Solid, eye-opening public health journalism.

BIG CHICKEN

THE INCREDIBLE STORY OF HOW ANTIBIOTICS CREATED MODERN AGRICULTURE AND CHANGED THE WAY THE WORLD EATS

An investigative journalist specializing in public health and food policy delves into the implications of chicken becoming the most consumed source of protein in the American diet.

When chickens are raised or processed poorly, serious or fatal food poisoning can result. Indeed, McKenna (Superbug: The Fatal Menace of MRSA, 2010, etc.) opens her exposé with the story of a near death from salmonella poisoning (the cause of 1 million instances of illness each year in the United States) linked to mass-produced chicken. However, the focus of the investigation is not specifically food poisoning. The author is most concerned about how the overuse of antibiotics to prevent or treat human diseases, and in animal feed, has led to drug-resistant bacteria. When antibiotics can no longer neutralize certain bacteria, fatalities can occur. A strength of McKenna’s reporting is her inclusion of valuable historical context, as she shows how the antibiotic crisis has evolved over the decades. She divides the roughly chronological narrative into three parts: “How Chicken Became Essential,” “How Chicken Became Dangerous,” and the somewhat-hopeful section, “How Chicken Changed.” Each part contains lessons derived from visits to poultry processing operations both small and large (think Perdue and Tyson), farms where chickens grow only to a certain size, the Centers for Disease Control and Prevention, and private science laboratories. McKenna learned not only from sources in the United States—Georgia is now, in many ways, the center of the chicken industry—but also from speaking with experts in the Netherlands, France, and England. Throughout the narrative, the author also unravels medical mysteries, such as why some urinary tract infections are not responding to treatment with antibiotics. McKenna’s ideas for reform seem practical, but she warns in clear, urgent prose that it will take years to fully conquer bacterial resistance to antibiotics.

Solid, eye-opening public health journalism.

Pub Date: Sept. 12, 2017

ISBN: 978-1-4262-1766-1

Page Count: 400

Publisher: National Geographic

Review Posted Online: Aug. 6, 2017

Kirkus Reviews Issue: Aug. 15, 2017

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

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WHEN BREATH BECOMES AIR

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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Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

GOOD ECONOMICS FOR HARD TIMES

“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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