The thing about an outbreak is, nothing signals that first
patient, nothing as convenient as a neon sign suspended from
the neck flashing, “Hey, I’m the index case. Stop me before I
spread.”
It’s not until a second case occurs that an outbreak is de-
clared, and even then suspicions might not rouse. Not until
the cells of infection branch out, gaining momentum in multi-
ple social directions, does the pattern come into focus.
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