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THE END OF EPIDEMICS

THE LOOMING THREAT TO HUMANITY AND HOW TO STOP IT

Sobering reading for public health officials and infectious disease students and perhaps inspiration for would-be activists...

A veteran global health professional explores the methods for preventing pandemics, an ever present threat to humankind.

Quick, an instructor of medicine at Harvard Medical School and chair of the Global Health Council, begins by assessing the many threats: overpopulation and expanded mobility thanks to travel or as a result of war; economic failings; weather disasters that lead to migrant movements and often end with malnourished masses in unsanitary camps; bioterrorism (it is remarkably easy to make ricin or spread anthrax); global warming, which is creating new environs for mosquitoes and other disease bearers; and factory farming, which is already leading to massive destructions of flocks to control bird flu. As a solution, the author offers his “Power of Seven” precepts: strong national leadership; resilient health care systems; research to promote active prevention and constant readiness; trustworthy communications; scientific innovation; resources and investment; strong networks of citizen activists (see what ACT UP volunteers were able to accomplish in the fight against AIDS). These are all fine approaches, and Quick’s chapters elaborating past failures when one or more of these guidelines was lacking are exemplary, as are his success stories. But are they viable in today’s world? For these approaches to work, there would need to be significant political will, doubtful given the trends toward authoritarian and xenophobic regimes. Perhaps the greater hurdle is the polarization of society and a growing lack of trust. The anti-vaccination believers and the West African communities who killed the medical workers who came to tell them not to touch their Ebola-dead relatives are painful examples of fear and distrust that no amount of reason will reverse. What can work is better communication at a local level, from peers. Another positive Quick points to is the success achieved through broad public-private collaborations, which have increased worldwide vaccination rates and expanded access to AIDS drugs in Africa.

Sobering reading for public health officials and infectious disease students and perhaps inspiration for would-be activists to get busy. For general readers: get your flu shot.

Pub Date: Jan. 30, 2018

ISBN: 978-1-250-11777-9

Page Count: 304

Publisher: St. Martin's

Review Posted Online: Oct. 29, 2017

Kirkus Reviews Issue: Nov. 15, 2017

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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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

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