An exhaustive and terrifying story of viral mayhem that will rivet readers.
A sequel of sorts to the landmark bestseller The Hot Zone (1994), this time with a focus on the 2013-2014 Ebola outbreak in the forests of West Africa.
“Viruses are the undead of the living world, the zombies of deep time,” writes New Yorker contributor Preston (Panic in Level 4: Cannibals, Killer Viruses, and Other Journeys to the Edge of Science, 2008, etc.). In this richly detailed narrative, he plunges readers into the “horrifying chaos” of overcrowded field-hospital wards in Sierra Leone, where “disoriented, infected patients” wander while scientists across the world scurry to identify a contagious disease for which there is no treatment or cure. First detected in 1976 near Zaire’s Ebola River, where it jumped across species into humans, the virus returned with deadly force in the 2013 outbreak recounted here, infecting 30,000 villagers and killing 11,000. Moreover, it posed the nightmare threat of spreading into populous cities. Preston tells engrossing human stories of doctors and patients while providing a clear understanding of Ebola, from its genetic code and mutations to its terrible impacts on victims (fever, paralysis, diarrhea, etc.). In scene after scene, the author vividly re-creates the drama: Villagers throw rocks at epidemiologists during a burial, nearly killing them. A teenage herbalist eerily predicts the deaths of Ebola nurses. French and German scientists struggle to identify the virus. A doctor forgets himself and gets infected while trying to save a child. Cambridge scientists stare at mutations in the Ebola code and try to understand what they are seeing. Doctors are in short supply, nurses abandon hospitals, and villagers text message rumors about “white foreigners” in space suits experimenting on people. “Many didn’t believe in this thing called Ebola,” writes Preston, who also provides sharp portraits of virologists like Lisa Hensley, a longtime Ebola researcher at Maryland’s Fort Detrick, and Sheik Umar Khan, declared a “national hero” for leading Sierra Leone’s fight against Ebola, who contracted the disease himself, sparking debate over whether he should be given an untested experimental drug.
An exhaustive and terrifying story of viral mayhem that will rivet readers.Pub Date: July 23, 2019
ISBN: 978-0-8129-9883-2
Page Count: 432
Publisher: Random House
Review Posted Online: May 27, 2019
Kirkus Reviews Issue: June 15, 2019
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.
Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.Pub Date: Jan. 19, 2016
ISBN: 978-0-8129-8840-6
Page Count: 248
Publisher: Random House
Review Posted Online: Sept. 29, 2015
Kirkus Reviews Issue: Oct. 15, 2015
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.
“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.
It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.Pub Date: Nov. 12, 2019
ISBN: 978-1-61039-950-0
Page Count: 432
Publisher: PublicAffairs
Review Posted Online: Aug. 28, 2019
Kirkus Reviews Issue: Sept. 15, 2019
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