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Last time US fighter pilots had to deal with people actually firing anti aircraft missiles at them was during the opening days of the first gulf war.
Anyone remember the iconic flight recorder video from an F16 over Baghdad being chased by six surface to air missiles? During the chase sustained an average of 3.6Gs with peak acceleration at points reaching 6.4G. Imagine repeatedly blacking out and waking up during something like that.
Up side is central African countries are extremely good at containing outbreaks. It’s the reason most of those countries handled COVID better than any European or American countries. Outbreaks of hemorrhagic fevers like ebola (horrific way to die, traumatic to witness) have a way of causing the type of mass psychological trauma that teaches entire generations to take shit seriously.