Ouellette does an outstanding job of creating a world in which the potential outbreak of disease terrifies nearly everyone.

The disease starts out like a cold - and soon turns deadly. Cuased by a highly communicable, wildly aggressive bacteria immune to all known antibiotics, it will kill sixty percent of the global population within one year..At this point it is just a theory - a brilliant, highly credible bit of research by California scientist Dr. Elaine Wilkes. Then a world away a bizarre confluence of events makes it real. As the fatal epidemic races toward American shores, communications crumble, the dead pile up, and the law of the streets takes over. In the midst of the madness, Dr. Wilkes struggles to deliver the cure, and a psychopathic genius readies the final stunning blow.

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