This page-turner delves into the murky, often intertwined worlds of medical research and biological warfare to determine the cause of the COVID-19 outbreak. Sargent explores mistakes made in dual-use medical research and biological weapons facilities that have occurred from 1617 to the present, and have led to tick-borne diseases in the United States, as well as smallpox, anthrax and other outbreaks in England, Russia and several other countries. Sargent makes the most compelling and comprehensive case yet for what led to our current pandemic, and closes with an offer of hope that these conditions will be altered or permanently banned in the future.