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MISSING MICROBES

HOW THE OVERUSE OF ANTIBIOTICS IS FUELING OUR MODERN PLAGUES

Credit Blaser for displaying the wonders and importance of a vast underworld we are jeopardizing but cannot live without.

Infectious disease specialist Blaser makes an impassioned plea for maintaining the biodiversity of the ecosystem that exists in and on our bodies: the human microbiome.

That microbiome consists of 10 trillion bacteria, fungi and viruses, and it’s a life-support system we depend on to metabolize foods, make vitamins, outcompete pathogens and bolster immunity. Blaser claims that we are killing the system with overuse of antibiotics, hand sanitizers and increased cesarean births, which eliminate babies’ baptism by bacteria as they pass through the birth canal. The result is a shrinking of diversity, shifts in the ecosystem and a dangerous rise in antibiotic-resistant pathogens. The author is no foe of antibiotics; indeed, the drugs once saved him from death from typhoid fever. However, he deplores the all-too-easy reach for the prescription pad to treat nonserious (and nonbacterial) runny noses and colds, not to mention the dosing of farm animals with antibiotics to promote rapid growth and weight gain. Blaser concentrates on gut bacteria—the richest sites of human colonization—and uses the example of H. pylori, ancient acid-tolerant stomach bacteria found only in humans, to demonstrate that bugs can play both good and bad roles in human health. Eliminating H. pylori eliminates stomach inflammation (gastritis), ulcers and late-life risk of stomach cancer, but the species also generates hormones, helps regulate inflammation and modulates immune reactions. Blaser also has epidemiological data and intricate animal experiments to back up associations between antibiotics/changed microbiomes and inflammatory bowel disease, Type 1 diabetes, obesity, some cancers and even autism, with the suggestion that there are critical times in early development when even transient use of antibiotics can have lifelong effects. There’s no denying that the diseases Blaser highlights are multifactorial in origin and that the hygiene-hypothesis folks have a point when they declare our hypersanitized world revs up our immune systems to attack us.

Credit Blaser for displaying the wonders and importance of a vast underworld we are jeopardizing but cannot live without.

Pub Date: April 8, 2014

ISBN: 978-0-8050-9810-5

Page Count: 288

Publisher: Henry Holt

Review Posted Online: Feb. 18, 2014

Kirkus Reviews Issue: March 1, 2014

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THE RIGHT STUFF

Yes: it's high time for a de-romanticized, de-mythified, close-up retelling of the U.S. Space Program's launching—the inside story of those first seven astronauts.

But no: jazzy, jivey, exclamation-pointed, italicized Tom Wolfe "Mr. Overkill" hasn't really got the fight stuff for the job. Admittedly, he covers all the ground. He begins with the competitive, macho world of test pilots from which the astronauts came (thus being grossly overqualified to just sit in a controlled capsule); he follows the choosing of the Seven, the preparations for space flight, the flights themselves, the feelings of the wives; and he presents the breathless press coverage, the sudden celebrity, the glorification. He even throws in some of the technology. But instead of replacing the heroic standard version with the ring of truth, Wolfe merely offers an alternative myth: a surreal, satiric, often cartoony Wolfe-arama that, especially since there isn't a bit of documentation along the way, has one constantly wondering if anything really happened the way Wolfe tells it. His astronauts (referred to as "the brethren" or "The True Brothers") are obsessed with having the "right stuff" that certain blend of guts and smarts that spells pilot success. The Press is a ravenous fool, always referred to as "the eternal Victorian Gent": when Walter Cronkite's voice breaks while reporting a possible astronaut death, "There was the Press the Genteel Gent, coming up with the appropriate emotion. . . live. . . with no prompting whatsoever!" And, most off-puttingly, Wolfe presumes to enter the minds of one and all: he's with near-drowing Gus Grissom ("Cox. . . That face up there!—it's Cox. . . Cox knew how to get people out of here! . . . Cox! . . ."); he's with Betty Grissom angry about not staying at Holiday Inn ("Now. . . they truly owed her"); and, in a crude hatchet-job, he's with John Glenn furious at Al Shepard's being chosen for the first flight, pontificating to the others about their licentious behavior, or holding onto his self-image during his flight ("Oh, yes! I've been here before! And I am immune! I don't get into corners I can't get out of! . . . The Presbyterian Pilot was not about to foul up. His pipeline to dear Lord could not be clearer"). Certainly there's much here that Wolfe is quite right about, much that people will be interested in hearing: the P-R whitewash of Grissom's foul-up, the Life magazine excesses, the inter-astronaut tensions. And, for those who want to give Wolfe the benefit of the doubt throughout, there are emotional reconstructions that are juicily shrill.

But most readers outside the slick urban Wolfe orbit will find credibility fatally undermined by the self-indulgent digressions, the stylistic excesses, and the broadly satiric, anti-All-American stance; and, though The Right Stuff has enough energy, sass, and dirt to attract an audience, it mostly suggests that until Wolfe can put his subject first and his preening writing-persona second, he probably won't be a convincing chronicler of anything much weightier than radical chic.

Pub Date: Sept. 24, 1979

ISBN: 0312427565

Page Count: 370

Publisher: Farrar, Straus and Giroux

Review Posted Online: Oct. 13, 2011

Kirkus Reviews Issue: Sept. 1, 1979

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WHY FISH DON'T EXIST

A STORY OF LOSS, LOVE, AND THE HIDDEN ORDER OF LIFE

A quirky wonder of a book.

A Peabody Award–winning NPR science reporter chronicles the life of a turn-of-the-century scientist and how her quest led to significant revelations about the meaning of order, chaos, and her own existence.

Miller began doing research on David Starr Jordan (1851-1931) to understand how he had managed to carry on after the 1906 San Francisco earthquake destroyed his work. A taxonomist who is credited with discovering “a full fifth of fish known to man in his day,” Jordan had amassed an unparalleled collection of ichthyological specimens. Gathering up all the fish he could save, Jordan sewed the nameplates that had been on the destroyed jars directly onto the fish. His perseverance intrigued the author, who also discusses the struggles she underwent after her affair with a woman ended a heterosexual relationship. Born into an upstate New York farm family, Jordan attended Cornell and then became an itinerant scholar and field researcher until he landed at Indiana University, where his first ichthyological collection was destroyed by lightning. In between this catastrophe and others involving family members’ deaths, he reconstructed his collection. Later, he was appointed as the founding president of Stanford, where he evolved into a Machiavellian figure who trampled on colleagues and sang the praises of eugenics. Miller concludes that Jordan displayed the characteristics of someone who relied on “positive illusions” to rebound from disaster and that his stand on eugenics came from a belief in “a divine hierarchy from bacteria to humans that point[ed]…toward better.” Considering recent research that negates biological hierarchies, the author then suggests that Jordan’s beloved taxonomic category—fish—does not exist. Part biography, part science report, and part meditation on how the chaos that caused Miller’s existential misery could also bring self-acceptance and a loving wife, this unique book is an ingenious celebration of diversity and the mysterious order that underlies all existence.

A quirky wonder of a book.

Pub Date: April 14, 2020

ISBN: 978-1-5011-6027-1

Page Count: 224

Publisher: Simon & Schuster

Review Posted Online: Jan. 1, 2020

Kirkus Reviews Issue: Feb. 1, 2020

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