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Scourge: The Once and Future Threat of Smallpox

Stella Daily writes: "Had Jonathan Tucker's Scourge: The Once and Future Threat of Smallpox been released just a few months ago, it might have been of interest only to a few outside of the world of epidemiology, but now that anthrax scares have reawakened public interest in biowarfare, it's hardly surprising that Scourge has been flying off the shelves." Read on for the rest of her review of this sobering non-fiction technothriller. Scourge: The Once and Future Threat of Smallpox author Jonathan B. Tucker pages 291 publisher Atlantic Monthly Press rating 9 reviewer Stella Daily ISBN 0-87113-830-1 summary The history and potential horrors of a vanquished killer

Tucker clearly wrote the book believing that the use of smallpox as a biological weapon was a worrisome, but not especially likely, threat, and on September 10th, most of us would not only have concurred, but would probably never have thought that such a thing could happen; after all, smallpox remains the only infectious disease to have been eradicated by humans. After reading Scourge, you will be grateful that the mysterious sender of anthrax-laced mail doesn't have the power of this infinitely worse pestilence in his or her hands.

The smallpox virus, or variola, is a biscuit-shaped bundle of DNA and protein casing, so tiny it can only be viewed with an electron microscope, yet devastating to the human body. The disease kills up to thirty percent of its victims and leaves the rest permanently scarred after battling fever, nausea, and boils so painful that thirsty patients often refused water, unable to swallow without excruciating hurt. Perhaps to be merciful, Tucker has included no photographs of suffering victims covered in the gruesome pustules of the disease, but should you have a morbid curiosity to see one, visit the Polio Eradication Photo Gallery.

Scourge is not a story about a virus, however; it is a story about people. Tucker tells of the history of smallpox and civilizations, how political machinations combined with idealism to bring about the global cooperation that removed smallpox from the earth, and the elaborate subterfuge used by the Soviet Union to hide its research on smallpox as a potential biological weapon. Fans of Laurie Garrett's (The Coming Plague, Betrayal of Trust) journalistic style will appreciate Tucker's treatment; the major figures in the history of smallpox are presented in terms of their personalities and personal struggles, rather than in simple obituary-style listings of what they did.

In describing the early history of the disease, Scourge is fascinating. You may have known that smallpox helped Hernando Cortes conquer the Aztecs in the sixteenth century, but perhaps you didn't know that smallpox may have been the Athenian epidemic Thucydides describes in his account of the Peloponnesian war. The superstitions that existed prior to the germ theory of disease - and, in some areas, long enough to hinder the last stages of the smallpox eradication campaign in the late 1970s - seem truly impossible now, but such was belief prior to the germ theory of disease.

The conquering of smallpox remains one of the great triumphs of mankind - the only infectious disease successfully eradicated by humans. The history of the eradication campaign is one of cooperation between nations and between scientists, but it is also a story of obstacles placed in the way by reluctant governments, the rapid spread of disease due to world travel, and the stubbornness of the superstitious. Here, you will meet such figures as D.A. Henderson, the reluctant leader of the World Health Organization campaign, and Viktor Zhdanov, the man who first proposed a global eradication campaign to the WHO in 1958, then, ironically, became the first chairman of the Soviet council that oversaw the secret biowarfare program beginning in the 1970s.

The clash between the traditional openness of the scientific community, where information is shared relatively freely, and the secretiveness of bureaucracies, where being in the know is a mark of power, is a recurring theme. Often, you'll find yourself rooting for the researchers, who frequently had to reason with government officials who knew nothing about science, but you may be surprised to find yourself agreeing with the government - specifically, the Department of Defense - a time or two.

The story of the Soviet Union's successful cover-up of its research into the use of smallpox as a biological weapon is unsettling, to say the least. Do you find the aftermath of a nuclear bomb impressive? Imagine that bomb followed by an ICBM bearing smallpox - a disease that kills nearly a third of its victims in a normal situation, but would be attacking survivors of a nuclear attack, whose immune systems would be severely compromised by radiation damage. Lest you think that earlier vaccinations might have helped, the smallpox vaccine is effective for only about ten years before revaccination is required, and the United States had stopped mandatory vaccinations long before the last known case of naturally occurring smallpox was diagnosed in 1978. Such a warhead was one of the foci of the Soviet program, even as facilities were carefully disguised so as to give the appearance of compliance with the Biological Weapons Convention treaty. Western governments did not learn of the full scope of the Soviet effort until 1989, and kept the information classified until former Soviet smallpox research scientist Ken Alibek (ne Kanatjan Alibekov) told the story to the American press in 1998.

Although, officially, the last remaining stores of variola virus are kept in Moscow and at the Center for Disease Control in Atlanta, Tucker raises the possibility that other governments - particularly Iraq - may have retained secret stores of smallpox virus, citing enough circumstantial evidence to keep his speculation from being easily discounted. He also brings up the possibility that a government might, to avoid the certain retaliation that would come from launching a smallpox attack, supply the virus to a group like al-Qaeda, then deny responsibility when the terrorists release the disease. Tucker finished documenting these speculations well before the September 11th attacks; now, one hopes they aren't prophetic.

In the case of smallpox, the truth is as morbidly fascinating as any fiction could possibly be, and Tucker tells the story of those who fought to end the scourge and those who would have preserved it as a weapon with equal aplomb, yet from the perspective of a world where smallpox was a piece of history and sophisticated biological attack a back-burner phenomenon. Now that fears of biological warfare are all too real, Scourge is exceptionally relevant - and hopefully not a prediction of what is to come.

You can purchase this book at Fatbrain.

4 of 248 comments (clear)

  1. Re:George Carlin (Offtopic) by Orkin · · Score: 2, Funny

    George Carlin - isn't he that guy hiding in a cave in Afghanistan leading a terrorist network?

  2. Jenner time! Do the cowpox! by Ukab+the+Great · · Score: 3, Funny

    Time to start milking cows again. At least cyberporn gave us lots of practice.

  3. I won't be in today, Mr. Smithers. by sharkey · · Score: 4, Funny

    I have Smallpox.
    ...
    Well, it wasn't wiped out in MY house!
    &#151Homer Simpson

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    "Outlook not so good." That magic 8-ball knows everything! I'll ask about Exchange Server next.
  4. Re:George Carlin (Offtopic) by libre+lover · · Score: 4, Funny
    It's from the Carlin special You Are All Diseased. When I first saw you're post I went looking for my tape of it (I was going to transcribe it) but then I caught some sense and remembered Google. Here it is:
    I'm getting tired of security at the airport, There's too much of it. I'm tired of some fat chick with a double-digit IQ and a triple-digit income rootin' around inside my bag for no reason and never finding anything. Haven't found anything yet. Haven't found one bomb in one bag. And don't tell me, "Well, the terrorists know their bags are going to be searched, so now they're leaving their bombs at home." There are no bombs! The whole thing is fuckin' pointless'

    And it's completely without logic. There's no logic at all. They'll take away a gun but let you keep a knife. Well, what the fuck is that? In fact, there's a whole list of lethal objects they allow you to take on board. Theoretically, you could take a knife, an ice pick, a hatchet, a straight razor, a pair of scissors, a chain saw, six knitting needles and a broken whiskey bottle, and the only thing they would say to you is, "That bag has to fit all the way under the seat in front of you."

    And if you didn't take a weapon on board, relax. After you've been flying for about an hour, they're gonna bring you a knife and fork! They actually give you a fucking knife. It's only a table knife, but you could kill a pilot with a table knife. It might take a couple of minutes.

    Especially if he's hefty. But you could get the job done. If you really wanted to kill the prick. Shit, there are a lot of things you could use to kill a guy. You could probably beat a guy to death with the Sunday New York Times, couldn't you? Suppose you just have really big hands. Couldn't you strangle a flight attendant? Shit, you could probably strangle two of them, one with each hand. That is, if you were lucky enough to catch 'em in that little kitchen area. Just before they break out the fuckin' peanuts. But you could get the job done. If you really cared enough.

    So why is it they allow a man with big, powerful hands to get on board an airplane? I'll tell you why. They know he's not a security risk, because he's already answered the three big questions. Question number one: "Did you pack your bags yourself?"

    "No, Carrot Top packed my bags. He and Martha Stewart and Florence Henderson came over to the house last night, fixed me a lovely lobster Newburg, gave me a full body massage with sacred oils from India, performed a four-way around-the-world and then packed my bags. Next question." "Have your bags been in your possession the whole time?"

    "No. Usually the night before I travel-just as the moon is rising-I place my suitcases out on the street corner and leave them there, unattended, for several hours. Just for good luck. Next question."

    "Has any unknown person asked you to take anything on board?"

    "Well, what exactly is an 'unknown person'? Surely everyone is known to someone. In fact, just this morning, Kareem and Youssef Ali ben Gabba seemed to know each other quite well. They kept joking about which one of my suitcases was the heaviest."

    And that's another thing they don't like at the airport. Jokes. You can't joke about a bomb. Well, why is it just jokes? What about a riddle? How about a limerick? How about a bomb anecdote? You know, no punch line, just a really cute story. Or suppose you intended the remark not as a joke but as an ironic musing? Are they prepared to make that distinction? I think not! And besides, who's to say what's funny?

    Airport security is a stupid idea. It's a waste of money and it's there for only one reason: to make white people feel safe. That's all it's for. To provide a feeling, an illusion, of safety in order to placate the middle class. The authorities know they can't make airplanes safe; too many people have access. You'll notice that drug smugglers don't seem to have a lot of trouble getting their little packages on board, do they? No. And God bless them, too.

    And by the way, an airplane flight shouldn't be completely safe. You need a little danger in your fife. Take a fuckin' chance, will ya? What are you gonna do, play with your prick for another 30 years? Are you gonna read People and eat at Wendy's till the end of time? Take a fuckin' chance! Besides, even if they made all of the airplanes completely safe, the terrorists would simply start bombing other places that are crowded: pawnshops, crack houses, titty bars and gang bangs. You know, entertainment venues. The odds of your being killed by a terrorist are practically zero. So I say, relax and enjoy the show.

    You have to be realistic about terrorism. Ya gotta be a realist: Certain groups of people--Muslim fundamentalists, Christian fundamentalists, Jewish fundamentalists, and just plain guys from Montana--are going to continue to make life in this country very interesting for a long, long time. That's the reality. Angry men in combat fatigues talking to God on a two-way radio and muttering incoherent slogans about freedom are eventually going to provide us with a great deal of entertainment.

    Especially after your stupid fuckin' economy collapses all around you, and the terrorists come out of the woodwork. And you'll have anthrax in the water supply and sarin gas in the air conditioners; there'll be chemical and biological suitcase bombs in every city, and I say, "Relax, enjoy it! Enjoy the show! Take a fuckin' chance. Put a little fun in your life." To me, terrorism is exciting. I think the very idea that someone might set off a bomb in Macy's and kill several hundred people is exciting and stimulating, and I see it as a form of entertainment!

    But I also know most Americans are soft, frightened, unimaginative people who have no idea there's such a thing as dangerous fun. And they certainly don't recognize good entertainment when they see it. I have always been willing to put myself at great personal risk for the sake of entertainment. And I've always been willing to put you at great personal risk for the same reason.

    As far as I'm concerned, all of this airport security--the cameras, the questions, the screening, the searches--is just one more way of reducing your liberty and reminding you that they can fuck with you any time they want, as long as you're willing to put up with it. Which means, of course, any time they want. Because that's the way Americans are now. They're always willing to trade away a little of their freedom for the feeling, the illusion--of security.
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