Deadliest Enemy

Deadliest Enemy: Our War Against Killer Germs is a non-fiction book by epidemiologist Michael T. Osterholm and writer Mark Olshaker, that explores public health emergencies including antimicrobial resistance, emerging infectious disease, and the threat of an influenza pandemic. It proposes a nine-point "battle plan for survival" for dealing with these threats, including solutions to antimicrobial drug resistance.

Deadliest Enemy: Our War Against Killer Germs

Authors	Michael T. Osterholm Mark Olshaker
Country	United States
Language	English
Subject	Disease causation
Publisher	Little, Brown and Company
Publication date	March 2017
Pages	352
ISBN	978-0-316-34369-5
OCLC	974489476
Dewey Decimal	614.4

The book also focuses on the epidemiology of HIV/AIDS, severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), toxic shock syndrome, Zika, Ebola, bioterrorism, influenza research, and the antivaccine movement.

The book was first published in March 2017 by Little, Brown and Company.

Synopsis

Michael Osterholm describes his book as "part history, part current affairs, and part blueprint for the future".^[1] Top of his concerns are influenza pandemics, antibiotic resistance and bioterrorism, combined with "no clear international governance structure for how we are going to deal with these issues".^[1] Focusing on major infectious diseases, he highlights the world's vulnerability to their emerging threats.^[2][3] His concerns include the effects of major outbreaks on medicine and vaccine production, should countries where these are produced be affected.^[4]

Content includes a chapter on coronaviruses titled, "SARS and MERS: Harbingers of Things to Come".^[5] Other chapters are on the HIV/AIDS, toxic shock syndrome, the 2015–16 Zika virus epidemic, and Ebola outbreaks, covering all the main outbreaks over the previous 30 years,^[2] including influenza bioterrorism,^[1] Gain-of-function research, influenza research, the antivaccine movement, and antimicrobial resistance.^[2] The concept of "game-changing influenza vaccines" is introduced in the chapter "Taking influenza off the table". This provides reasoning and mechanisms for developing vaccines.^[2] Solutions to antimicrobial drug resistance are suggested in the chapter titled "Fighting the resistance".^[2]

The authors divide infectious diseases into four classes: pathogens that have the potential to cause pandemics; pathogens important to particular regions; endemic diseases; and bioterrorism, dual-use research of concern, and concerns over gain-of-function research, where modifying pathogens in the laboratory might potentially be misused.^[2][6]

The book contains personal experiences, including Osterholm's La Crosse encephalitis,^[2] and it uses medical history to assess the threat of pandemics and anti-microbial resistance, while also discussing political responses.^[7] The authors propose a nine-point "Battle Plan for Survival" to fight emerging threats, with the aim of informing and inspiring people into public health work.^[1]

Reception

The book was described by Richard Preston as a "powerful and necessary book" that "offers us not just fear but plans".^[2] John M. Barry described the book as Osterholm's way of getting results.^[8]

Frank Weimann described the book's "dismal introduction on the threat of epidemics" and the main content as "a disturbing description of what humans are doing to keep" epidemiologists in business. Weimann is convinced by Osterholm's call for planning, research, and funding.^[9]

Excerpts from the book appeared in Wired and on MPR News.^[10][11] It was listed in the Johns Hopkins Bloomberg School of Public Health's best books of 2017.^[12]

References

1. Howard, Sarah (13 March 2017). "Detecting Infectious Diseases". School of Public Health, University of Minnesota. Retrieved 7 April 2019.
2. Adalja, A. A. (1 January 2018). "Deadliest Enemy: Our War against Killer Germs". Emerging Infectious Diseases. 24 (1): 185. doi:10.3201/eid2401.171081. PMC 5749459.
3. Perry, Susan (10 April 2017). "Why we can't be complacent about the threat of infectious disease: a Q&A with Michael Osterholm". MinnPost. Retrieved 24 April 2019.
4. Osterholm, Michael T.; Olshaker, Mark (22 March 2017). "This Is How The World Gets Sick". Fast Company. Retrieved 5 March 2020.{{cite web}}: CS1 maint: url-status (link)
5. Osterholm, Michael T.; Olshaker, Mark (5 February 2020). "Why We Are So Ill-Prepared for a Possible Pandemic Like Coronavirus". Time. Retrieved 5 March 2020.{{cite magazine}}: CS1 maint: url-status (link)
6. National Institute of Health. "Gain of Function Research". Office of Science Policy. Retrieved 25 April 2019.
7. Kiser, Barbara (22 March 2017). "Books in brief". Nature. 543 (7646): 489. Bibcode:2017Natur.543..489K. doi:10.1038/543489a. ISSN 1476-4687.
8. "Deadliest Enemy: Our War Against Killer Germs". CIDRAP. Retrieved 7 April 2019.
9. Weimann, Frank (13 January 2017). "Deadliest Enemy: Our War Against Killer Germs". Publishers Weekly. Retrieved 8 April 2019.
10. Osterholm, Michael T.; Olshaker, Mark (18 March 2017). "Peer Into the Post-Apocalyptic Future of Antimicrobial Resistance". Wired. ISSN 1059-1028. Retrieved 8 April 2019.
11. Weber, Tom (29 March 2017). "How the Mall of America could become 'as toxic and uninhabitable as Chernobyl'". MPR News. Retrieved 7 April 2019.
12. "Best Global Health Books of 2017". Global Health NOW. 12 December 2017. Retrieved 8 April 2019.