Publication date:
21 November 2017Length of book:
312 pagesPublisher
Rowman & Littlefield PublishersISBN-13: 9780810894969
Smallpox, yellow fever, malaria, and polio, fearful diseases that once beset Americans, are now largely, just unhappy history. Yet from our confrontations with these past plagues come lessons that inform today’s struggles to understand and remedy problems like HIV/AIDS, coronary heart disease, and Ebola infection. American Plagues weaves stories of encounters with epidemics over our history with lessons that aid our present understanding of health and disease.
Doctors and clergy, writers and newsmen, public health institutions, and even an entire town relate their personal experiences with various outbreaks and the ways they were identified, contained, and treated. The stories are filled with ambition and accomplishment, jealousy and disappointment, public spirit and self-interest, egotism and modesty. Some episodes lead to vital discoveries. Others were unproductive. Yet each proved instructive and expanded our abilities to gather and process information in ways that improve medicine and public health today.
American Plagues gives readers insights into some of the people and events that make up our rich public health history as well as skills to better grasp the complex health information that cascades upon us from the media.
Doctors and clergy, writers and newsmen, public health institutions, and even an entire town relate their personal experiences with various outbreaks and the ways they were identified, contained, and treated. The stories are filled with ambition and accomplishment, jealousy and disappointment, public spirit and self-interest, egotism and modesty. Some episodes lead to vital discoveries. Others were unproductive. Yet each proved instructive and expanded our abilities to gather and process information in ways that improve medicine and public health today.
American Plagues gives readers insights into some of the people and events that make up our rich public health history as well as skills to better grasp the complex health information that cascades upon us from the media.
The term plague is no longer limited to bacterial or viral infections, but is expanding to include heart disease and cancer in this updated edition of a popular textbook. Gehlbach, dean emeritus of the School of Public Health at the University of Massachusetts, Amherst, leads a thoroughly engrossing exploration of American medical history across 12 chapters, which range from a Boston smallpox outbreak in 1721 to a measles outbreak at Disneyland in 2014. Gehlbach describes how devastating epidemic diseases have been encountered, misunderstood, understood, and then conquered (smallpox, yellow fever, tuberculosis, polio) or ameliorated (heart disease, AIDS). He also addresses the deadly new problem of multiply antibiotic-resistant infections as well as contemporary medicine’s disastrous bête noire: the anti-vaccine movement. In addition to lauding fine accounts of the great historical studies (the Framingham study of heart disease, the Wynder and Graham study of lung cancer), Gehlbach warns that plenty of research turns up nonsense, and he delivers a painless primer on how to tell good studies from bad. Readers will have little trouble understanding his explanations of bias, contamination, true positives versus false positives, and meta-analysis. Gehlbach’s book is often assigned reading for college-level public health classes, and all textbooks should be as entertaining.