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Blood

An Epic History of Medicine and Commerce

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1 of 1 copy available
1 of 1 copy available
Essence and emblem of life—feared, revered, mythologized, and used in magic and medicine from earliest times—human blood is now the center of a huge, secretive, and often dangerous worldwide commerce. It is a commerce whose impact upon humanity rivals that of any other business—millions of lives have been saved by blood and its various derivatives, and tens of thousands of lives have been lost. Douglas Starr tells how this came to be, in a sweeping history that ranges through the centuries.
    
With the dawn of science, blood came to be seen as a component of human anatomy, capable of being isolated, studied, used. Starr describes the first documented transfusion: In the seventeenth century, one of Louis XIV's court physicians transfers the blood of a calf into a madman to "cure" him. At the turn of the twentieth century a young researcher in Vienna identifies the basic blood groups, taking the first step toward successful transfusion. Then a New York doctor finds a way to stop blood from clotting, thereby making all transfusion possible.
In the 1930s, a Russian physician, in grisly improvisation, successfully uses cadaver blood to help living patients—and realizes that blood can be stored. The first blood bank is soon operating in Chicago.
    
During World War II, researchers, driven by battlefield needs, break down blood into usable components that are more easily stored and transported. This "fractionation" process—accomplished by a Harvard team—produces a host of pharmaceuticals, setting the stage for the global marketplace to come. Plasma, precisely because it can be made into long-lasting drugs, is shipped and traded for profit; today it is a $5 billion business.
    
The author recounts the tragic spread of AIDS through the distribution of contaminated blood products, and describes why and how related scandals have erupted around the world. Finally, he looks at the latest attempts to make artificial blood.
    
Douglas Starr has written a groundbreaking book that tackles a subject of universal and urgent importance and explores the perils and promises that lie ahead.
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    • Library Journal

      January 1, 1999
      Starr, codirector of the graduate program in science journalism at Boston University, energetically plunges into the social, ethical, and economic history of one of the most mysterious and culturally pertinent resources in human history: our very blood. He starts with the first blood transfusion, from a calf to a man, in 1667 Paris and runs through the changing mythological landscape, medical advances, and the political (and certainly military) power associated with possessing a rich blood supply. He closes with a discussion of contemporary issues, such as the threat posed by regarding blood as a commodity. This is science writing at its best: well researched, socially relevant, and highly enjoyable. (LJ 8/98)

    • Booklist

      Starred review from August 1, 1998
      From antiquity well into the nineteenth century, doctors frequently bled--extracted blood from--their patients. Indeed, Gutenberg's second publication was a calendar for bloodletting. During the early decades of the twentieth century, scientists started learning about blood types, collecting techniques, and processing methods. Karl Landsteiner, one of the great pioneers in the field, was, Starr relates, also an unusual scientist in that he was so modest that he asked Sinclair Lewis to respond for him when he received the Nobel Prize. Starr also describes the important work during World War II of Janet Vaughan, Charles Drew, and others who improved the supply of blood at home and at the front. One of "Blood"'s most fascinating episodes is about calm, perfectionist Edwin Cohn, who did so much for blood fractionation and for increasing the availability and usefulness of the parts of the life-giving substance. And then there is the quite recent story of AIDS. Starr uses humor and a knack for analogy to make many points; for example, he trenchantly notes both the Nazis' refusal to allow anything but Aryan blood into the veins of the master race and the American Red Cross' long insistence on keeping the blood of whites and blacks separate. The story of "Blood" is one of appalling greed, altruism at its best, and much in between; thoroughly documented and smoothly written, it deserves broad, continuing success. ((Reviewed August 1998))(Reprinted with permission of Booklist, copyright 1998, American Library Association.)

    • Library Journal

      Starred review from August 1, 1998
      At first glance, a lengthy book about blood might appear boring, even ghoulish. In reality, this book is totally fascinating. Using information gleaned from hundreds of interviews and extensive written documentation, Starr (science journalism, Boston Univ.) discusses how blood has evolved from a mystical force into a highly valuable commercial service. A significant portion of the book describes the impact of blood transfusion techniques learned during World War II. Also given considerable attention are the political and economic factors surrounding blood screening during the early years of AIDS and how the decisions surrounding these issues affected blood recipients, particularly hemophiliacs. The global aspect of the blood industry is considered throughout with lengthy comparisons on the status of blood research in other countries, particularly France, Japan and Britain. The lack of technical jargon makes the book easily understandable to nonscientific readers. Highly recommended for any public or academic health science collection.--Tina Neville, Univ. of South Florida, St. Petersburg Lib.

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