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The Great Influenza-John M Barry Audio book NEW CD - Deadliest Plague in History
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Brand New Audiobook
The Great Influenza : The Epic Story of the Deadliest Plague in History
by John M. Barry (Read by Scott Brick) in CD Format
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The Great Influenza : The Epic Story of the Deadliest Plague in History
 by John M. Barry (Read by Scott Brick) in CD Format
Brand New (still shrink wrapped): 19.5 Hours 16 CD
The connection among public health, epidemic disease, and politics can be seen throughout history, from the responses to the Black Death in Italian cities in 1348 to the response -- or lack thereof -- to the resurgence of tuberculosis on the part of the New York City Department of Health in the 1980s. John M. Barry spells out this connection in fascinating detail in The Great Influenza. In his meticulous description of the dire consequences that resulted when short-term political expediency trumped the health of the public during the 1918 influenza pandemic, Barry reminds his readers that the government response to an epidemic is all too often colored by the politics of the moment. Barry is neither a scientist nor a professional historian, and some of the details he gives on virology and immunology are clearly targeted at a nonmedical audience, but physicians and scientists will find this book engrossing nonetheless. The influenza pandemic of 1918, the worst pandemic in history, killed more people than died in World War I and more than the tens of millions who have died, to date, in the AIDS pandemic. Barry focuses only on what was occurring in the United States at the time, and he tries to place this unprecedented human disaster both against the background of American history and within the context of the history of medicine. He is right to try to acquaint the reader with the state of American medicine at the turn of the last century, focusing on the dismal status of medical education and laboratory research, particularly as compared with that in Europe at the same time. Much of his discussion centers on "great men" (and an occasional great woman), however, and the picture given of their lives and professional careers is superficial and occasionally repetitious, and it distracts from the main events. His point, presumably, is to convey the futility of all the efforts of these brilliant minds, and he begins and ends the book with anecdotes about Paul Lewis, a scientist who had helped to prove that poliomyelitis is caused by a virus and then developed a highly effective simian vaccine. Lewis is the symbol of the best and the brightest of the scientific establishment, and we follow him as he weaves in and out of the story. He, like all scientists of his time, failed to grasp the fact that influenza was caused by a virus, believing it to be caused by Pfeiffer's bacillus, and he was therefore unable to develop a successful vaccine or to halt the devastation. The book becomes riveting once Barry begins to describe the origins and early weeks of the epidemic. The fact that it was wartime and that hundreds of thousands of men were being called up, placed in overcrowded camps, and packed like sardines into ships to be delivered as efficiently as possible to Europe enabled influenza to spread rapidly among recruits.
From the military camps, the virus spread into the civilian population in the United States and from the United States to France. Barry describes the first catastrophe at Camp Devens, in Massachusetts, in the late summer of 1918, where thousands of previously healthy men in their prime suddenly became critically ill, overwhelming the inadequate camp hospital, infecting the medical staff, and dying by the hundreds, apparently with acute respiratory distress syndrome. The smartest and most hardworking scientists, physicians, and nurses, both military and civilian, were stunned by the rapidity of the disease progression and the inexplicable death toll among the youngest and strongest. (Figure) Barry provides a fascinating picture of the response of the government -- both federal and local. The former was sluggish at best and secretive and dishonest at worst, desperate to keep the war effort going and the public calm and to minimize the severity of the disease. In one of the more gripping chapters, Barry focuses on Philadelphia and tells us of the backwardness of its social infrastructure, the lack of a functioning health department, and the power of the local political machine. Dr. Wilmer Krusen, a political appointee who was the director of the Philadelphia Department of Public Health and Charities, deliberately ignored warnings against allowing a Liberty Loan parade to proceed, even though influenza had devastated the local Navy Yard and begun to spread into the civilian population. Within 72 hours of the parade, every bed in Philadelphia's 31 hospitals was filled. Within 10 days the epidemic exploded from a few hundred civilian cases to hundreds of thousands and from a daily rate of one or two deaths to hundreds. The horror is most vivid in the dilemma surrounding the disposal of bodies. The city morgue had hundreds of bodies stacked up, which produced an unbearable stench, and undertakers rapidly ran out of coffins. Hundreds of bodies lay in homes exactly where they had been at the time of death; burial quickly became impossible, since there were not enough people to dig graves. Whether anything might have been done differently, and if it had, whether this would have made a difference, are questions that Barry leaves unanswered. His tone is often irritatingly and unnecessarily sensationalist. But his indictment of the public authorities for their dishonesty and deliberate minimization of the damage and dangers is particularly chilling in today's climate of bioterrorism, in the midst of a war whose damages and dangers have been similarly minimized. Barry makes it all too easy to imagine a similarly devastating epidemic with a similarly inadequate response.
About the Great Flu Pandemic:
The Spanish Flu Pandemic, also known as La Grippe Espagnole, La Pesadilla, or the 1918 flu, was a pandemic caused by an unusually severe and deadly strain of the subtype H1N1 of the species Influenza A virus. In that pandemic, 50 million to 100 million people worldwide were killed during about a year in 1918 and 1919 [1]. It is thought to have been one of the most deadly pandemics so far in human history.
The Allies of World War I called it the "Spanish Flu". This was mainly because the pandemic received greater press attention in Spain than in the rest of the world, as Spain was not involved in the war and there was no wartime censorship in Spain. Although the virus certainly did not originate in Spain, the country did have one of the worst early outbreaks of the disease, with some 8 million people infected in May 1918. It was also described as only "the flu" or "la grippe" by public health officials seeking to prevent panic.The social effects were intense due to the fast spread of the pandemic. Global mortality rate from the flu is estimated at 2.5% – 5% of the human population, with 20% of the world population suffering from the disease to some extent. It spread across the world killing 25 million in six months; some estimates put the total killed at over twice that number, possibly even 100 million.
An estimated 17 million died in India, about 5% of India's population at the time. In the Indian Army, almost 22% of troops who caught the disease died of it. In US, about 28% of the population suffered, and 500,000 to 675,000 died. In Britain 200,000 died; in France more than 400,000. The death rate was especially high for indigenous peoples; entire villages perished in Alaska and southern Africa. In the Fiji Islands, 14% of population died during only two weeks, and in Western Samoa 22%. In Japan, 257,363 deaths were attributed to influenza by July 1919, giving an estimated 0.425% mortality rate, much lower than nearly all other Asian countries for which data are available.
The strain was unusual in killing many young and healthy victims, unlike common influenzas that kill mostly newborns and the old and infirm. People without symptoms could be struck suddenly and within hours be too feeble to walk; many died the next day. Symptoms included a blue tint to the face and coughing up blood caused by severe obstruction of the lungs. In later stages, the virus caused an uncontrollable hemorrhaging that filled the lungs, and patients drowned in their body fluids.
In fast-progressing cases, mortality was primarily from pneumonia, by virus-induced consolidation. Slower-progressing cases featured secondary bacterial pneumonias, and there may have been neural involvement that led to psychiatric disorders in a minority of cases. Some deaths resulted from malnourishment and even animal attacks in overwhelmed communities.
While in most places less than one-third of the population was infected and a fraction of that died, in a number of towns in several countries the entire population was wiped out. The only sizeable inhabited place with no documented outbreak of the flu in 1918–1919 was the island of Marajó at the mouth of the Amazon River in Brazil.
Many cities, states, and countries enforced restrictions on public gatherings and travel to try to stop the pandemic. In many places theaters, dance halls, churches and other public gathering places were closed for over a year. Quarantines were enforced with little success. Some communities placed armed guards at the borders and turned back or quarantined any travellers. One U.S. town even outlawed shaking hands.
Even in areas where mortality was low, those incapacitated by the illness were often so numerous as to bring much of everyday life to a stop. Some communities closed all stores or required customers not to enter the store but place their orders outside the store for filling. There were many reports of places with no health care workers to tend the sick because of their own ill health and no able bodied grave diggers to bury the dead. Mass graves were dug by steam shovel and bodies buried without coffins in many places.
The Spanish Flu vanished within 18 months, probably as a result of development of antibodies among the remaining population. The virus apparently did not disappear entirely, as weaker strains, presumably mutations of the original, have shown
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The Great Influenza : The Epic Story of the Deadliest Plague in History
by John M. Barry (Read by Scott Brick) | | |
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