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Epic Measures: One Doctor. Seven Billion Patients. Paperback – March 28, 2017
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Jeremy N. Smith
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Print length368 pages
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LanguageEnglish
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PublisherHarper Wave
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Publication dateMarch 28, 2017
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Dimensions5.31 x 0.83 x 8 inches
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ISBN-100062237519
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ISBN-13978-0062237514
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Editorial Reviews
Review
“A fascinating account of a charismatic visionary.” -- Kirkus Reviews
“This book is a crash course in global health mixed with a thriller and a biography. And my goodness, what a made-for-Hollywood character at its core―a brilliant but bristly scientist out to revolutionize the way we conceive healthcare.” -- A. J. Jacobs, author of Drop Dead Healthy and The Year of Living Biblically
“We’ve all heard about the rise of Big Data and how it will have big effects. Well, this is the ultimate Big Data project and it could indeed save lives and money-big time!” -- Fareed Zakaria, CNN
“Jeremy Smith’s engaging story of a man obsessed with the numbers, and the mortal dramas they tell, reads like a novel and is better than any textbook or survey of this planet’s health.” -- Paul Farmer, Co-Founder of Partners In Health and Co-Chair of the Department of Global Health and Social Medicine at Harvard Medical School
“The Global Burden of Disease Study is not only an epic dataset, but also an epic human story…. Through fine reporting and graceful writing, Jeremy Smith reveals the high-stakes story behind the numbers that are transforming global health. -- Michelle Nijhuis, co-editor of The Science Writers’ Handbook
“A page-turner that could radically change the way you view health.” -- Joy Portella, President, Minerva Strategies
“A thumping narrative about trends shaping the future.” -- Aaron Shulman, The Los Angeles Review of Books
“Bold, brash, and brilliant…. In Epic Measures, Jeremy Smith tells a compelling story of the man who led a group of like-minded collaborators, inspired a legion of followers, irritated the establishment, and changed the way the world thinks about health and disease.” -- Harvey V. Fineberg, President, Gordon and Betty Moore Foundation
“Jeremy Smith tells an inspiring story of how a simple idea, conceived logically and pursued with grit, can greatly improve the human condition.” -- Edward O. Wilson, University Professor Emeritus, Harvard University
From the Back Cover
Medical doctor and economist Christopher Murray began the Global Burden of Disease study to gain a truer understanding of how we live and how we die. Leading one of the largest scientific projects ever attempted—as ambitious as the first moon landing or the Human Genome Project—the charismatic and controversial health maverick found a way to use Big Data to show that the ideal existence isn’t simply the longest but the one lived well and with the least illness. Along the way, he and his colleagues challenged—and changed—the accepted wisdom of major aid groups, the WHO, and the UN, making enemies but also winning some very influential friends in their ongoing crusade to redefine how we see health and well-being.
Moneyball meets medicine in this remarkable chronicle of Murray’s lifelong determination to understand the world’s health problems, told with novelistic verve by acclaimed journalist Jeremy N. Smith. Encompassing wars and famines, presidents and activists, billionaires and billions of people worldwide living in poverty, Epic Measures is the story of one of the greatest scientific quests of our time—and the visionary mastermind behind it.
About the Author
Jeremy N. Smith has written for the Atlantic, Discover, and the New York Times, among many other publications, and has been featured by CNN, NPR, and Wired. His first book, Growing a Garden City, was one of Booklist’s top ten books on the environment for 2011. Born and raised in Evanston, Illinois, he is a graduate of Harvard College and the University of Montana. He lives in Missoula, Montana, with his wife and daughter.
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Product details
- Publisher : Harper Wave; Reprint edition (March 28, 2017)
- Language : English
- Paperback : 368 pages
- ISBN-10 : 0062237519
- ISBN-13 : 978-0062237514
- Item Weight : 9.7 ounces
- Dimensions : 5.31 x 0.83 x 8 inches
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Best Sellers Rank:
#488,477 in Books (See Top 100 in Books)
- #165 in Vaccinations
- #304 in Health Policy (Books)
- #510 in Sociological Study of Medicine
- Customer Reviews:
Customer reviews
Top reviews from the United States
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The book explores the politics behind disease measurements: governments want to appear to be more effective than they are while charities want to exaggerate the magnitude of problems to make their goals seem more urgent and more worthy of dollars spent. As an example there were so many deaths "claimed" by different charities as belonging to their pet cause that the deaths claimed exceeded BY FOUR TIMES the actual deaths on the planet! This one project suddenly leveled the playing field by assigning each death (illness/injury/etc) around the world one cause.
Arguably, there is often more than one cause per death. Someone can be suffering from malnutrition which leads to poor outcomes when disease strikes. Also, if an overweight, sedentary person passes away- what killed them? The back pain that kept them sedentary? The diabetes that came from poor diet? Or the depression that kept them from seeking healthcare? The adjustment that the GBD uses to account for these multiple causes is the DALY, a simple measurement of impaired years that precede the actual death. For the first time we can identify a single cause of death and still acknowledge contributing factors.
The magnitude of this project is mind boggling- the team basically went around the WHO, the CDC, and many governments to dissect the immense data with people on the ground. A triumph.
Inspiring story, well written. Kudos to Smith!
The eye openers for me were:
[1] Statistics are really difficult to gather with accuracy and reliability.
[2] Many "world health professionals" are more concerned with statistics which justify the funding of their program rather than serving the acculal needs of people.
[3] Conditions that don't kill but reduce the quality of one's life need to be factored into this calculation.
Top reviews from other countries
This book brings out the interesting story from an insider perspective, which otherwise general public may have been always unaware of. What does it take to counter big organization such as WHO and the misleading data that they used to publish to he whole world as the truth, where on the ground the reality is something else.
The only reason to not give this book a rating of 5 is that it lacks more detailed facts about how were WHO's algorithms corrected by IHME. May be that will make this more technical. But am eager for such kind of a book/paper which actually explains the algorithms/procedures taken to conduct such data gathering studies and data adjustment processes.
Great work Chris For the cause of humanity! And awesome work by Jeremy to bring together this book with simple and easy to understand messages.
En vez de hablar precisamente sobre salud, política sanitaria internacional y estadística, se queda en glosar los movimientos del protagonista, el Dr. Chris Murray, sus movimientos y cambios institucionales.
Una lástima.


