William Cook

Of microbes and men

Globalisation is spreading infection like never before. We should brace ourselves for The Next Pandemic

issue 02 July 2016

Which disease are you most scared of catching: Ebola or influenza? Before I read this medical memoir, I would have said Ebola. Now, I’d say flu. As Dr Ali S. Khan points out, Ebola is fairly hard to catch; flu is fairly easy. And unlike wimpy man flu, proper flu can be a killer. You’ve heard of the Spanish flu, which killed 675,000 Americans a century ago. But did you know that influenza still kills up to 50,000 Americans every year?

Most pandemics are more like flu than Ebola: they don’t sound that spooky until they get out of hand. Yet instead, we worry about killer bugs which we stand much less chance of catching. When I was a teenager, I was terrified of contracting HIV, though the risk I faced was minuscule. I didn’t worry about meningitis, even though it had already killed one of my best friends. Thirty years later, meningitis nearly killed my teenage son. Belatedly, I learned there are hundreds of different strains of meningitis, and that the vaccines we’re all given only guard against a few dozen. My son’s strain wasn’t one of them. Now which are you more frightened of: meningitis or Aids?

Khan is an American epidemiologist. Until recently he was director of the Office of Public Health Preparedness & Response at the Centers for Disease Control & Prevention (CDC for short). The CDC’s job is to stamp out pandemics before they get a proper foothold. This chatty, cheerful book reveals how he went about his work.

According to Khan, being an epidemiologist is a bit like being a private detective. He sifts through lots of paperwork; he treks from door to door. His first case was an outbreak of diarrhoea on a cruise ship.

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