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EPIDEMIC

EBOLA AND THE GLOBAL SCRAMBLE TO PREVENT THE NEXT KILLER OUTBREAK

An important cautionary book that is also oddly exhilarating. At a time when Americans are bombarded with nativism, it’s...

A veteran journalist’s chronicle of the 2014-2015 Ebola outbreak in West Africa, which struck more than 28,000 people and killed 11,310.

Wilson, a national correspondent at the Hill, notes that the Ebola virus was discovered in 1976 in Zaire. Though it caused sporadic and frighteningly lethal outbreaks, it did not sound global alarms except to experts who saw the potential should the virus strike densely populated areas. This is what happened in Guinea, Sierra Leone, and Liberia. Since officials in these countries had not encountered the virus before, there were many initial misdiagnoses. Furthermore, these countries have poor health care systems, few providers or ambulances, and all but impassable roads. Now add in the cultural practice of washing the dead before burial, and it’s no wonder that infections spiked. It did not help that the World Health Organization also delayed action. Thankfully, Doctors without Borders, Samaritan’s Purse, and a few other groups were there, and they would be joined by other international but largely American agencies. The author’s stories of the first victims make for grim reading, but the narrative picks up with U.S. funding for resources and the deployment of thousands of CDC providers working in clinics and Army soldiers building treatment units. Several NGOs also worked with local leaders to organize burial teams, proving that education and building trust can overcome fear. Back in the U.S., Barack Obama faced congressional pressure to ban West African flights and physically quarantine returnees. His critical move was to appoint an “Ebola czar,” who coordinated efforts and staved off counterproductive measures. Wilson concludes with some hope for Ebola treatments but also reports of infection aftereffects and the massive damage to West Africa’s economy. More importantly, he points out how the world remains woefully unprepared for the next unavoidable epidemic.

An important cautionary book that is also oddly exhilarating. At a time when Americans are bombarded with nativism, it’s refreshing to read about American volunteers who came through in a crisis affecting some of the poorest nations in the world.

Pub Date: March 27, 2018

ISBN: 978-0-8157-3135-1

Page Count: 320

Publisher: Brookings Institution Press

Review Posted Online: Dec. 4, 2017

Kirkus Reviews Issue: Jan. 1, 2018

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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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