At this point, we're woefully short in vaccines and antibiotics. The U.S. public health infrastructure is but a shell of what it needs to be able to respond. And public health has continued to be overlooked in most of the kinds of funding that have occurred to date, in terms of trying to prepare us for terrorism.
You have to take a look at the 1918 experience and realize if 50 to 100 million people died and those numbers come from a recent study from a group of historians that went country by country to determine that number. Today we that have three times the number in the world aa those numbers are roughly at 180 to 360 million could die. The bottom line is the way these people die. Our medical care delivery system in the modern world isn't any better prepared than in 1918.