Synopses & Reviews
How should we understand the fear and fascination elicited by the accounts of communicable disease outbreaks that proliferated, following the emergence of HIV, in scientific publications and the mainstream media? The repetition of particular characters, images, and story linesandmdash;of Patients Zero and superspreaders, hot zones and tenacious microbesandmdash;produced a formulaic narrative as they circulated through the media and were amplified in popular fiction and film. The andldquo;outbreak narrativeandrdquo; begins with the identification of an emerging infection, follows it through the global networks of contact and contagion, and ends with the epidemiological work that contains it. Priscilla Wald argues that we need to understand the appeal and persistence of the outbreak narrative because the stories we tell about disease emergence have consequences. As they disseminate information, they affect survival rates and contagion routes. They upset economies. They promote or mitigate the stigmatizing of individuals, groups, locales, behaviors, and lifestyles.
Wald traces how changing ideas about disease emergence and social interaction coalesced in the outbreak narrative. She returns to the early years of microbiologyandmdash;to the identification of microbes and andldquo;Typhoid Mary,andrdquo; the first known healthy human carrier of typhoid in the United Statesandmdash;to highlight the intertwined production of sociological theories of group formation (andldquo;social contagionandrdquo;) and medical theories of bacteriological infection at the turn of the twentieth century. Following the evolution of these ideas, Wald shows how they were affected byandmdash;or reflected inandmdash;the advent of virology, Cold War ideas about andldquo;alienandrdquo; infiltration, science-fiction stories of brainwashing and body snatchers, and the HIV/AIDS pandemic. Contagious is a cautionary tale about how the stories we tell circumscribe our thinking about global health and human interactions as the world imaginesandmdash;or refuses to imagineandmdash;the next Great Plague.
Shows how narratives of contagion structure communities of belonging and how the lessons of these narratives are incorporated into sociological theories of cultural transmission and community formation.
About the Author
“Contagious is a magnificent book, notable for its prose, its expansiveness, its courage, and its creativity.”—Rita Charon, founder of the Program in Narrative Medicine, Columbia University Medical Center“Priscilla Wald stunningly demonstrates how epidemics are forms of cultural autobiography, telescoping stories of outbreak and contagion that are reflected in our myths, symbols, archetypes, and social networks. Beautifully written and passionately argued, Contagious is required reading for those interested in learning how our diseases shape the ways we think about ourselves and our relationships and how our desires to be close to other people overlap with our anxieties about being infected by them.”—Jonathan Michel Metzl, author of Prozac on the Couch: Prescribing Gender in the Era of Wonder Drugs“Rippling across the span of the twentieth century, Priscilla Wald’s book traces the trajectories of ‘outbreak narratives,’ stories about the spread and conquest of contagious diseases. With beautifully crafted prose, Wald shows how the scientific and fictional, social and microbial intermingle as outbreak narratives confront an essential paradox, that human connectedness both imperils and saves us. Contagious is essential reading for science studies, for the field of literature and medicine, and indeed for anyone interested in the social, discursive, and cultural implications of epidemiology.”—N. Katherine Hayles, University of California, Los Angeles
Table of Contents
1. Imagined Immunities: The Epidemiology of Belonging 29
2. The Healthy Carrier: andquot;Typhoid Marryandquot; and Social Being 68
3. Communicable Americanism: Social Contagion and Urban Spaces 114
4. Viral Cultures: Microbes and Politics in the Cold War 157
5. andquot;The Columbus of AIDSandquot;: The Invention of andquot;Patient Zeroandquot; 213
Works Cited 323