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The universal human instinct is to run from an outbreak of disease like Ebola. These doctors run toward it. Their job is to stop epidemics from happening.
They are the disease detective corps of the US Centers for Disease Control and Prevention (CDC), the federal agency that tracks and tries to prevent disease outbreaks and bioterrorist attacks around the world. They are formally called the Epidemic Intelligence Service (EIS)—a group founded more than fifty years ago out of fear that the Korean War might bring the use of biological weapons—and, like intelligence operatives in the traditional sense, they perform their work largely in anonymity. They are not household names, but over the years they were first to confront the outbreaks that became known as hantavirus, Ebola, and AIDS. Every day they work to protect us by hunting down the deadly threats that we forget until they dominate our headlines, West Nile virus, anthrax, and SARS among others.
In this riveting narrative, Maryn McKenna—the only journalist ever given full access to the EIS in its fifty-three-year history—follows the first class of disease detectives to come to the CDC after September 11, the first to confront not just naturally occurring outbreaks but the man-made threat of bioterrorism. They are talented researchers—many with young families—who trade two years of low pay and extremely long hours for the chance to be part of the group that are on the frontlines, in the yellow suits and masks, that has helped eradicate smallpox, push back polio, and solve the first major outbreaks of Legionnaires’ disease, toxic shock syndrome, and E. coli O157 and works to battle every new disease before it becomes an epidemic.
Urgent, exhilarating, and compelling, Beating Back the Devil takes you inside the world of these medical detectives who are trying to stop the next epidemic—before the epidemics stop us.Among candidates for world's worst job, disease detective ranks pretty high. In Beating Back the Devil, Maryn McKenna examines the everyday fascinations and horrors faced by the CDC's Epidemic Intelligence Service. On a few hours' notice, these physicians are ready to travel anywhere in the world to track down new medical threats. McKenna writes about the group's response to such frightening incidents as the first outbreaks of Ebola and SARS. In matter-of-fact, first-person narratives, EIS doctors tell how they deal with crises brought on not only by biological threats, but by public health mismanagement, terrorism, and war. One doctor describes trying to save children while working in conflict-torn Zaire:
"We would go into a center and find kids lying on the floor, severely dehydrated, with a clogged IV," he said. "Then we would go outside and find the relief workers building a stone fireplace.... And we'd have to say, Hot meals would be great, but in a few days you're not going to have any living kids to cook meals for.... Take this oral rehydration solution and sit by this child and spoon it into his mouth.... Don't do anything else, or this child is going to be dead."McKenna's research is painstakingly meticulous, and the doctors she profiles come across as brave firefighters of microbiological conflagrations. Not since Sherwin Nuland has an author so effectively revealed the dramatic side of medicine. --Therese Littleton
