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Product details

File Size: 35810 KB

Print Length: 280 pages

Publisher: The MIT Press; 1 edition (September 21, 2018)

Publication Date: September 27, 2018

Sold by: Amazon Digital Services LLC

Language: English

ASIN: B07HKKR11H

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Amazon Best Sellers Rank:

#238,635 Paid in Kindle Store (See Top 100 Paid in Kindle Store)

I read this book over the winter holidays and very much enjoyed it, while learning quite a bit. It is written in a very accessible, easy-to-read style, but provides a well-researched and thorough overview of the historical arc of infectious disease around the world. More than that, this book presents several new and very compelling ideas about why the progress in recent decades in combatting major infectious diseases has very specific and new implications for different countries and for the world as a whole. I am not a healthcare professional, but I work in international development, and learned a great deal, so would highly recommend this book to any healthcare professionals, development professionals, and really to anyone interested in better understanding the headlines around topics like mass migration, political instability, and other major global issues we are facing today.

Bollvky has given us a comprehensive description of the health challenges of the near future and the reasons. The solutions require responsible politics and governance

The writing is purposeful and the points are thoughtfully constructed with data from excellent references. The text conveys authority, occasionally with a wry personal tone. Connections are drawn among diverse developments pertaining to health. Refreshingly, this solid gem is not padded by repetition.

This is one of those books. The author weaves a compelling, engaging story - backed by rigorous research - that tells the story of a great human accomplishment, and the unintended consequences it has wrought. I take in the world around me with a fundamentally different lens. A must-read for anyone with a curious mind.

Bollyky, the Director of the Global Health Program at the Council on Foreign Relations and a Professor of Law at Georgetown University, has written an excellent, thought-provoking book about the paradox of improving global health and the resultant potential disasters in population, migration, and chronic disease. In language that is understandable to the lay reader and with the judicious use of graphs and statistics, he makes a compelling argument that the enormous strides made in infant and childhood mortality and in life expectancy in both the wealthy and poor nations around the world have created a demographic time bomb. The large populations of young adults that are the result of these improvements in infectious disease management in the last 20-30 years are now swelling the mega-cities of Africa, South Asia, and Latin America. The marked reduction in infant and childhood deaths from vaccine preventable diseases (primarily smallpox, measles, and polio), oral rehydration treatment of diarrheal diseases, and the 'vertical' approach of international aid to eliminate or ameliorate specific diseases (e.g. HIV-AIDS), have resulted in a 'demographic bulge' entering a world where there are no longer manufacturing jobs or agricultural opportunities. The resulting mega-cities with their overcrowding, inadequate sanitation and water supplies, and rudimentary public health and primary care systems are creating a time-bomb of unrest and chronic illness. When combined with the climate change and the developed world's reactionary turn away from open trade and immigration, the consequences for the world may be catastrophic with civil unrest and wars the result.  One of Bollyky's key observations is that the improvements in childhood deaths and life expectancy in the developed world occurred over many decades and at a time when manufacturing and emigration were growing. In contrast, today's developing world has experienced these improvements in infectious disease control over a much briefer time period and at a time in history when manufacturing, immigration, trade, and climate are all negative factors. The result is nations like Bangladesh which is growing at an incredible pace without the public health system, primary care system, and economy to mange the population. The capitol, Dhaka, is one of 13 mega-cities (population greater than 10 million) defined by the UN as low income where most of the inhabitants live in slums without sanitation, water, or services.  In the final chapter, the author suggests steps to address these synergistic problems, but the reader, though better informed, is left with a sense of impending doom. This is an important book for both the public health and policy expert as well as the general reader.

Great read that is accessible to all audiences. Plagues and the Paradox of Progress marches through time and connects changes in disease patterns, population growth, and economic development with policy. Notably relevant with a fresh perspective. Strongly recommended.

This book was both thought provoking and insightful about the future of our world. Anyone who is involved with public health or even just cares about the next generation will be glad they read this book!

I learned so much and now have a better perspective on how public health has affected our lives.

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