the south, and they also claim to have imposed their one-way travel ban because they were confident the disease didn’t originate in China. They were trying to keep it out,” he said, shaking his head.

“How does that make any sense? So they tried to keep the virus from entering their own country, but did nothing to keep it from spreading outside of China?”

“Apparently, they’re convinced the epicenter is somewhere else. Hey, give them a break. At least they didn’t keep it a secret for three weeks like in 2008. I read an Associated Press article, and one of the Chinese officials sounded proud of their new transparency efforts, like they did a much better job handling the issue this time.”

Alex lowered his voice. “It’s unbelievable really. Just like in 2003, when they put their first astronaut into orbit. Who gives a shit? It took them forty years to finally steal enough information about our rocket program to put a human in space. Congratulations. And now? Well, now they only sit on information critical to mankind’s survival for two days, instead of weeks. I don’t think we can ever trust them. I have a bad feeling about this one,” he said.

“Whatever it is, we’ll be fine,” Kate answered.

“Hey, I’m gonna eat and run. Emily’s in the shower, so she should make the bus. I promised the folks at the Mercy ER that I would stock them up with TerraFlu, so I want to hit them early. I guarantee that Biosphere is going to ask us to stop signing over samples,” he said, pulling a coffee mug from the cabinet.

“Is that a big deal? I mean, aside from making your day easier than it already is.”

“Very funny. Eliminating samples in the face of a pandemic crisis will not be perceived as a cool move by Biosphere.”

“Can’t the doctors just write a prescription for the pharmacy?”

“Sure, and at this time of year, the pharmacies should be well stocked with anti-virals, but most of the offices are looking for any reason to stop seeing reps, and they barely tolerate us as it is. It’ll get ugly quick if Biosphere restricts samples.”

“They won’t buy off on the ‘greater good of the community’ speech? Stockpiling drugs for the national pandemic response?” Kate asked.

“Would you?”

“Probably not,” she admitted.

“Especially when they know for a fact that they won’t see any of it when the shit hits the fan. Health and Human Services will swoop down and grab it all for selected treatment centers,” he said.