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.
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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