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The Fever: How Malaria Has Ruled Humankind for 500,000 Years [Kindle Edition]

Sonia Shah
4.2 out of 5 stars  See all reviews (21 customer reviews)

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Book Description

In recent years, malaria has emerged as a cause célèbre for voguish philanthropists. Bill Gates, Bono, and Laura Bush are only a few of the personalities who have lent their names—and opened their pocketbooks—in hopes of curing the disease. Still, in a time when every emergent disease inspires waves of panic, why aren’t we doing more to eradicate one of our oldest foes? And how does a parasitic disease that we’ve known how to prevent for more than a century still infect 500 million people every year, killing nearly 1 million of them?

In The Fever, the journalist Sonia Shah sets out to answer these questions, delivering a timely, inquisitive chronicle of the illness and its influence on human lives. Through the centuries, she finds, we’ve invested our hopes in a panoply of drugs and technologies, and invariably those hopes have been dashed. From the settling of the New World to the construction of the Panama Canal, through wars and the advances of the Industrial Revolution, Shah tracks malaria’s jagged ascent and the tragedies in its wake, revealing a parasite every bit as persistent as the insects that carry it. With distinguished prose and original reporting from Panama, Malawi, Cameroon, India, and elsewhere, The Fever captures the curiously fascinating, devastating history of this long-standing thorn in the side of humanity.




Editorial Reviews

From Publishers Weekly

This fascinating, mordant pop-sci account tells us why malaria is one of the world™s greatest scourges, killing a million people every year and debilitating another 300 million, and why we have remained complacent about it. Journalist Shah (The Body Hunters: Testing New Drugs in the World™s Poorest Patients) shows how the Plasmodium parasite, entering through a mosquito™s bite and feasting on human red blood cells, has altered human history by destroying armies, undermining empires, and driving changes in our very genome. We™ve learned to fight back with antimalarial drugs and insecticides, but malaria™s adaptability and its buzzing vector, Shah notes, give it the upper hand. Shah provides an intricate and lucid rundown of the biology and ecology of malaria, but her most original insights concern the ways in which human society accommodates and abets the parasite. (The impoverished denizens of Africa™s malaria belt, she observes, would sometimes rather use the pesticide-laced bed nets sent by Western aid groups to catch fish.) Shah™s is an absorbing account of human ingenuity and progress, and of their heartbreaking limitations. 16 pages of b&w illus.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From Booklist

Investigative journalist Shah maintains her signature pattern (Crude, 2004; The Body Hunters, 2006) here, exposing both the seemly and not-so-seemly aspects of the subject under review. As Shah demonstrates, when it comes to taming, never mind eradicating, malaria, the disease is cannily able to keep the ball in humankind's court. Notwithstanding, people in tropical climes who live with its ubiquitous presence have over time come to uneasy terms with the fever. That is not to say they would not benefit from a cure. Indeed, their need is most critical. It's just that when Western nontropical humans are exposed to malaria, they suffer its worst effects, then tackle the problem in largely ineffectual ways. And it is not for want of money (think Bill and Melinda Gates). But Shah takes no prisoners, blasting everyone, including the World Health Organization. Even Harvard's state-of-the art Malaria Initiative takes it on the chin for eschewing unglamorous but effectual grunt work in favor of “lavishly funded . . . economy building technology.” Malaria may rule humankind, but Shah rules the in-depth investigative report. --Donna Chavez

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Customer Reviews

Most Helpful Customer Reviews
56 of 63 people found the following review helpful
By Wingy
Format:Hardcover|Verified Purchase
I was excited when I saw the title of this book (one of my biggest problems with Guns, Germs, and Steel was how little focus Jared Diamond gave to the effects of malaria on societal development), but the more I read this book the more frustrated I become. Almost every page has at least one minor error, and many pages contain blatant errors regarding the fundamental biology that any competent editor should have discovered. My favorite howler: "Then again, 10 percent of the parasite's five thousand proteins retain their algaelike chemistry and remnant chloroplasts." A chloroplast is an organelle (large, complicated structure) in plant cells; to say that a protein contains "remnant chloroplasts" is utterly nonsensical.

The greatest misunderstanding comes from her "story of the evolution of malaria" in which P. falciparum (the most deadly of the 4 major plasmodium species) is presented as the latest evolutionary trick in a long line of a heavily-personified malaria species. If we take Ms. Shah's account, P. vivax emerged first, was defeated by the Duffy antigen in the African population and thereby forced into Europe to find new populations to destroy (such hyperbole is distressingly common in this book). Humans "invading the rain forest" (habitat destruction often results in contact with novel infectious diseases, but in this book serves as a trope in which habitat destruction inevitably leads to outbreaks of falciparum malaria and is a not so subtle way of pushing a particular viewpoint on her readership). In fact, P. falciparum has plagued humans since we split from the chimpanzee lineage, so it hardly qualifies as "new" - Ms. Shah implies that it has only been around for the last 4,000 years.
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48 of 57 people found the following review helpful
2.0 out of 5 stars Hold that metaphor, or: how to spoil a perfect subject September 1, 2010
Format:Hardcover|Verified Purchase
"Vivid" and "compelling" gushes E. Kolbert on the back jacket; "Fascinating... elegant... superbly well researched...poignant and important" intones N. Munk; "extremely well researched... gripping. Highly recommended" concludes malariologist B. Knols. With such lavish praise, this is a book to read: malaria after all IS a thoroughly fascinating subject.

Well, to me all adjectives sound in a way true, but as ironic commentary to a poorly written book. It's a shame, for Ms Shah's personality, as it shimmers through the text, is engaging. She is enthusiastic about her subject, and had certainly gone to great lengths to read up the material - alas, she appears overwhelmed by the task of synthesis, and she has been given thoroughly bad advice about how to approach her readership.

Not trusting readers with complex matters Ms Shah foregoes a proper description of the parasites and their life cycle. Visual aids are eschewed. The spread of P. vivax and P. falciparum across the world has had a major impact on history - yet no map facilitates our understanding on the main thrusts. Readers are easily bored, she surmises, so words are qualified for effect: huts are dank, highlands are rugged, dreams are sad, ships are fine, particularly when it is a "flotilla of ships" (pg. 51) and natives... must be "local natives" (pg. 50). Anthropomorphic images are plentiful: "... malarial parasites munching on the hemoglobin" (pg. 44); parasites "rely on strategies..." (pg. 28); "malaria parasites teem with purpose inside the veins of the house sparrows" (pg. 19). Hyperbole is a stock of trade: "Once, the powerful men in the House of Parliament quaked in their boots at the thought of the mosquito's wrath" (pg. 172). And of course: "...
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29 of 35 people found the following review helpful
5.0 out of 5 stars A brilliant synthesis of a complicated subject July 19, 2010
By EJ
Format:Hardcover|Verified Purchase
Malaria is not something most of us think about in-depth unless traveling to an area where the disease is common. However, this incredible book makes an excellent argument for why we should. The author manages to magically transform volumes of scientific information into a riveting tale that just about anyone will enjoy.

Ms. Shah traces the very complex history of malaria from the beginning of human/mosquito interaction, and covers a range of related topics including the routes of infection and transmission; why certain areas and populations are more susceptible to malaria; the role of war, technology, and industry in sparking the disease; and why the efforts to control or at least contain it have not been universally successful. The book is meticulously sourced (at least 30% of the text consists of the references listed at the end of the book and footnoted within each chapter), but is not dry in the least.

The book reads like fiction, and it's too bad that it's not. The author leaves the reader with a very well-developed sense that the merest change in environmental conditions can leave us all susceptible to the next wave of malaria. I recommend this book strongly to just about anyone, but particularly for those who are interested in medical history and public health.
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3 of 3 people found the following review helpful
5.0 out of 5 stars Loved it! October 10, 2010
Format:Hardcover|Verified Purchase
This was a great read... So insightful. It's the perfect book for people who love non-fiction, but may feel a bit overwhelmed by a book like Guns Germs and Steel. That is not to say that Diamond and those types doesn't have a place. However, someone who would never take a text book on vacation for personal reading, but still likes an informative educational book that is well written and light enough to keep your attention throughout may find 'The Fever' to be a good fit. It is definitely deep enough to educate and make you feel like you've learned and stretched your knowledge base. Even more so if you are a fan of medical history, or even just history in general.
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Most Recent Customer Reviews
3.0 out of 5 stars Very interesting book
I found the information very informative. However, I was expecting more on what is going on now and what we should be focussing our efforts on now to finally tame this tiger. Read more
Published 3 months ago by W. Gary Goodson
4.0 out of 5 stars Interesting and enjoyable read
I really enjoyed this book. If you want to learn a lot about malaria (and I know you do) this is the book for you. Read more
Published 5 months ago by Mongoose Minkintire
5.0 out of 5 stars Fabulous--who knew malaria could be such an exciting subject?
Do we really want to "Roll Back Malaria"? Is it possible? This book gives you information you could not find anywhere else about the politics of malaria aid and malaria... Read more
Published 8 months ago by Marie Cassidy-Brinn
5.0 out of 5 stars Excellent book!
This is an amazing book about the history of malaria and how it has played a role in defining much of the world's history. I am a physician and read it cover to cover. Read more
Published 13 months ago by Susan M. Vitalis
5.0 out of 5 stars Great book
I recommend this to anyone interested or curious about malaria. Sonia Shah does an excellent job presenting the information in an easy to understand narrative.
Published 17 months ago by Omar Ahmed
5.0 out of 5 stars Great book!
If you like to have a good view about malaria this is the book. Its a very informative book about parasite, mosquito e human interaction.
Published on April 26, 2011 by B. Flannery
5.0 out of 5 stars A Feverish Read
For someone with no medical or scientific background, a book about disease and the micro organisms that cause it can be daunting, dizzying, disorienting. Ms. Read more
Published on November 9, 2010 by Spudman
4.0 out of 5 stars An astounding history of an incurable malady
"The Fever" destroys the myths of humans being able to employ scienfic approaches to end disease as effectively as the financial meltdown of 2008 destroyed the myth of the... Read more
Published on September 14, 2010 by Samuel Louis
5.0 out of 5 stars A bicycle, a radio, a plastic bucket
When people in one of Africa's most malarious regions were asked for their top three wishes, they requested a bicycle, a radio, and a plastic bucket. Read more
Published on September 11, 2010 by E. A. Lovitt
4.0 out of 5 stars The Fever
As the title suggests, the book treats Malaria from a historical perspective--one that is both fascinating and with surprises. Read more
Published on September 11, 2010 by Jan Snyder
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More About the Author

Sonia Shah is a science writer and critically acclaimed author whose writing has appeared in The Wall Street Journal, The Los Angeles Times, The Nation, New Scientist and elsewhere. Her latest book is "The Fever: How Malaria Has Ruled Humankind for 500,000 Years" from Sarah Crichton Books/Farrar, Straus & Giroux (July 2010).

Her prize-winning 2006 drug industry exposé, The Body Hunters: Testing New Drugs on the World's Poorest Patients (New Press), has been hailed by Publishers Weekly as "a tautly argued study...a trenchant exposé...meticulously researched and packed with documentary evidence," and as "important [and] powerful" by The New England Journal of Medicine. The book, which international bestselling novelist and The Constant Gardener author John Le Carré called "an act of courage," has enjoyed wide international distribution, including French, Japanese, and Italian editions. The Library Journal named it one of the best consumer health books of 2006.

Her 2004 book, Crude: The Story of Oil (Seven Stories), was acclaimed as "brilliant" and "beautifully written" by The Guardian and "required reading" by The Nation, and has been widely translated, from Japanese, Greek, and Italian to Bahasa Indonesia. Her "raw and powerful" (Amazon.com) 1997 collection, Dragon Ladies: Asian American Feminists Breathe Fire, still in print after 10 years, continues to be required reading at colleges and universities across the country.

Shah's writing, based on original reportage from around the world, from India and South Africa to Panama, Malawi, Cameroon, and Australia, has been featured on current affairs shows around the United States, as well as on the BBC and Australia's Radio National. A frequent keynote speaker at political conferences, Shah has lectured at universities and colleges across the country, including Columbia's Earth Institute, MIT, Harvard, Brown, Georgetown and elsewhere. Her writing on human rights, medicine, and politics have appeared in a range of magazines from Playboy, Salon, and Orion to The Progressive and Knight-Ridder. Her television appearances include A&E and the BBC, and she's consulted on many documentary film projects, from the ABC to Channel 4 in the UK. Shah is a former writing fellow of The Nation Institute and the Puffin Foundation.

Shah was born in 1969 in New York City to Indian immigrants. Growing up, she shuttled between the northeastern United States where her parents practiced medicine and Mumbai and Bangalore, India, where her extended working-class family lived, developing a life-long interest in inequality between and within societies. She holds a BA in journalism, philosophy, and neuroscience from Oberlin College, and lives with molecular ecologist Mark Bulmer and their two sons Zakir and Kush.

Photo by Joyce Ravid.

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