Dr. John E. McDonough, DPH, a health policy expert who served as an advisor to the late Senator Edward Kennedy, provides a vivid picture of the intense effort required to bring this legislation into law. McDonough clearly explains the ACA’s inner workings, revealing the rich landscape of the issues, policies, and controversies embedded in the law yet unknown to most Americans. In his account of these historic events, McDonough takes us through the process from the 2008 presidential campaign to the moment in 2010 when President Obama signed the bill into law. At a time when the nation is taking a second look at the ACA, Inside National Health Reform provides the essential information for Americans to make informed judgments about this landmark law.

    But the president insisted there was nothing to worry about.Fortunately, we are still a nation of skeptics. Fortunately, there are those among us who study pandemics and are willing to look unflinchingly at worst-case scenarios. Michael Lewis’s taut and brilliant nonfiction thriller pits a band of medical visionaries against the wall of ignorance that was the official response of the Trump administration to the outbreak of COVID-19.The characters you will meet in these pages are as fascinating as they are unexpected. A thirteen-year-old girl’s science project on transmission of an airborne pathogen develops into a very grown-up model of disease control. A local public-health officer uses her worm’s-eye view to see what the CDC misses, and reveals great truths about American society. A secret team of dissenting doctors, nicknamed the Wolverines, has everything necessary to fight the pandemic: brilliant backgrounds, world-class labs, prior experience with the pandemic scares of bird flu and swine flu…everything, that is, except official permission to implement their work.Michael Lewis is not shy about calling these people heroes for their refusal to follow directives that they know to be based on misinformation and bad science. Even the internet, as crucial as it is to their exchange of ideas, poses a risk to them. They never know for sure who else might be listening in.

    John Snow. It's the summer of 1854, and London is just emerging as one of the first modern cities in the world. But lacking the infrastructure—garbage removal, clean water, sewers—necessary to support its rapidly expanding population, the city has become the perfect breeding ground for a terrifying disease no one knows how to cure. As the cholera outbreak takes hold, a physician and a local curate are spurred to action—and ultimately solve the most pressing medical riddle of their time. In a triumph of multidisciplinary thinking, Johnson illuminates the intertwined histories and inter-connectedness of the spread of disease, contagion theory, the rise of cities, and the nature of scientific inquiry, offering both a riveting history and a powerful explanation of how it has shaped the world we live in.

    Engel seamlessly weaves together science, politics, and culture, writing with an even hand—noting the excesses of the more radical edges of the ACT UP movement as well as the conservative religious leaders who thought AIDS victims deserved what they got.The story of AIDS is one of the most compelling human dramas of our time, both in its profound tragedy and in the extraordinary scientific efforts impelled on its behalf. For gay Americans, it has been the story of the past generation, redefining the community and the community's sexuality. For the Third World, AIDS has created endless devastation, toppling economies, social structures, and whole villages and regions. And the worst may yet be to come: AIDS is expanding quickly into India, Russia, China, and elsewhere, while still raging insub-Saharan Africa.A distinguished medical historian, Engel lets his characters speak for themselves. Whether gay activists, government officials, public health professionals, scientists, or frightened parents of schoolchildren, they responded as best they could to tragic happenstance that emerged seemingly from nowhere. There is much drama here, and human weakness and heroism too. Writing with vivid immediacy, Engel allows us to relive the short but tumultuous history of a modern scourge.

    Scourges that have plagued human beings since the ancients still threaten to unleash themselves; new maladies are brewing that have yet to make their appearance in the headlines; lethal germs employed as weapons of warfare and terrorism have reemerged as a worldwide menace. Regardless of their mode of attack, microbes exist to multiply, thrive, and find new hosts; they cross national boundaries and social classes, attacking without prejudice. Now medical historian and pediatrician Howard Markel, author of Quarantine! (“Engrossing . . . Meticulously documented” —Sherwin Nuland, The New Republic), tells the story of six epidemics that broke out during the two great waves of immigration to the United States—from 1880 through 1924, and from 1965 to the present—and shows how federal legislation closed the gates to newcomers for almost forty-one years out of fear that these new people would alter the social, political, economic, and even genetic face of the nation. Markel writes about tuberculosis today, the most serious public health threat facing the contemporary world. He writes about bubonic plague and how it came to this country in the early twentieth century; about trachoma in the years before World War I; about Ellis Island and how an East European rabbi was diagnosed and treated for the dreaded eye infection; about typhus fever and an epidemic on the Texas-Mexico border in the aftermath of Pancho Villa’s revolution; and about AIDS, the Haitian exodus, and the early years of the AIDS epidemic.Markel explains how immigration in the twenty-first century is characterized by porous borders, rapid travel, and scattered destinations. While more than 75 percent of all immigrants during the first great wave of immigration came through New York Harbor, transportation today allows travel to all parts of the United States from the farthest reaches of the globe, giving public health physicians little opportunity to definitively diagnose infectious diseases that can incubate silently in a traveler, making the spread of epidemics far more than a theoretical concern.Markel looks at our nation’s response to the pathogens present in our midst and examines our foolhardy attempts at isolation and our vacillation between demanding a public health system so punitive that it worsens matters rather than protects and settling for one that is too lax; how we are fascinated with all things infectious and then hardly give microbes a second thought; how the United States, a country that since its inception has prided itself on being a nation of immigrants, continues its tradition of blaming newcomers for its physical and social ills; and how globalization, social upheaval, and international travel render us all potential inhabitants of the so-called Hot Zone. Finally, Markel puts forth a plan for a globally funded public health program that could stop the spread of epidemics, help eradicate certain diseases, and protect us all.

    As gripping as CSI and as eye-opening as Mary Roach’s Stiff, Carney’s The Red Market sheds a blazing new light on the disturbing, billion-dollar business of trading in human body parts, bodies, and child trafficking, raising issues and exposing corruptions almost too bizarre and shocking to imagine.

    A clear, concise writing style and just the right dose of humor explain the role of epidemiology in measuring disease in a community, estimating risks, and influencing public policy and ethical concerns. Line diagrams, cartoons, and review questions with answers reinforce the text.The smart way to study!Elsevier titles with STUDENT CONSULT will help you master difficult concepts and study more efficiently in print and online! Perform rapid searches. Integrate bonus content from other disciplines. Download text to your handheld device. And a lot more. Each STUDENT CONSULT title comes with full text online, a unique image library, case studies, USMLE style questions, and online note-taking to enhance your learning experience.Your purchase of this book entitles you to access www.studentconsult.com at no extra charge. This innovative web site offers you... Access to the complete text and illustrations of this book. Integration links to bonus content in other STUDENT CONSULT titles.Content clipping for your handheld.An interactive community center with a wealth of additional resources. The more STUDENT CONSULT titles you buy, the more resources you can access online! Look for the STUDENT CONSULT logo on your favorite Elsevier textbooks!

    But as early as August 2015, doctors in northeast Brazil began to notice a trend: many mothers who had recently experienced symptoms of the Zika virus were giving birth to babies with microcephaly, a serious disorder characterized by unusually small heads and brain damage.By early 2016, Zika was making headlines as evidence mounted—and eventually confirmed—that microcephaly is caused by the virus, which can be contracted through mosquito bites or sexually transmitted.The first death on American soil, in February 2016, was confirmed in Puerto Rico in April. The first case of microcephaly in Puerto Rico was confirmed on May 13, 2016. The virus has been known to be transmitted by the Aedes aegypti or Yellow Fever mosquito, but now Aedes albopictus, the Asian Tiger mosquito, has been found to carry it as well, which means it might affect regions as far north as New England and the Great Lakes. Right now, at least 298 million people in the Americas live in areas “conducive to Zika transmission,” according to a recent study. Over the next year, more than 5 million babies will be born.In Zika: The Emerging Epidemic, Donald G. McNeil Jr. sets the facts straight in a fascinating exploration of Zika’s origins, how it’s spreading, the race for a cure, and what we can do to protect ourselves now.

    is the first deep-dive investigation of a hazardous and illicit industry that has created a worldwide epidemic, ravaging communities and overwhelming and confounding government agencies that are challenged to combat it. "A whole new crop of chemicals is radically changing the recreational drug landscape," writes Ben Westhoff. "These are known as Novel Psychoactive Substances (NPS) and they include replacements for known drugs like heroin, cocaine, ecstasy, and marijuana. They are synthetic, made in a laboratory, and are much more potent than traditional drugs"--and all-too-often tragically lethal. Drugs like fentanyl, K2, and Spice--and those with arcane acronyms like 25i-NBOMe-- were all originally conceived in legitimate laboratories for proper scientific and medicinal purposes. Their formulas were then hijacked and manufactured by rogue chemists, largely in China, who change their molecular structures to stay ahead of the law, making the drugs' effects impossible to predict. Westhoff has infiltrated this shadowy world, becoming the first journalist to report from inside an illicit Chinese fentanyls lab and providing startling and original reporting on how China's vast chemical industry operates, and how the Chinese government subsidizes it. He tracks down the little-known scientists who invented these drugs and inadvertently killed thousands, as well as a mysterious drug baron who turned the law upside down in his home country of New Zealand. Poignantly, Westhoff chronicles the lives of addicted users and dealers, families of victims, law enforcement officers, and underground drug awareness organizers in the U.S. and Europe. Together they represent the shocking and riveting full anatomy of a calamity we are just beginning to understand. From its depths, as Westhoff relates, are emerging new strategies that may provide essential long-term solutions to the drug crisis that has affected so many.

    Key Features: The Author Uses A Reader-Friendly, Narrative Style Making The Text Engaging And Accessible To A Broad Range Of Students. The Text Illustrates The Multidisciplinary Nature Of Public Health And The Complex Ethical And Political Issues Central To It. It Includes Discussions Of Epidemiological Investigation, Biomedical Research, Environmental Assessment, Analyses Of Individual And Group Behavior, Massive Data Collection Efforts, And Policy Developments. New To This Edition: New Discussions About U.S. Health Care Reform New Discussions Of The Globalization Of National Economies And Its Effect On The Health Of Populations Expanded Discussions On Health Disparities New Analysis Of What Went Wrong Just After Hurricane Katrina Updated Discussions Of Developments In Topics Such Are H1N1 Swine Flu, Hormone Replacement Therapy, FDA Regulation, HPV Vaccine Controversy Planning For Healthy People 2020 And Much More.

    This is one of those funny, grotesque books you won’t forget that’s written by a nurse with a penis (you’re going to have to be able to take a joke that’s racial, bigoted, or otherwise extreme). Interested? Read on. Most “humorous” nursing books out there are injected with weak humor in an attempt to make the nursing profession look good. I, on the other hand, inject nursing with black humor. I don’t pretend there’s anything special about nursing, and I don’t try to sell this profession. In fact, once you’re done reading you’ll likely think twice before enrolling in a nursing school. I just tell it how it is. I follow only one rule: go to where the pain is. Through ten stories, I reveal the inner thoughts of male nurses and the unique challenges they face being minorities in a backdrop of vaginas and estrogen. At the end of each story, I share coaching tips. I've been a male nurse for several years and want to share my most interesting adventures and insights. I've also asked the following questions as guide posts: What do men really need to know about nursing? What can I share to add value to people considering nursing as a career? What would I have wanted to know when I was 18 years old? How could I express what people need to know, not what they want to know? Whether you’re a nursing student struggling with touching anuses or a 40 year old thinking that becoming a nurse will make life meaningful, you will find value in this book. Heck, even a nurse practitioner with a business practice will find timeless advice. I quit nursing, only to come back again. Here are some stories and lessons along the way.

    In this sensational and macabre story, we meet the surgeon who counted not only luminaries Benjamin Franklin, Lord Byron, Adam Smith, and Thomas Gainsborough among his patients but also “resurrection men” among his close acquaintances. A captivating portrait of his ruthless devotion to uncovering the secrets of the human body, and the extraordinary lengths to which he went to do so—including body snatching, performing pioneering medical experiments, and infecting himself with venereal disease—this rich historical narrative at last acknowledges this fascinating man and the debt we owe him today.

    Here's how Dr Coleman describes this book: `However good your doctor is, and however much you may trust him or her, you must share the responsibility for your own health, and you must know when to tell your doctor if you think that the treatment with which he or she is providing you, could be causing problems. After all, if things go wrong, your nice friendly doctor is more likely to kill you than is a burglar a deranged relative or a drunken motorist. Remember: one in six people in hospital are there because they have been made ill by a doctor. I have built this book around ther twelve basic laws of medicine which I have, over the years, formulated for my own benefit as a doctor, an observer and a patient. I have illustrated each of the 12 laws with clinical anecdotes and scientific data.' Here, for example, is Coleman's First Law of Medicine: `If you are receiving treatment for an existing disease and you develop new symptoms then, until proved otherwise, you should assume that the new symptoms are caused by the treatment you are receiving.' Dr Vernon Coleman is the author of over 100 books - many of them international bestsellers. His books have sold over two million copies in hardback and paperback in the UK alone and have been translated into 25 languages. Dr Coleman has written columns and articles for many of the world's leading newspapers and magazines and has presented numerous TV and radio programmes based on his books. In the mid 1980s he devised the world's first medical software for use on home computers. For more information about Dr Coleman's books please see the Vernon Coleman page on Amazon or visit www.vernoncoleman.com What the papers say: Vernon Coleman writes brilliant books - Good Book Guide The calmest voice of reason - The Observer A godsend - Daily Telegraph Brilliant - The People No thinking person can ignore him - The Ecologist Marvellously succinct, refreshingly sensible - The Spectator Probably one of the most brilliant men alive today - Irish Times King of the media docs - The Independent Britain's leading health care campaigner - The Sun Britain's leading medical author - The Star Perhaps the best known health writer for the general public in the world today - The Therapist The patient's champion - Birmingham Post A persuasive writer whose arguments, based on research and experience, are sound - Nursing Standard The doctor who dares to speak his mind - Oxford Mail He writes lucidly and wittily - Good Housekeeping The man is a national treasure - What doctors don't tell you Compulsive reading - The Guardian His message is important - The Economist Revered guru of medicine - Nursing Times His advice is optimistic and enthusiastic - British Medical Journal It's impossible not to be impressed - Western Daily Press Outspoken and alert - Sunday Express Hard hitting - inimitably forthright - Hull Daily Mail Refreshingly forthright - Liverpool Daily Post Dr Coleman made me think again - BBC World Service

    You meet one when life doesn't go as planned. Survival requires immediate dependence and trust in a stranger in a white coat. As soon as the imminent danger has passed— they are off to the next case. Many patients don't realize that their stories stay with those that served them. Patients have the most to teach about humility and humanity."Compassion Amidst the Chaos" is brimming with the tension, anguish, exhaustion, relief, gratitude, and compassion that are all part of a typical day at work in the ER. Travel with Dr. Chris Davis through the cases he remembers most from his 35-year career as an emergency medicine doctor.

    It could be an oddball researcher’s genius insight, a catalyzing moment in geopolitical history, a new breakthrough technology, or an unexpected but welcome side effect discovered during clinical trials. Piece together these stories, as Thomas Hager does in this remarkable, century-spanning history, and you can trace the evolution of our culture and the practice of medicine.  ​Beginning with opium, the “joy plant,” which has been used for 10,000 years, Hager tells a captivating story of medicine. His subjects include the largely forgotten female pioneer who introduced smallpox inoculation to Britain, the infamous knockout drops, the first antibiotic, which saved countless lives, the first antipsychotic, which helped empty public mental hospitals, Viagra, statins, and the new frontier of monoclonal antibodies. This is a deep, wide-ranging, and wildly entertaining book.