Last time US fighter pilots had to deal with people firing anti aircraft missiles at them in volume was during the opening days of the first gulf war.
Anyone remember the flight recorder video from an F16 over Baghdad being chased by six surface to air missiles? During the chase sustained an average of 3.6G with peak acceleration at points reaching 6.4G. Does seem like the stuff of nightmares.
Up side is central African countries are extremely good at containing outbreaks once identified. 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.