A COMMUNITY HEALTH PROBLEM IN THE PREANTIBIOTIC ERA

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	• Typhoid Mary Judith Walzer Leavitt Beacon Press, 1997 - 336 pages average customer review:based on 7 reviews view larger image
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highly recommended

Worthwhile Read

Typhoid Mary: Captive to the Public's Health by Judith Walzer Leavitt could be shorter. Not much shorter, just a bit shorter. The beginning of the book is surprisingly dull and a great deal of information is repeated unnecessarily.

That said, Typhoid Mary is very well-written, even the dull bits. The research is well-documented and complete. And the subject matter is more than a little engrossing. Who was the woman behind the label "Typhoid Mary"?

Leavitt is making the link between typhoid and AIDS, in particular the problem of finding the balance between protecting individual rights and protecting the community. She spends time on this subject towards the end of the book and has some compassionate and reasonable things to say. The strongest part of the book, however, is in the history and in Leavitt's appreciation of Mary Mallon as an individual. The most interesting parts of the book (and where the writing picks up considerably) are the chapters on the public perception of Typhoid Mary throughout the 20th century.

Recommendation: Buy it if it's a subject that already interests you. Otherwise, check it out of the library.

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A COMMUNITY HEALTH PROBLEM IN THE PREANTIBIOTIC ERA

I found this book very interesting and the multiple aspects of the story are perfectly analyzed by the author. Is a good example of the social implications of a infectious disease and has strong relations with the present AIDS era we are living in. A lot of very important lessons can be learned to understand the present times. Very recomendable.

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In Depth Read

Leavitt thoroughly explores Mary Mallon's story from a number of angles - social, historical, medical, etc. and the relevance of what we can learn from her situation to modern day issues. The subject was fascinating, but the book tended to be dry and redundant in places. If you are looking to understand the issues at hand, this is for you. If you're just interested in the story of Typhoid Mary, I would recommend a slightly lighter version.

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Correction of error in Publisher's Weekly review

There is a significant error in the review by Publisher's Weekly. They refer to the microbe as the "typhus bacillus."
It should be the "typhoid bacillus." Typhoid and typhus are two entirely different diseases caused by different microorganisms.

Captive to the Public Imagination

'Typhoid Mary' has become a catchphrase for disease, pestilence, and death. Most people have heard the nickname, but few know the particulars. Judith Walzer Leavitt takes a dreaded and legendary figure in the history of public health protection, and, in a factual but entertaining style, gives us the who, what, where, when, and why. In so doing, the author also examines the age-old dilemma of individual liberty vs public safety.

Typhoid Mary was an Irish immigrant cook named Mary Mallon, who spent decades as a prisoner / guest of the New York Public Health Department. As a healthy carrier, she did not exhibit typhoid symptoms herself, but the disease was transmitted via the food she prepared. Her refusal to seek a different livelihood, and aggressive deameanor toward health officials, resulted in her confinement on North Brother Island, a quarantine location, where she died in 1938.

"Typhoid Mary: Captive to the Public Health" is not just a work of medical history or biography of a feisty woman who fought the system and lost. Mary Mallon, as a healthy carrier of a deadly disease, has her modern equal in the millions of people who are HIV positive or suffer from drug-resistant tuberculosis. Leavitt raises uncomfortable questions about quarantine practices and examines how past treatment of the afflicted has been based on gender and socio-economic status. Statistics and sociological arguments have a strong presence in each chapter, but they don't detract from the book's appeal to the lay reader.

"Typhoid Mary" is an uneasy reminder that history doesn't always repeat itself- sometimes it never goes away in the first place.

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reviews: page 1, 2

She was an Irish immigrant cook. Between 1900 and 1907, she infected twenty-two New Yorkers with typhoid fever through her puddings and cakes; one of them died. Tracked down through epidemiological detective work, she was finally apprehended as she hid behind a barricade of trashcans. To protect the public's health, authorities isolated her on Manhattan's North Brother Island, where she died some thirty years later.

This book tells the remarkable story of Mary Mallon--the real Typhoid Mary. Combining social history with biography, historian Judith Leavitt re-creates early-twentieth-century New York City, a world of strict class divisions and prejudice against immigrants and women. Leavitt engages the reader with the excitement of the early days of microbiology and brings to life the conflicting perspectives of journalists, public health officials, the law, and Mary Mallon herself.

Leavitt's readable account illuminates dilemmas that continue to haunt us. To what degree are we willing to sacrifice individual liberty to protect the public's health? How far should we go in the age of AIDS, drug-resistant tuberculosis, and other diseases? For anyone who is concerned about the threats and quandaries posed by new epidemics, Typhoid Mary is a vivid reminder of the human side of disease and disease control.

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