Robert S. Desowitz
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By: W. W. Norton & Company
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Subjects -> Health, Mind & Body -> General
Subjects -> Health, Mind & Body -> General AAS
Subjects -> Medicine -> Internal Medicine -> Infectious Disease -> Communicable Diseases
Customer Reviews:
Total reviews: 4
Average rating: 4.0 of 5
Thought-provoking study of Malaria and Kala Azar 3 out of 5 stars.
8 of 8 people found this review helpful.
Robert Desowitz leaves his readers with many 'cliff-hangers' in "The Malaria Capers". The version I read was published in 1991, so some of his unfinished stories may have endings by now---all except for the most important story of all, which is the search for an effective vaccine against the parasitic protozoans that cause malaria and kala azar (visceral leishmaniasis).Immunization campaigns have eradicated smallpox and may be on the verge of eradicating polio, but the two diseases that this book focuses on cannot currently be prevented with vaccines. The danger of catching malaria or kala azar can be minimized---unfortunately the majority of the population at risk can't even afford the most effective preventive measure---a bed net soaked in insecticide (according to 2000 World Health Organization statistics this costs about $4, plus $1 per year for a supply of insecticide).
No wonder Desowitz gets so mad and preachy in "The Malaria Capers". Malaria still kills over one million people a year (another 2000 WHO statistic) - most of them young children. None of the vaccines that scientists were working on when this book was written have proven to be effective, which is exactly what Desowitz predicted. In his last chapter, "The Vaccine Felonies", he excoriates the Malaria researchers who spent their AID grants on vaccines that were already proven to be ineffective and unsafe for humans. While doing so, they diverted funding from proven preventive measures such as bed nets, put Owl monkeys on the endangered species list, and (even more feloniously according to our laws) lavished the grant money on themselves and their office assistants. One of the stories that Desowitz couldn't finish in 1991 was whether these researchers were tried, convicted, and sent to prison.
This book is more polemical and as a result, less interesting to the lay reader (myself) than his "New Guinea Tapeworms and Jewish Grandmothers", but it does have a few 'human interest' stories. The most haunting begins in a small Thai village:
"...The school assembly bell, hanging by a rope from a limb of a mango tree, is the nose cone from an unexploded [Japanese] bomb. Next to the school, raised on pillars, is the wooden residence of a group of monks. On this late morning in June their prayers have ended; only the unceasing anguished cries of a monk dying from throat cancer break the subdued quiet of the village. In a one-room, wood-framed, tin pan-roofed house at the village edge, Amporn Punyagaputa, twenty-three years old and big with child, sits alone, feverish and confused by the searing pain in her head."
Stories like this represent Desowitz at his best and most humane. I can almost guarantee that Amporn Punyagaputa will help you remember why Malaria is still such a killer, long after you've forgotten who misappropriated the AID funds. And you will definitely understand why Desowitz is so angry. You'll be angry, too.
Editorial Review:
Like such eminent science writers as Stephen Jay Gould and Lewis Thomas, Mr. Desowitz manages to make the basic principles of his subject immediately comprehensible to the general reader. He has also succeeded in giving us a profound appreciation of the ways in which scientific and medical knowledge advances, through hypothesis, error and experiment, through serendipity, dedication, and perseverance.
