Chapter One: In September of 1994 people in India were found to have a disease that was once called the Bubonic Plague in the 1400s. In the end fifty-six people died, but before it was all over, panic and fear spread throughout the nation rapidly, and then it hit the world. This panic caused the economic and political decline of the country. Stocks went down, tourists stopped coming, and trade with surrounding countries ceased almost completely. Indian doctors and citizens fled the country as well. Basically, all the necessary components of functioning cities were not in place, thus the country lost its ability to maintain an economic infrastructure. The Indian government had been negligent and had not paid enough attention to issues concerning the country's public health; their priorities had not been in order. As Garrett suggets, the government did not need new technology to defeat the plague, but proper implementation of basic health measures. There is a certain amount of trust between government officials and citizens that is necessary for maintenance of public health programs; this trust was violated globally and nationally during the plague outbreak. Garrett proposed that if the Indian citizens trusted their government they would, "respond swiftly to a disease crisis, reach sound scientific conclusions, and act rapidly in a manner that both staunched the outbreak and quelled panic."