Adrienne Posted December 10, 2009 Posted December 10, 2009 Just wrapped up "The Great Influenza: The Epic Story of the Deadliest Plague in History, by John M. Barry. Amazon Review from Publishers Weekly: In 1918, a plague swept across the world virtually without warning, killing healthy young adults as well as vulnerable infants and the elderly. Hospitals and morgues were quickly overwhelmed; in Philadelphia, 4,597 people died in one week alone and bodies piled up on the streets to be carted off to mass graves. But this was not the dreaded Black Death-it was "only influenza." In this sweeping history, Barry (Rising Tide) explores how the deadly confluence of biology (a swiftly mutating flu virus that can pass between animals and humans) and politics (President Wilson's all-out war effort in WWI) created conditions in which the virus thrived, killing more than 50 million worldwide and perhaps as many as 100 million in just a year. Overcrowded military camps and wide-ranging troop deployments allowed the highly contagious flu to spread quickly; transport ships became "floating caskets." Yet the U.S. government refused to shift priorities away from the war and, in effect, ignored the crisis. Shortages of doctors and nurses hurt military and civilian populations alike, and the ineptitude of public health officials exacerbated the death toll. In Philadelphia, the hardest-hit municipality in the U.S., "the entire city government had done nothing" to either contain the disease or assist afflicted families. Instead, official lies and misinformation, Barry argues, created a climate of "fear... [that] threatened to break the society apart." Barry captures the sense of panic and despair that overwhelmed stricken communities and hits hard at those who failed to use their power to protect the public good. He also describes the work of the dedicated researchers who rushed to find the cause of the disease and create vaccines. Flu shots are widely available today because of their heroic efforts, yet we remain vulnerable to a virus that can mutate to a deadly strain without warning. Society's ability to survive another devastating flu pandemic, Barry argues, is as much a political question as a medical one. This was a hard read for me. I don't read a lot of non-fiction but after reading "The Last Town on Earth" I wanted to learn more about the 1918 flu and this seemed a good place to start. I learned a lot from this book. The beginning sets the stage for how America's medical system was being 'born' as we rushed to catch up with other countries in our technological advances in medicine. Back then we still used practices from the middle ages and most physicians never had more than a few months lectures, with no hands on experience with patients at all! It gave a detailed background of the 'forefathers' to medicine and the founding of the Hopkins. This part was a bit dry. Next was a great amount of information on influenza itself and talked a lot about DNA, RNA, chemical reactions, and how the immune system works. Finally we reach the part of the story that speaks of the actual outbreak and its affect on the nation and world as a whole. I was not really aware of President Wilson's role in the propagation that the flu was 'harmless grippe'. There are a lot of statistics given during these chapters and it jumps around a lot from person to person. Hard to read. Last section talks about the laboratory advances made after the pandemic wrapped up. It explains a bit what the world impact would be if we experienced another pandemic like this one, even with medical advancements it would be horrific. This book definitely served it's purpose on educating someone on the 1918 flu and influenza's behavior as a whole. I was a bit disappointed because I thought it would be more 'story like' but overall was a decent read. Quote
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