Betrayal of Trust: The Collapse of Global Public Health
This book is a twin, in many ways, of the author's best-selling The Coming Plague -- interesting, sprawling, heavily anecdotal, and amply footnoted. In the style favored by modern journalists, paragraph and sentence fragments abound; the thread of the argument often disappears in a blizzard of gee-whiz statistics, acronyms, and quotations from interviews with eminent folk of all kinds. Once extracted, however, the message remains an important one: old scourges (tuberculosis and syphilis) are alive and all too well, and newer ones (aids, most notably) have yet to abate their force. A whiff of hysteria and hype here, but nonetheless a useful warning that globalization may have a very dark side indeed.
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Since it first emerged in 1997, avian influenza has become deadlier and more resilient. It has infected 109 people and killed 59 of them. If the virus becomes capable of human-to-human transmission and retains its extraordinary potency, humanity could face a pandemic unlike any ever witnessed.
If an influenza pandemic struck today, borders would close, the global economy would shut down, international vaccine supplies and health-care systems would be overwhelmed, and panic would reign. To limit the fallout, the industrialized world must create a detailed response strategy involving the public and private sectors.
Recent outbreaks of avian flu, SARS, the Ebola virus, and mad cow disease wreaked havoc on global trade and transport. They also all originated in animals. Humanity today is acutely vulnerable to diseases that start off in other species, yet our health care remains dangerously blinkered. It is time for a new, global approach.
