It might sound crass to write that the COVID-19 pandemic is just the latest in a long line of infectious disease outbreaks, but a little perspective helps. Historian Kyle Harper previously impressed me with his study on the role of climate and disease in the decline of the Roman Empire. In Plagues Upon the Earth, he offers a global, multidisciplinary environmental history of infectious disease, showing that it is a force that has both shaped and been shaped by human history. This magnificent book stood out as much for its nuance and academic rigour as it did for its readability.
The best way to introduce this book is to quote the first sentence of the blurb: “Techno-Fix challenges the pervasive belief that technological innovation will save us from the dire consequences of the 300-year fossil-fuelled binge known as modern industrial civilization“. Stinging, provocative, and radical, Techno-Fix puts its fingers on many a sore spot with its searing critique.
Antibiotics have been saving human lives since the drug Salvarsan was discovered in 1932. Penicillin went into mass-production in 1942. This is not a long time when you think about it, but a world without the protection offered by them already seems unimaginable. Not only have they offered protection from diseases such as tuberculosis, and stopped infections following injury or childbirth, they have also allowed us to develop surgical techniques requiring immune system suppression such as organ transplants. However, careless use of antibiotics has accelerated evolution of drug-resistant bacteria such that we are about to lose their protection.