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Betrayal of Trust by Laurie Garrett

Betrayal of Trust

by Laurie Garrett

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350547,176 (3.93)6



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Showing 5 of 5
Sequal to the Coming Plague discusses how global public helath is failing the citizens of the planet. ( )
  oldman | Sep 23, 2012 |
The book covers many contries, developed and undeveloped and documents the total breakdown in public health infrastructures and power in these countries. Anyone who watched congressional hearings after the anthrax scares following 9/11 and heard that many public health offices did not have computers would realize what a dangerous condition the US is in. The information about chances of infections in American hospitals makes one think twice about entering one if very sick and at risk. Alarmist, yes, and rightly so.
As one of the Librarything reviewers comments there is a lot of information here, many were interviewed, it is packed with detail and is not a leisurely read, but this makes it very good. Unfortunately little has probably changed in the past 10 years. ( )
  carterchristian1 | Jan 25, 2010 |
A little alarmist but still a very good book. ( )
  jcvogan1 | Dec 28, 2008 |
This book was clearly well researched (both on the ground and at the library) but it is in serious need of some editing. One example of this is the multitude of people interviewed and quoted throughout the book. We are introduced to many characters who are well described only to never hear about them again. This quickly grew annoying as it detracted from the general flow of the narrative. The sheer volume and scope of this work is both its greatest asset and its biggest drawback. Although I must confess, I could not force myself to read the Epilogue. After 500 or so pages of increasingly bitter comments and anti-Republican rhetoric, I felt I could not carry on for the Epilogue. Also, I felt that her main solutions were spend more money and vote Democratic and I had heard enough about both of these ideas in the preceding chapters. ( )
  pbirch01 | Apr 29, 2008 |
I really liked this book, goes through numerous public health scares that have occured across the world and extrapolates from these experiences to predictions about future health concerns. Makes me scared to go to the doctor and am really worried about hanging out at an ER. ( )
  DBayn1 | Sep 29, 2006 |
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Amazon.com Amazon.com Review (ISBN 0786884401, Paperback)

What do Russia, Zaire, Los Angeles, and--most likely--your community have in common? Each is woefully unprepared to deal with a major epidemic, whether it's caused by bioterrorism or by new or reemerging diseases resistant to antibiotics. After the publication of her critically acclaimed The Coming Plague, which looked at the reemergence of infectious diseases, Laurie Garrett decided to turn her highly honed reportorial skills to what she saw as the only solution--not medical technology, but public health. However, what she found in her travels was the collapse of public-health systems around the world, no comfort to a species purportedly sitting on a powder keg of disease. In Betrayal of Trust, Garrett exposes the shocking weaknesses in our medical system and the ramifications of a world suddenly much smaller, yet still far apart when it comes to wealth and attention to health.

With globalization, humans are more vulnerable to outbreaks from any part of the world; increasingly, the health of each nation depends on the health of all. Yet public health has been pushed down the list of priorities. In India, an outbreak of bubonic plague created international hysteria, ridiculous in an age when the plague can easily be treated with antibiotics--that is, if you have a public-health system in place. India, busy putting its newfound wealth elsewhere, didn't. In Zaire, the deadly Ebola virus broke out in a filthy and completely unequipped hospital, and would have kept up its rampage if the organization Doctors Without Borders hadn't stepped in, not with high-tech equipment or drugs, but with soap, protective gear, and clean water. Most of the world still doesn't have access to these basic public-health necessities. The 15 states of the former Soviet Union have seen the most astounding collapse in public health in the industrialized world. But during a cholera epidemic, officials refused to use the simple cure public-health workers have long relied on--oral rehydration therapy. Many of the problems in these nations can also be found in one degree or another in the U.S., where medical cures using expensive technology and drugs have been emphasized to the detriment of protecting human health. The result? More than 100,000 Americans die each year from infections caught in hospitals, and America has a disease safety net full of holes.

A Pulitzer Prize-winning journalist (for Newsday and others), Garrett has deftly turned what could have been a very dry subject into dramatic reportage, beginning with the eerie silence on the streets of Surat, India, where half the city's population (including doctors) fled the plague, while a thick white layer of DDT powdered the ground. Fascinating, frightening, and well-documented, Betrayal of Trust should be read not only by medical professionals and policymakers but the general public, and should galvanize a change in thinking and priorities. --Lesley Reed

(retrieved from Amazon Thu, 12 Mar 2015 18:16:58 -0400)

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