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Derek: So how did it feel to make this prediction and then have the world essentially not listen and not prepare? Bill Gates: Well theres no good feeling that comes on something like this saying i told you so If anything kills over 10 million people in the next few decades, its most likely to be a highly infectious virus rather than a war. You know I just think back and could I have been more persuasive? Weve actually invested very little in a system to stop an epidemic. Were not ready for the next epidemic. Derek: How did you make such a prescient prediction? How did you know this was going to happen? BG: Well theres a number of respiratory viruses and from time to time one will come along thats very transmissive and causes some level of fatalities. Respiratory diseases are very scary because youre still walking around on a plane, a bus when youre infectious unlike some other diseases like ebola where youre mostly in a hospital bed by the time the viral load infects other pe