Breslow tells what it took to garner the Surgeon Generalís cigarette warning, the current high tax on tobacco sales, and todayís air pollution emission standards. He shows how a sometimes reticent medical establishment has come to understand that living conditions and behaviors are more important to longevity than the treatment of disease itself. This behind-the-scenes expose is fascinating reading for medical and public health students, educators, and policy makers alike.
During her barrier-crossing career, Dr. Guinan met arms-seeking Afghan insurgents in Pakistan and got caught in the cross fire between religious groups in Lebanon. She treated some of the first AIDS patients and served as an expert witness in defense of a pharmacist who was denied employment for having HIV—leading to a landmark decision that still protects HIV patients from workplace discrimination. Randy Shilts’s best-selling book on the epidemic, And the Band Played On, features her AIDS work.
In Adventures of a Female Medical Detective, Guinan weaves together twelve vivid stories of her life in medicine, describing her individual experiences in controlling outbreaks, researching new diseases, and caring for patients with untreatable infections. She offers readers a feisty, engaging, and uniquely female perspective from a time when very few women worked in the field. Occasionally heartbreaking, sometimes hilarious, Guinan’s account of her pathbreaking career will inspire public health students and future medical detectives—and give all readers insight into that part of the government exclusively devoted to protecting their health.
Recognizing the opportunity to learn from the countless lessons of this epidemic, the National Academies of Sciences, Engineering, and Medicine convened a workshop in March 2015 to discuss the challenges to successful outbreak responses at the scientific, clinical, and global health levels. Workshop participants explored the epidemic from multiple perspectives, identified important questions about Ebola that remained unanswered, and sought to apply this understanding to the broad challenges posed by Ebola and other emerging pathogens, to prevent the international community from being taken by surprise once again in the face of these threats. This publication summarizes the presentations and discussions from the workshop.
Howard Hiatt—physician, scientist, advocate for global health, and mentor to generations of healthcare leaders—has spent much of his seven-decade career being ahead of his time. His innovative ideas as head of Harvard's School of Public Health from 1972 to 1984—about preventive medicine, the incorporation of cutting-edge science into the curriculum, and cross-disciplinary collaboration—met fierce resistance at the time but are now widely recognized building blocks of public health. Hiatt's interest in global health and health equity equipped him to advocate for a series of younger physicians and researchers, including Paul Farmer and Jim Kim, two founders of Partners in Health, and the prominent health policy expert Don Berwick. This book tells the story of Hiatt's life and work, with important lessons for today drawn from Hiatt's 92 years of experience.
Hiatt, born in 1925, attended Harvard College and received an M.D. degree from Harvard Medical School. Before he headed the School of Public Health, he was a modernizing force as chief of medicine at Boston's Beth Israel Hospital. After his stormy tenure at SPH, he went to Brigham and Women's as a professor of medicine and a senior physician with a portfolio of his own devising. It was at the Brigham that Hiatt took on the role of mentor, influencing generations of physicians and staking out new territory in the fields of global health and clinical effectiveness. He is still active at 92 as teacher and mentor.
Dr. Steven Hatch, an infectious disease specialist, first came to Liberia in November 2013 to work at a hospital in Monrovia. Six months later, several of the physicians he had served with were dead or unable to work, and Ebola had become a world health emergency. Inferno is his account of the epidemic that nearly consumed a nation, as well as its deeper origins.
Hatch returned with the aid organization International Medical Corps to help establish an Ebola Treatment Unit. Alongside a devoted staff of expats and Liberians in a hastily constructed facility nestled into the jungle, Hatch witnessed the unit's physicians, nurses, other caregivers, and patients selflessly helping others, preserving hope in the face of fear, and maintaining dignity across the divide of health and illness. And, over repeated visits during the course of the outbreak, Hatch came to understand the Ebola catastrophe not only as a contagious virus but as a product of Liberia's violent history and America's role in it.
Powerful and clear-eyed, Inferno not only explores a deadly virus and an afflicted country, but also reveals how the Ebola outbreak stoked nativist anxieties that were exploited for political gain in the United States and around the world. In telling one doctor's story, Inferno demonstrates how generations of inequality left Liberia vulnerable to crisis, and how similar circumstances might fuel another plague elsewhere. By understanding and alleviating those circumstances, Hatch writes, we may help smother the fire next time.