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The Coming Plague: Newly Emerging Diseases in a World Out of Balance Kindle Edition
A New York Times bestseller
The definitive account of the infectious diseases threatening humanity by Pulitzer Prize–winning investigative journalist Laurie Garrett
"Prodigiously researched . . . A frightening vision of the future and a deeply unsettling one." —Michiko Kakutani, The New York Times
After decades spent assuming that the conquest of infectious disease was imminent, people on all continents now find themselves besieged by AIDS, drug-resistant tuberculosis, cholera that defies chlorine water treatment, and exotic viruses that can kill in a matter of hours.
Relying on extensive interviews with leading experts in virology, molecular biology, disease ecology, and medicine, as well as field research in sub-Saharan Africa, Western Europe, Central America, and the United States, Laurie Garrett's The Coming Plague takes readers from the savannas of eastern Bolivia to the rain forests of the northern Democratic Republic of the Congo on a harrowing, fifty year journey through the history of our battles with microbes. This book is a work of investigative reportage like no other and a wake-up call to a world that has become complacent in the face of infectious disease—one that offers a sobering and prescient warning about the dangers of ignoring the coming plague.
- PublisherFarrar, Straus and Giroux
- Publication dateOctober 31, 1994
- LanguageEnglish
- File size4964 KB
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Editorial Reviews
Amazon.com Review
While the human race battles itself ... the advantage moves to the microbes' court. They are our predators and they will be victorious if we, Homo sapiens, do not learn how to live in a rational global village that affords the microbes few opportunities.
Her picture is not entirely bleak. Epidemics grow when a disease outbreak is amplified--by contaminated water supplies, by shared needles, by recirculated air, by prostitution. And controlling the amplifiers of disease is within our power; it's a matter of money, people, and will. --Mary Ellen Curtin
--This text refers to the paperback edition.From Library Journal
--Tina Neville, Univ. of South Florida at St. Petersburg Lib.
Copyright 1994 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.
From Kirkus Reviews
From Booklist
From Publishers Weekly
Copyright 1995 Reed Business Information, Inc. --This text refers to the paperback edition.
About the Author
Review
"A sober, scary book that not only limns the dangers posed by emerging diseases but also raises serious questions about two centuries worth of Enlightenment beliefs in science and technology and progress . . . A frightening vision of the future and a deeply unsettling one." ―Michiko Kakutani, The New York Times
"This brilliant book conveys a grim message: that we may be entering a period of dramatic change in our relationship with infectious disease . . . Other 'emerging disease' books have appeared on these shelves as well, including some sizable volumes, but Garrett's is the intellectual heavyweight of the collection . . . I found it hard to put the book down." ―Peter Godfrey-Smith, Boston Review
"Like her role model Rachel Carson, whose 1962 Silent Spring woke up society to environmental poisoning, Garrett aims to dispel social and political complacency about the threat of old, new, and yet-unknown microbial catastrophes in a global ecology that links Bujumbura, Bangkok, and Boston more closely than anyone appreciates." ―Richard A. Knox, The Boston Globe
"Garrett has done a brilliant job of putting scientific work into layman's language, and the scariness of medical melodramas is offset by the excitement of scientific detection." ―The New Yorker
"The book is ambitious, but it succeeds...[its] scope is encyclopedic, its mass of detail startling." ―The Economist
"Garrett brilliantly develops her theme that rapidly increasing dangers are being ignored. Her investigations have taken over a decade to complete, and her findings are meticulously discussed and distilled." ―Richard Horton, The New York Review of Books
"Encyclopedic in detail, missionary in zeal, and disturbing in its message...The Coming Plague makes fascinating if troubling reading. It is an important contribution to our awareness of human ecology and the fragility of the relative biological well-being that many of us enjoy. Garrett has mastered an extraordinary amount of detail about the pathology, epidemiology, and human events surrounding dozens of complex diseases. She writes engagingly, carrying her themes as well as the reader's interest from outbreak to outbreak." ―Los Angeles Times
"Absorbing...the insights into the personalities and the stories behind new infectious diseases are fascinating. I have the greatest admiration for Laurie Garrett." ―Abraham Verghese, M.D., author of In the Heartland: A Doctor's Story of a Town and Its People in the Age of AIDS
"A masterpiece of reporting and writing, The Coming Plague is the best and most thorough book on the terrifying emergence of new plagues. The level of detail is amazing, with fascinating portraits of the so-called 'disease cowboys,' the doctors and scientists who fight infectious diseases on the front lines. The Coming Plague is a must read for anyone interested in the biological fate of the human species." ―Richard Preston, New York Times-bestselling author of The Hot Zone
Product details
- ASIN : B005FGR6RO
- Publisher : Farrar, Straus and Giroux (October 31, 1994)
- Publication date : October 31, 1994
- Language : English
- File size : 4964 KB
- Text-to-Speech : Enabled
- Screen Reader : Supported
- Enhanced typesetting : Enabled
- X-Ray : Not Enabled
- Word Wise : Enabled
- Print length : 769 pages
- Page numbers source ISBN : 0374126461
- Best Sellers Rank: #372,184 in Kindle Store (See Top 100 in Kindle Store)
- #20 in Epidemiology (Kindle Store)
- #21 in Microbiology (Kindle Store)
- #152 in Epidemiology (Books)
- Customer Reviews:
About the author

Laurie Garrett is the only writer ever to have been awarded all three of the Big "Ps" of journalism: the Peabody, the Polk, and the Pulitzer.
LATEST BOOK: I HEARD THE SIRENS SCREAM: How Americans Responded to the 9/11 and Anthrax Attacks, available exclusively as an e-book.
WEBSITE: Visit www.lauriegarrett.com
Her journalistic efforts at KPFA-FM radio in northern California garnered the 1977 George Foster Peabody broadcast journalism award, for a series called "Science Story." In 1996 Garrett received the Pulitzer Prize for her coverage of the 1995 Ebola virus epidemic in Kikwit, Zaire. The following year she was awarded the George C. Polk award for a series of more than 30 articles she published in Newsday, documenting the collapse of health and rise of HIV, tuberculosis, diphtheria, and dozens of other diseases in the former Soviet countries. Her second Polk Award was given in recognition of the reporting in BETRAYAL OF TRUST: The Collapse of Global Public Health.
Laurie Garrett was in graduate school studying immunology when she started reporting, as a sideline, on Berkley radio station KPFA-FM. After a year of this hobby, including the co-production of a radio series, "Science Story," Garrett and colleague Adi Gevins were awarded the George Foster Peabody Award for Broadcasting, the highest such honor for radio. Garrett continued working at KPFA, in multiple jobs including management, reporting, documentary production, and disc jockey. She received multiple awards during this period, including the so-called "Major Award" in broadcasting from the Edwin Howard Armstrong Foundation.
In 1979 Garrett spent a year covering a variety of stories overseas, including the SALT-II nuclear disarmament negotiations between the US and USSR, the World Food Summit in Rome, civil war in Rhodesia (now Zimbabwe), the anti-apartheid activities in the African frontline states, and a long list of outbreaks and disease issues across sub-Saharan Africa. During this period she resided primarily in Lusaka, Zambia, reporting for a variety of news outlets, from Pacifica Radio to the BBC.
From 1980-88 Garrett worked as a Science Correspondent for National Public Radio, based first in San Francisco and then Los Angeles. Her work at NPR, which featured detailed coverage of the unfolding HIV/AIDS epidemic in the US and Africa, was honored with a long list of awards and recognition. Garrett began covering the AIDS epidemic in June 1981, and continuously chronicled the horrible spread of the disease and its toll for more than 20 years.
In mid-1988 Garrett left NPR to join the science writing and foreign desk staffs of Newsday, then the third largest daily newspaper in America. Garrett covered a diverse range of stories all over the world, including: the spread of HIV around Lake Victoria, plague in India, Chernobyl radiation illness in Ukraine, toxic waste in El Salvador, discovery of ancient tombs in the Egyptian desserts, and SARS in Beijing.
In 1996 Garrett was awarded the Pulitzer Prize for Explanatory Journalism for her coverage of the 1995 Ebola virus epidemic in Zaire. In addition to the "three P's of Journalism" Garrett's work at Newsday was honored with four awards from the Overseas Press Club of America, and a long list of recognitions from a variety of professional journalism societies. In 2000 Garrett shared with the New York Times' Larry Altman the first Victor Cohn Award for Medical Science Reporting, from the National Association of Science Writers (NASW). Garrett served as President of NASW for two years while at Newsday.
The EDUCATION
Garrett was born in Los Angeles, a 5th generation Los Angeleno. Garrett is a proud product of public education, having attended public schools and universities in California. She graduated with honors in biology from the University of California, Santa Cruz. Garrett attended graduate school in the Department of Bacteriology and Immunology at UC Berkeley and did research at Stanford University in the laboratory of Dr. Leonard Herzenberg. Her PhD studies, mentored by Dr. Leon Wofsy, focused on measuring T cell responses to variable stimuli.
Garrett did not complete her PhD studies, as her reporting "hobby" in local radio proved far more compelling. Laurie Garrett never attended a school of journalism, though she served on the faculty of the Schools of Journalism at UC Berkeley (academic year 1997-98) and Columbia University (2001).
In academic year 1992-3 Garrett was a Fellow in the Harvard School of Public Health, where she learned a tremendous amount of health science that continues to guide her work today.
In 1995 Garrett received the University of California Alumni Achievement Award.
In 1998 Laurie Garrett was awarded a PhD by Illinois Wesleyan University, Doctor of Humane Letters, honoris causa.
In 2002 Garrett was awarded a second PhD from the University of Massachusetts, Lowell: Doctor of Humane Letters, honoris causa.
In 2007 the University of Minnesota named Laurie Garrett a member of the Delta Omega Society, an honorary public health society.
In 2009 Garrett was awarded a PhD from Georgetown University, Scientiae Doctorum, honoris causa.
In 2011 Laurie Garrett was named one of the "45 Greatest Alumni" of the University of California in Santa Cruz, on the 45th anniversary of the school's creation.
The COUNCIL ON FOREIGN RELATIONS
In 2004 Laurie Garrett left Newsday to join the think tank staff of the Council on Foreign Relations in New York. She now runs the Council's Global Health Program, and serves as the Senior Fellow for Global Health. Garrett has written several reports and articles including: HIV and National Security: Where are the Links?, A Council Report (Council on Foreign Relations Press, 2005), 'The Next Pandemic?' (Foreign Affairs, July/August 2005), 'The Lessons of HIV/AIDS' (Foreign Affairs, July/August 2005), 'The Challenge of Global Health' (Foreign Affairs, January/February 2007), The Future of Foreign Assistance Amid Global Economic and Financial Crisis, A Council on Foreign Relations Action Plan (2009),and CastroCare in Crisis (Foreign Affairs July/August 2010).
AND FINALLY (in the first person)
I am an avid urban cyclist, using a 25 year old Specialized Crossroads for commuting and errands, and a custom titanium Merlin road bike for the real rides. I avidly support the greening of NYC, expansion of bike paths and lowering Brooklyn's carbon footprint.
For several years I was a partner with Havens Wines, located in the Napa Valley. The wines were magnificent, and being in the wine biz -- even merely as one of 14 partners --- was loads of fun. Sadly, we sold Havens Wines a few years ago, and the buyers couldn't make a go of it: Havens no longer exists. But I retain great admiration for skilled wine makers, and love of gourmet meals lubricated with fantastic wines and shared with great friends.
For more than 20 years I have been a strong supporter of the arts in New York, especially performances at BAM. As a BAM patron, I attend as many of the Brooklyn Academy of Music concerts, plays, dances and performances as my schedule will allow.
Brooklyn rules.
Customer reviews
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Learn more how customers reviews work on AmazonCustomers say
Customers find the book informative, detailed, and well-documented. They describe the narrative as beautifully written and concise. Readers say it's a great, entertaining book with a rich account of important historical events. They also find the scariness level captivating and disturbing. However, some feel the book is overly long and the print on those pages is not large.
AI-generated from the text of customer reviews
Customers find the book informative, thoroughly researched, and detailed. They say it helps understand how science and research are critical. Readers also mention the book has a tremendous impact and gives a good overview of epidemiology.
"...I found this comprehensive volume of disease fascinating...." Read more
"...She provides extensive information, footnotes, and inside the "Disease Cowboys".Will we learn how to handle the next Pandemic?..." Read more
"...Rate it as the most interesting and informative book I have read since college...." Read more
"...The book is astonishing, wonderful, thought provoking. And now that it's on Kindle I can finish it, no longer burdened by its heft...." Read more
Customers find the book highly readable. They say the narrative is beautifully written, and the writing style is concise and easy to understand. Readers also mention the book reads like an adventure story and is a great primer to explain how we got to where we are today.
"...Garrett’s writing style is very concise and easy to understand...." Read more
"This was a suggested during covid, and just now finished.It's a tough read, yet not unexpected, as a person that has followed various..." Read more
"...It often reads like an adventure story...." Read more
"...She patiently and in great----but easy to understand----detail explains to the ordinary reader what causes epidemics, right down to the proteins on..." Read more
Customers find the book great, entertaining, and a must-read for the times. They also say it's one of the author's best works.
"Garrett is a fantastic science writer and I think this is one of her best works...." Read more
"...Don't be daunted by the 700+ pages of this book. It is a great read and definitely worth the time you will invest in educating yourself about the..." Read more
"...The book is astonishing, wonderful, thought provoking. And now that it's on Kindle I can finish it, no longer burdened by its heft...." Read more
"...The stories and facts are incredibly well researched, amazingly so ! I start sweating as I read and yet, I cannot put the book down...." Read more
Customers find the book entertaining, rich, and amazing. They say it's a great history of the CDC and plagues we have dealt with or are still dealing with. Readers also appreciate the fantastic stories of smart and brave scientists who fought deadly diseases. They mention the book is filled with scientists, diseases, and human behavior that has shaped our world.
"Garrett is a fantastic science writer and I think this is one of her best works...." Read more
"...While this book presents an excellent history of the emergence of AIDS in both America and Africa, Garrett's information on AIDS is now..." Read more
"This is an amazing account of the origins and prognosis of many historical plagues...." Read more
"A lot of science woven into a great story. This book is filled with the scientists, diseases, and human behavior that has shaped our world...." Read more
Customers find the book captivating, disturbing, and provocative. They also appreciate the feel of mystery throughout.
"...A rather scary read." Read more
"Whoa. Scary book...." Read more
"...Quite a scary and thought provoking book." Read more
"...of medical and scientific research into a very enjoyably, captivating yet scary read." Read more
Customers find the book to look good. They also say it's thoughtful and comprehensive.
"...It's a big book. It's also stunning...." Read more
"...Her book is a thorough and well-documented look at how humans have fought against microbial disease -- and perhaps most important, how humans have..." Read more
"...Ms. Garrett has compiled a thoughtful, comprehensive, scientific, yet accessible book that provides us with fair warning that microbes affect all of..." Read more
"Book already came and was in excellent shape" Read more
Customers find the book overly long. They also mention the print on those pages is not large.
"...It seems too long, and too detailed, to get wide traction in the general population of readers. But it's not scholarly or academic in nature, either...." Read more
"...It was long and outdated, since numerous advances have been made since the publication of this book...." Read more
"...This is a well researched and quite a long book. It does drag through a good part of the second half, but this is an informational book, not a novel...." Read more
"...I thought would gave been very interesting.However the PRINT IS TOO SMALL FOR ME.SUE" Read more
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Top reviews from the United States
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Reviewed in the United States on October 8, 2021
Garrett’s writing style is very concise and easy to understand. However, I will admit that I had a hard time with some of the material in the book and I worked in an Infectious Disease Clinic for 14 years (although I was co-ordinator of non-medical services). This book has quite a bit of technical information in it that can be difficult at times.
I also want to warn readers that the information can get overwhelming after a bit. Yesterday afternoon, I just sat here and started crying at the state of the world—all the war, poverty, misinformation, lack of medical resources, Thirdworldization, etc. This is the kind of book that you need to step away from sometimes and smell some roses. But it such important information that I felt that I had to finish it.
My only regret is that Ms. Garrett didn’t offer any real hope for our future. I wish she had given some suggestions for how we, as ordinary citizens, could do something, anything, to help save humankind from “The Coming Plague.”
Highly recommend this book for anyone who is fascinated by medicine, science, or history. The stories are amazing!
Reviewed in the United States on December 16, 2020
Reviewed in the United States on January 16, 2024
It's a tough read, yet not unexpected, as a person that has followed various plagues throughout history. She provides extensive information, footnotes, and inside the "Disease Cowboys".
Will we learn how to handle the next Pandemic? I only hope, yet not counting on it.
Reviewed in the United States on April 11, 2022
I found the most compelling portion of the book to be its examination of the AIDS crisis. I came of age in a world where AIDS was just a fact, and this is the first time I really got a sense of the fear that the beginning of the epidemic created. Hemophiliacs and gay men just...dying, in large and inexplicable numbers. The way that no one knew what was happening, or how this new disease spread, and (heartbreaking) the difficulty of getting government systems, controlled by conservative Republicans, to care about an illness that was affecting a group of people that they were just not interested in helping. There's an urgency there which really comes across strongly and made it hard to put down.
Garrett is a journalist by trade, and it shows in the writing of the book. The Coming Plague is strongest when she's focusing less on the recitation of facts (like she does when she talks about the process through which some microbes become antibiotic resistant, which feels like struggling through a science class) than on telling a story about people. There are some dynamic personalities, like Dr. Joe McCormick, that show up again and again in the fight against emerging infections, and this work shines when she lets them and the patients they treat take center stage. For the most part, she does keep the focus on people and the systems in which they operate in a way that keeps the book moving along, but it does occasionally bog down when she tries to get too heavily scientific, and in a book this long, it's a tricky bog to escape from.
I found myself wondering as I was reading this book who exactly Garrett had in mind as the target audience. It's got over 600 pages of text before endnotes, and the print on those pages is not large. It seems too long, and too detailed, to get wide traction in the general population of readers. But it's not scholarly or academic in nature, either. I'm a reader who is prepared to do some intellectual work, especially when reading nonfiction, and by the time I had only 150 pages left I was ready to be done even though the material I was reading was just as good as what had come before it. If she'd cut out some of the more science-oriented material, I think it would have kept the book moving better and more accessible to readers. As is, this is good, particularly if you have any interest in epidemiology, but feel free to skim through the more dense portions if they're not catching your interest.
Top reviews from other countries
5.0 out of 5 stars Aussi passionant qu'un roman
Reviewed in France on September 24, 2020
772 pages dont 1/4 de notes en fin de volume. C’est un travail sérieux et l’auteur maîtrise bien son sujet. Pas de traduction française semble-t-il. L. Garett a été membre du CFR, mais ça n’entache pas son talent. L’ouvrage est passionnant, d’un style légèrement romancé pour lui donner de la fluidité. Il donne un panorama assez complet de toutes les épidémies qui frappent la planète depuis l’après guerre. L’auteur nous emmène en Afrique sur les fronts sanitaires où des médecins courageux ont risqué leur vie pour prélever le sang contaminé des malades et recueillir des milliers d’animaux divers pour rechercher les porteurs des virus mis en cause. Les liens entre les épidémies et la pauvreté, les guerres, les désastres écologiques et les coupes dans les budgets sociaux exécutées au nom de politiques libérales sont détaillés. Les problématiques scientifiques, mutations des virus, résistances aux nouveaux traitements sont bien expliquées. L’idée générale se dégageant de l’ensemble souligne la réalité de la lutte à mort entre les humains et les micro-organismes pathogènes pour la domination de la planète. Si Homo Sapiens ne lutte pas intelligemment, ce n’est pas lui qui gagnera.
5.0 out of 5 stars The reason for pandemics and why we haven’t seen the last one with SARS Cov2
Reviewed in Germany on March 22, 2020
Because we have lost contact with nature and do not live in balance with it we are destroying natural protection in humans We cannot survive fighting natural threats and we cannot rely on technical solutions We need to change our lifestyle full stop.
5.0 out of 5 stars Going for Round two
Reviewed in Canada on September 22, 2014
I have recommended this to friends.
5.0 out of 5 stars Second time round....
Reviewed in the United Kingdom on September 5, 2013
I had to buy this copy because of my original thoughts on the book just would not go away, scary stuff, true stuff all written by noted experts in the various fields. It debunks myths, finds reasons, symptoms, cures or not, all packed in here..... can you tell me anything about Avian Flu, Ebola, Lhassa Fever, HIV and so on, this book will tell you and more, much more... !!





