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Scourge: The Once and Future Threat of Smallpox
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.
i wonder how much sympathy the HALF MILLION CHILDREN that died from '91-'98 because of US sanctions (famine, disease) would have for us.
smallpox is an uncontrolled agent, sanctions can stop today if we chose to do so.
sig
We can spend BILLIONS of dollars in anticipation of a POSSIBLE smallpox attack, or spend those exact same billions of dollars on a project GUARANTEED to save millions of lives.
The HIV epidemic in Africa is putting whole territories in danger of having an average age under 20 as often more than 60% of adults are HIV positive. The US and UK based drug companies and governments aren't doing anything about this - they have the drugs to slow the spread of HIV right now - they choose not to use them.
Spending this money on treating HIV in Africa will prevent many millions of infections over the next 10, 20 and hundred years. That is no exageration - just type HIV, Africa, Epidemic, Statistics into Google and see what you get!
I vote for the safe bet. Smallpox won't happen - it MIGHT, but HIV already IS. Do you splint the fat guys broken leg or lecture him about his diet?
Sorry for getting political - but this does 'matter'