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The Coming Plague: Newly Emerging Diseases in a World Out of Balance Paperback – Unabridged, October 1, 1995
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The definitive account of epidemics in our time, from the Pulitzer Prize-winning public heath expert Laurie Garrett.
A New York Times notable book
Unpurified drinking water. Improper use of antibiotics. Local warfare. Massive refugee migration. Changing social and environmental conditions around the world have fostered the spread of new and potentially devastating viruses and diseases—HIV, Lassa, Ebola, and others. Laurie Garrett takes you on a fifty-year journey through the world's battles with microbes and examines the worldwide conditions that have culminated in recurrent outbreaks of newly discovered diseases, epidemics of diseases migrating to new areas, and mutated old diseases that are no longer curable. She argues that it is not too late to take action to prevent the further onslaught of viruses and microbes, and offers possible solutions for a healthier future.
- Print length768 pages
- LanguageEnglish
- PublisherPenguin (Non-Classics)
- Publication dateOctober 1, 1995
- Grade level12 and up
- Reading age18 years and up
- Dimensions9 x 6.1 x 1.7 inches
- ISBN-109780140250916
- ISBN-13978-0140250916
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The Hot Zone: The Terrifying True Story of the Origins of the Ebola VirusPaperback
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
From Publishers Weekly
Copyright 1995 Reed Business Information, Inc.
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 golbal 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 repidly 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. —The Los Angeles Times Book Review
"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
About the Author
Product details
- ASIN : 0140250913
- Publisher : Penguin (Non-Classics); Reprint edition (October 1, 1995)
- Language : English
- Paperback : 768 pages
- ISBN-10 : 9780140250916
- ISBN-13 : 978-0140250916
- Reading age : 18 years and up
- Grade level : 12 and up
- Item Weight : 1.55 pounds
- Dimensions : 9 x 6.1 x 1.7 inches
- Best Sellers Rank: #366,512 in Books (See Top 100 in Books)
- #346 in American Dramas & Plays
- #1,505 in Biology (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.
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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.
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!
So after seeing author Laurie Garrett on television a lot lately, I decided I should read her book to get a better understanding of the situation we are in. Amazingly, this very thorough book is written for the eyes of lay people, yet is as full of detail about the recent history of epidemiology as I am guessing that the author thought we regular people could tolerate and understand. I can't say that I read every page fully, but rather skimming paragraphs in some sections. But anyone who reads this book must come away with a sense of awe and gratefulness towards those scientists who have and do devote themselves to this branch of science. I agree with the author that if our government does not see fit to fully fund this line of research, we, the species who thinks we're so smart, will lose the stalemate we have with the microbial and viral worlds.
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Great historical summary
Informative and knowledgeable














