Cover image for Timebomb : the global epidemic of multi-drug-resistant tuberculosis
Timebomb : the global epidemic of multi-drug-resistant tuberculosis
Reichman, Lee B., 1938-
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Publication Information:
New York : McGraw-Hill, [2002]

Physical Description:
xvi, 240 pages, 16 unnumbered pages of plates : illustrations, map ; 24 cm
Ebola with wings -- Cows and mummies : a brief history of tuberculosis -- world is different now -- Smoke and mirrors in Moscow -- Inside the gulag -- Russian style of TB treatment -- Fingerprinting the bacteria -- Epidemic in New York -- DOTS in the real world -- Why are there no new drugs or vaccines for TB? -- unusual suspects -- Tiger at the gates.
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RC312 .R454 2002 Adult Non-Fiction Central Closed Stacks

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Author Notes

Lee B. Reichman, M.D., M.P.H. is Executive Director of the New Jersey Medical School National Tuberculosis Center.
Janice Hopkins Tanne is an award-winning medical and science writer whose work has appeared in New York Magazine, Parade, and The British Medical Journal

Reviews 2

Publisher's Weekly Review

Tuberculosis, once a romantic 19th-century disease, has returned, reaching epidemic proportions worldwide. One only need remember New York City's 1991 epidemic. Over one-third of the world's population has latent tuberculosis; 15 million Americans are infected with this highly contagious, airborne respiratory disease. TB chooses hosts indiscriminately; average middle-class Americans are not immune, say the authors. Reichman (professor of medicine at the New Jersey Medical School and director of its National Tuberculosis Center), with medical writer Tanne, discusses a virulent strain, multi-drug resistant tuberculosis, or MDR-TB. This hard to treat, if not incurable, incarnation is believed to have entered the U.S. via immigrants often from the former Soviet Union, designated a TB epicenter by the World Health Organization. Reichman often undermines his warnings by lapsing into shrill xenophobia. "Just think how many legal and illegal immigrants from these countries are now in Western countries! And just think, in our global society, how many more are contemplating coming!" Stereotypes run the gamut: in an airport he observes "well-tailored, trim" French people "equipped with cell-phones and lap-tops," "culture crammed and shopped out" Americans, and a group of "shabby" Ukrainians. In the early 20th-century, the Irish, often living five to one room, worsened their condition with malnourishment and alcoholism. Despite these noxious problems, the book serves an important function, relaying statistics and TB hot spots, proposing funding and international standardized treatments. Government officials, researchers and nonprofit health organizations will likely cast this as the authoritative book on the subject. (Oct. 5) Forecast: Endorsements by the Global Health Council, several congressmen, the American Lung Association and former Secretary of Health Donna Shalala and MDR-TB's worldwide headlines will win the book ample media attention. (c) Copyright PWxyz, LLC. All rights reserved

Choice Review

Tuberculosis has been described as "Ebola with wings," yet most in the US think that TB is no longer a major health threat. Public health officials know better. The overuse and misuse of antibiotics has led to the rise of MDR-TB (multidrug-resistant TB). A 1990s epidemic in New York City cost about $1 billion to contain; most of the New York victims also suffered from HIV. The two-disease cocktail of TB and HIV is especially threatening and an increasing problem in the former Soviet Union, much of eastern Europe, and other hot spots in China, India, and Brazil. Reichman (executive director, New Jersey Medical School's highly regarded National Tuberculosis Center) not only chronicled but figures in the story told in Timebomb. In creating the book, he wisely enlisted the aid of talented medical and science writer Tanne; together they produced an engrossing page-turner. Although there have been many recent books on tuberculosis, Timebomb is unique because it emphasizes the many contemporary problems that the disease causes. Many of its events "are torn from the headlines." Well written and documented, this book should be available to the widest audience. "Ask not for whom the bell tolls," this volume warns, "It tolls for us all!" General readers; upper-division undergraduates through professionals. I. Richman Pennsylvania State University, Harrisburg

Table of Contents

Prefacep. ix
Acknowledgmentsp. xv
1 Ebola with Wingsp. 1
2 Cows and Mummies: A Brief History of Tuberculosisp. 11
3 The World Is Different Nowp. 23
4 TB in the Time of AIDSp. 43
5 Smoke and Mirrors in Moscowp. 63
6 Inside the Gulagp. 87
7 The Russian Style of TB Treatmentp. 109
8 Fingerprinting the Bacteriap. 127
9 Epidemic in New Yorkp. 139
10 DOTS in the Real Worldp. 155
11 Why Are There No New Drugs or Vaccines for TB?p. 171
12 The Unusual Suspectsp. 189
13 Tiger at the Gatesp. 201
Epilogue: The Kursk Syndromep. 215
Notesp. 217
Hot Zones of MDR-TBp. 227
Indexp. 228