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Jeanne Guillemin

Anthrax

The Investigation of a Deadly Outbreak

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$19.95, £13.95 paperback
9780520229174
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339 pages, 6 x 9 inches, 46 b/w photographs, 3 figures, 1 map
December 1999, Available worldwide
Also in: Disease
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In April of 1979 the city of Sverdlovsk in Russia's Ural Mountains was struck by a frightening anthrax epidemic. Official Soviet documents reported sixty-four human deaths resulting from the ingestion of tainted meat sold on the black market, but U.S. intelligence sources implied a different story, and the lack of documentation left unresolved questions. In her riveting investigation of the incident, Jeanne Guillemin unravels the mystery of what really happened during that tragic event in Sverdlovsk.

Anthrax is a virulent and deadly bacteria whose spores can remain in soil for as long as seventy years, killing grazing animals and putting humans in jeopardy of eating infected meat. Contemporary concern is more centered on anthrax as an airborne biological weapon whose inhaled spores can result in ninety percent mortality for those infected.

As part of a team of doctors and researchers, Jeanne Guillemin traveled to Russia in 1992 to determine the cause and extent of the epidemic. Her affecting narrative transforms a case of epidemiological investigation into a politically charged mystery. She creates a vivid sense of immediacy and drama with her insider's account of the team's investigative work—the analysis of pathology photos and slides, meetings with political and public health officials, the retrieval of essential medical data—and candidly reveals the subjective side of science as she conducts interviews with afflicted families, visits sites, and interacts with those suspected of clouding the truth.

Complete with medical case information and three epidemiological maps, this classic account relates directly to growing concern over bioterrorism and how the United States and other nations should respond. In the final chapters Guillemin surveys past and present covert biological weapons arsenals scattered around the world and the international legal efforts to eliminate them.
"Guillemin's fascinating account includes an exploration of how anthrax is being used in biological warfare from groups as diverse as religious fundamentalists in the Middle East to white supremacists in the U.S."—Booklist

"While the scientific research behind the investigation is clearly illustrated, the author's moving, first-person account of the human element behind the story is the most fascinating aspect of this fast-paced book."—Library Journal

"An absorbing first-person account of an investigation into a mysterious 1979 anthrax epidemic in the Soviet Union, the worst ever recorded in a modern industrial nation. . . . While the medical and biological team members sought to discover throgh autopsy materials whether the anthrax had entered the victims' bodies through the lungs or the digestive system, Guillemin located and interviewed families of the victims to find out where they were at the time, what they were doing, and what they had eaten. . . . Makes palpable the virulence of anthrax as a biological weapon, raises important accountability issues, and questions our own country's leadership in arms control."—Kirkus Reviews

"Whether of not Meselson's group nailed down the cause of the anthrax deaths is not as important as the fact that they, and in particular Guillemin, have sounded a call to the world about the dangers of CBweapons. For this everyone owes them gratitude."—New York Times Book Review letter to the editor

"A beautiful book. . . . It offers vivid insights into how scientists actually work--the ceaseless questioning from every conceivable angle whose goal is to eliminate doubt."—Boston Globe

"In her excellent recently published book, Anthrax, [Guillemin] describes in fascinating detail her investigation in Sverdlovsk." —New York Review of Books

"[An] excellent new [book] . . . . It was only the fall of communism that allowed Jeanne Guillemin and her colleagues to piece together, through painstaking research on site, the surprising truth behind the outbreak. . . . Gripping."—The Economist

"A vivid, highly personal account…Guillemin's story is both a play-by-play account of a thorough scientific investigation and an intimate revelation of humans recalling a time of dreadful stress."—The San Francisco Chronicle Book Review

"An exhaustive, authoritative and scientifically responsible account of the largest epidemic of inhalation anthrax yet on record."—Ed Regis, Nature

"Authoritative."—New York Review of Books
"Jeanne Guillemin offers a riveting account of tracking down the causes of a public health calamity and penetrating layer upon layer of secrecy and obfuscation. She persuasively combines meticulous attention to scientific detail with alertness to the voice of those whose lives were changed by the crisis." —Sissela Bok, author of Secrets: On the Ethics of Concealment and Revelation and Lying: Moral Choice in Public and Private Life.

"Guillemin's book is a triple treat: it is a gripping detective story, a vivid portrayal of non-Moscow Russian life, and a standard-setting display of the scientific method at work. and there is a bonus: the reader will learn all about anthrax, the most likely weapon if biological warfare is ever waged." —Paul Doty, Director Emeritus, Belfer Center for Science and International Affairs, Harvard University

"This book is an absorbing tale of an investigation into the anthrax epidemic that struck the Russian city of Sverdlovsk twenty years ago. But it can also be read as an important parable for our time because it deals with chemical and biological agents that the world is drawn to and yet does not really know how to handle." —Kai Erikson, author of A New Species of Trouble.

"Anthrax is the best book of medical detection since Berton Roueché's Eleven Blue Men. Tracing her story from Cambridge to Yekaterinburg and back again, Guillemin weaves savvy epidemiology, Russian history, and American science into a compelling first-person narrative. An instant classic, Anthrax is not only a distinguished account of fieldwork in social science, but also a work of literature that addresses the larger issue of human survival in the face of global risk." —Gerald Weissmann, M.D., author of Darwin's Audubon and Democracy and DNA.
List of Figures
Preface
Principal Participants
1. Anthrax: Accursed Fire and Biological Weapon
2. Moscow: Fragments of Evidence
3. Moscow: Conflicting Visions
4. In the Urals: The Quest Begins
5. Autopsy Visions
6. The Community of the Dead: Vostochniy Cemetery
7. Abramova's Treasure
8. To Chkalovskiy Rayon
9. Constraints, Fears, Frustrations
10. on Doors
11. Public Health and Private Pain
12. The Unnatural Steals the Natural
13. Resignation
14. Vulnerability and Chance
15. The KGB List of Victims
16. Moscow Redux
17. Names Go to Places: Map Building Begins
18. Biological Weapons and Political Outbreaks
19. Manifestation
20. Mirage: The Animal Outbreak
21. Chkalovskiy: The Final Pieces
22. Do No Evil, See No Evil
23. The Summing Up
24. The Threat of Bioweapons
25. Return to Yekaterinburg
26. "The World Is Global"
App. A. List of 1979 Sverdlovsk Anthrax Fatalities
App. B. Summary of Case Data for Known Victims of the Sverdlovsk Anthrax Outbreak of
1979
Notes
References
Index
Jeanne Guillemin is Professor of Sociology at Boston College and a senior fellow at the Security Studies Program at the Massachusetts Institute of Technology.
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